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304933 11/09/16 CITY OF CARMEL, INDIANA VENDOR: 114500 (9, ONE CIVIC SQUARE TIMOTHY J. GREENCHECKAMOUNT: $*******988.26* CARMEL, INDIANA 46032 11468 SENIE LANE CHECK NUMBER: 304933 CARMEL IN 46032 CHECK DATE: 11/09/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 110816 988.26 TRAINING SEMINARS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) TIMOTHY J. GREEN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 11468 SENIE LANE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $988.26 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-500 $988.26 1 hereby certify that the attached invoice(s),or 11/7/16 0 CALEA-hotel,per diem,parking,bagage $988.26 1110 {210 1110 210 Y bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, November 07,2016 Tim Green Chief of Police I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indianapolis Fast Park 8550 Standsted Rd Indianapolis, 46241 Booth 11/06/16 13:49 Cashier 18 Receipt 052471 Short-term parking tkt 1 - No. 0633,77 11/03/16 08:23 11/06/16 11,19 Period 31d5h''2'7' (Ust.) $ ;00 Sub Total $36.00 Ust, $0,00 Total $36.00 Payment Received MC $36,00 XXXXXXXXXXXX2407 Merch:215051409997 Auth:545625 Type: Swiped Includes 10% airport fee. +s►sa� nryo�aaetc�r 1 CPU E R I C'A'N A I R L SUBJEC7 TO CONDITIONS OF CONTIiACT/•f� f) �. r�.0 Il;r� � f PASSENGER RECEIPT 1B� DABLEO_NLY TCH r, MER I'CAN4AIRLINESf ,' GSAGENTO,0 ( �116 2, U �tELATED'{'FLIG.HT, CP._N ': r QN sc RYb]� THIS RECEIPT IAM_OF PASSENGER(NOT TRANSFERABLE) - FARE BASIS TOIIfl CODE fCI gIN/T I M O T H Y ) CAR0. FLIGHT-CLASS DATE TIME-STAB NOTVAUD BEFORE-DTYAUD AF�J 1 j H R`O U G AO T*NOT VALID FOR"* REVALIDATION �,b UTI E Y * * SGR TICKET 0017860657134 NDORSEMENTS/FiESTRICTI0N5( ? ` 3 �j r x I,,• _ ) ; 1 1 )'' 1 .; 6R CON°DITIO:NS O;F. PNF3 CODS PNRCODE x t z f. L`F14rLGlt�{/ � jTIA CLTIND AA ~S SSUEDPiE%CHANGEFGRLK7 . CG .TNO. A E'�GZA>'C{1LRfM�OLB 23KG�AND52LI; 25 X00` _ - ' . ' ' � � American Airlines 'PREEN/TIMOTHY J 6NOV 209106 IND AFiE 71 ,C-0UNFAREPAID ,`FORM OF PAYM°NT _ 2 5 0 0 0 U` P IKXX)O(XXXXXXXx2407 53 5 ,i 1 A 5 4 1 e 0 6 C L T p N R E/CFURGE - PCS CK'WI' UNCK.L E ALLOW PCS. CK.Wf. UNCK WT. li r. LHWZGU -STOCK NUMBER COUPQJANE .FDRMSERWNOCKMFEEICHARGE - IINDIANAPOLIS I N A%IFEE/pHARGE 5 ? 5001357955 OT N`A 0012258356979 ; 0 001 0264927738 2 IIIIIIIIIIIIIIIIIIIIIIIIIIIII D 25 00 ;��"o a�saar�rsaca, ei�►ane ,eeisi 4 �NrnencanH�n�nes SUBJECTTO GOND O�JSOF�COTITRAC R�" ' `` "� '� £ PASSENGER RECEIPT 1 NDABL�E ONL�I( I�T�kJ �rnen ``anA`irline�s DATEOFISSUE ISSUING OFFICE CODE IIS 03NOV 16 15101100 LADS iREAfDLYGHT '6 Iss!AGENr o�' sfi a G 4 f;PwcEGF,ssu�€z y 5�� G _ s G iMUIN THIS RECEIPT P GE N T.TRANBFEflABIE) :FARE BASIG TOUR CODE f I MOTHY J g AALID THR000HOUl YOUR '4 CMR FIIGHi—CtA55 DATE TN.E SiATUS`NOT VAUOBEWFE—NOTVAL1DAFhR OT VALID FOR* � DO� NEY T1KfAlN'SI PORTATION REVALOAnON 7)xro To PSGR TLCKdE�T00�17860657134 ooflrsFn+ENTs.�� COI�b I�T7rONSOOF,�k 471- ,�Hw2 , C©.NTRACT SEE FECALC r ,: a ! �. �AIl1S 1/Zti1�7 L1_ C�nC? T5 0D A��G Z a I. AE J - 1: ,FAUN FADE-�PA-IL�- FORM OF,PMR AYMENF _ _ I I" �{ADDMONAISEATINFORMATION J(lF�EEJCNAROE pA �PC'�,S`hCKWT. 0 q V *-�' .... SEO NO. ALLOW PCB. CKWT. UNCKWT. OPCS. CK WI'. UNCK.WT. SEO.NO. PCS. CKWF. UNCK.WT. UUFEEICNARG �/'1 STOCKCA q. ( � COUPON. AINLINE' FORM SEBIALNO. CN BAGGAGE 55����55�`��Yj cZV`i5 �, ., •-•c-�js `r�,` a�, V(IFE C GE A (�S I ZS C COUPDN pL1NE FORM SEH4LL`N0. .,G( "F 11 �rSS S4i '� 0 001 0264691714 4 -�'" TUU' 2b379 083 � o HOMEWOOD HOMEWOOD SUITES NORTH CHARLESTON N 1109SL�IITES AIRPORT B Y H 1T.0 5048.INTERNATIONA BLVD N.CHARLESTON;$C.29418. United States of America. TELEPHONE 843-735-5060. ..FAX.843-735-5010 Reservations www:hilton.com or 1 800 HILTONS" GREEN; Room oom No: 220/QHWN' Arrival bate: . 11/3/2016 24200 FM: 11468 SENIE LANE Departure Date: 11/6/2076 6:53:00 AM Adult/Child:' 1/0 CARMEL IN 46032 Cashier ID:. TARAGALLANT : UNITED STATES OF AMERICA Room Rate; 193.03 Al:• US 40032279503 HH# 383276374 SILVER -VAT#. Folio No/Che 121420 A Confirmation,Number:81797057 HOMEWOOD SUITES.NORTH CHARLESTON AIRPORT 11/6/2016 8:09:00 AM. . DATE REF-NO w -]DESCRIPTION CHARGES : 11/3/2016 ;. 614313 GUEST ROOM $1.93.03 1-1/3/20.16 614313 :. SC STATESALES.TAX'(R) $16.43 11/3/2016 -614313. : STATE OCCUPANCY TAX $1.93 11/3/2016 :614313 N.CHARLESTON CITY ACCOM FEE' -$3.86. :. .11/3/2016 614313 CHARLESTON COUNTY ACCOM FEE:. $3.86 11/3/2016 -614313. • CACVB DESTINATION FEE $0.25' 11/4/2616, :614542 .' - GUEST ROOM. $193.03 - 11/4/2016. • . 614542 • . SC STATE SALES.TAX(R) .$16.43'. 11(4/2016' - 614542 : STATE OCCUPANCY-TAX $1.93: 11/4/2016. :614542 N CHARLESTON CITY ACCOM FEE' $3.86 11/4/2016. .614542 - CHARLESTON COUNTY ACCOM FEE $3.86. 11/.4/2016.. 614542_: CACVB.DESTINATION.FEE. $0.25. - 11%5%2016 614792 GUEST ROOM:. 11/5/2016 614792 - SC STATE SALES TAX(R) $15.24 1.1/5/2016: 614792:- STATE OCCUPANCY. $1.79 1.1%5/2016 614792 N CHARLESTON CITY ACCOM FEE $3.58 " 11/5/2016 $14792 CHARLESTON COUNTYACCOM FEE,-.. $3.58 11%5/2016: 614792: CACVB DESTINATION FEE $0.25 1.1%6/2016- ... 614923 VS*400 ($642.26). .. **BALANCE" . 0.00 EXPENSE REPORT SUMMARY, :. 11/3/2016 11/4/2016 : .. 11/5/20:16 v STAY TOTAL ROOM AND TAX.. .. $219:36. $21936- $203.54 $642.26 . DAILY TOTAL $219.36. . $219.36 $203:54• $642.26 You have earned approximately 9553 Hilton HHonors points for this stay:Hilton HHonors(R)stays are posted within 72 hours of checkout To . check your;earnings or book your.next stay at more,than 3;900 CREDIT,CARD,DETAIL. APPR CODE 06025CMERCHANT ID . 8358008427BANKID2454. CARD NUMBER VS'4676 EXP DATE.' '07/18 TRANSACTION 1D 614908 TRANS TYPE Sale Page:1 of 1� I CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Tim Green DEPARTURE DATE: 11/3/2016 TIME: 9:20AM AM/PM DEPARTMENT: Police Department RETURN DATE: 11/6/2016 TIME: 1:10PM AM/PM REASON FOR TRAVEL: CALEA Conference DESTINATION CITY: Charleston, SC EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN' TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Parkin Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 11/3/16 $25.00 $65.00 $90.00 11/4/16 $65.00 466.00 11/5/16 $65.00 $65.00 11/6/16 $25.00 $36.00 $642.26 $65.00 $768.26 $0.00 $0:00 $0.00 $0.00 10.00 $0.00 $0.00 $0.00 $0.00 -.$0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $0.00 $50.00 $36.001' $642.261, $0.00 $0.00 $0.00 $0.00 $260.00 $0.00 •: : DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 11/7/2016 Page 1