HomeMy WebLinkAbout323050 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 07990.0.i".,:.,
g A ONE CIVIC SQUARE GARY-DUFEK CHECK AMOUNT: $**...**712.77"
�. CARMEL, INDIANA 46032 12610 OVERTURE DRIVE CHECK NUMBER: 323050
CARMEL IN 46033 CHECK DATE: 03/21/18
DEPARTMENT_ ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 18.00 GASOLINE
1120 4239012 10.15 SAFETY SUPPLIES
1120 4343002 684.62 EXTERNAL TRAINING TRA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 079900 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY DUFEK IN SUM OF$ CITY OF CARMEL
12610 OVERTURE DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46033
Payee
$10.15
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 42-390.12 $10.15 1 hereby certify that the attached invoice(s),or 3/19/18 0 $10.15
1120 101 1120 101
bill(s)is(are)'true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 19, 2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 079900 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GARY DUFEK IN SUM OF$ CITY OF CARMEL
12610 OVERTURE DRIVE An invoice or bill to be properly itemized must show!kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46033
Payee
$702.62
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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 42-314.00 $18.00 1 hereby certify that the attached invoice(s),or 3/19/18 0 $18.00
1120 101 1120 101
0 43-430.02 $684.62 bill(s)is(are)true and correct and that the 3/19/18 0 $684.62
1120 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Monday, March 19,2018
.U-®r _
David Haboush
Fire Chief
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
eQ'a SW��t
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIANp
EMPLOYEE NAME: Gary Dufek DEPARTURE DATE: - �� - �� TIME: �' A QPM
DEPARTMENT: FIRE RETURN DATE: - \q:tD TIME: AM/N2
REASON FOR TRAVEL: Excellence Conference DESTINATION CITY: Orlando, FL
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total ,
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
3/12/18 $3.00 $65.00 $68.00
3/13/18 $65.00 $65.00
3/14/18 $65.00 $65.00
3/15/18 $18.00 $65.00 $83.00
3/16/18 $314.12 $42.50 $65.00 $421.62
$0.00
$0.00
$0.00
$0.00
,$0.0
$0.00
$0.00
" $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total 1 $0.00 '$3W121 . $0.0,01 :$63.501 $0.00 $0.00 $0.00 $0.001 $0.001 $325.00 $0.00
DIRECTOR'S STATEMENT: I h reb ffir thatjax nses li d conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: f Date:
City of Carmel Form#ER06 Revision Date 3/19/2018 Page 1
1/30/2018 Southwest Airlines-Purchase Confirmation
Espanol
Southwest® FLIGHT I HOTEL I CAR SPECIAL OFFERS RAPID REWARDS® q
Thank you for your purchase!
Southwestip
Indianapolis,IN-IND to Orlando,.FL-MCO
Air
Indianapolis,.IN.-IND to Orlando,FL
-MCO
Monday,March"12,2018-Friday,March
16,2018
EarlyBird Check-In
Air Total: $441.97
Amount Paid
$441.97
Trip Total
$441.97
MAR 12
MON 03/12/18 - Orlando
AIR
Indianapolis,IN-IND to Orlando,FL.-MCO
03/12/2018 - 03/16/2018
Q Confirmation#
JV6X3C
Adult Passenger(s) Rapid Rewards#
GARY"DUFEK 20190475200
Subscribe to Flight Status Messaging
Travel Flight Segments Flight Summary
Date
DEPART 08:00 AM Depart Indianapolis,IN Fight souenves" Monday,March 12,2018
MAR 12 (IND)on Southwest Airlines #1092
MON Travel Time 2 h 15 m
10:15 AM Arrive in Orlando,FL(MCO) wiF available (Nonstop)
Wanna Get Away
RETURN 03:55 PM Depart Orlando,FL(MCO) Flight saroevest. Friday,March 16,2018
MAR 16 on Southwest Airlines 05553
FRI Travel Time 2 h 30 m
06:25 PM Arrive in Indianapolis,IN - wlFl available (Nonstop)
(IND) Wanna Get Away
What you need to know to travel:
Check-in:_Be sure to arrive at the departure gate with.yourboarding pass at least 10 minutes before your
scheduledAeparture time.Otherwise,your reserved space maybe cancelled and you won't be eligible for denied
boarding compensation.
hknc•dwww cni jthwact rnm/racPrvatinns/ronfirm-reservations.html?disc=sdc%3A1398974EC9DF4D6F9995DA4CEE901 BAA&int= 1/3
Page No. 1
C A R I B S ROYALE
A i L. s u 1 T e s-1 o r e i..
C O N V E N T 1 O N C 6 N T 6 R
Q R L fSa N D 0
Room#: 2204
Folio#: R30.15S199 - 1
Guest Name: Denise Snyder Group#: CPS 18
CENTER FOR PUBLIC SAFETY EXCEL Guests: 2
2 Civic Square Clerk: MAVISD
Carmel, IN 46032 US
Arrive: 03/12/18 Time: 11:53 AM Depart: 03/16/18 Time: 11:09 AM Status: HIST
Date Description ; . Reference" Comment Charges Credits
12/11/17 DEP CHECK ck#319359 ck#319359 City of Carmel ($697.50)
03/12/18 CALYPSO BAR 542815 $14.70
03/12/18 SUITE REVENUE 2204 $155.00
03/12/18 SUITE TAX 2204t SUITE TAX $19.38
03/13/18 SUITE REVENUE 2204 $155.00
03/13/18 SUITE TAX 2204t SUITE TAX $19.38
03/14/18 SUITE REVENUE 2204 $155.00
03/14/18 SUITE TAX 2204t SUITE TAX $19.38
03/15/18 SUITE REVENUE 2204 $155.00
03/15/18 SUITE TAX 2204t SUITE TAX $19.38
03/16/18 PAY VISA Ck Out 11:09 ************4647 ($14.72)
Foh B lance:
Guest Signature:
Caribe Royale Orlando
8101 World Center Drive
Orlando,FL 32821
Tel:(407)238-8000
Fax:(407)238-8050
Page.1 of 2
Center for Public Safety Excellence, Inc..
-Center for 4501 Singer Court,Suite 180
Chantilly,VA li
��� Public Safety (703)691-4620. 151
Excellence infoC&cpse.org
www.Cpse.org
INVOICE
BILL TO INVOICE# 05-12511
Carmel.Fire.Department DATE 11/01/2017
Attn .Denise Snyder, DUE DATE 12/01;/2017
Budget&Accreditation TERMS Net-30 Days
Manager.
2 Civic.Square
Carmel,IN 46038
ACTIVITY QTY RATE AMOUNT
CPSE 2018 Excellence Conference for Dave Haboush 1 685.00 685.00
CPSE 2018.Excellence Conference.for Gary Dufek 1 -685.00 685.00
CPSE 2018 Excellence Conference for Denise Snyder 1 68500 685.00
To make your payment by credit card,please call.our main office at BALANCE DUE $2055.00
703-691-4620 and ask for Katie Jones: Thank you.
https://connect.int iit.com/portal/module/pdfDoc/template/printframe.htm] 11/7/2017
I, Gary Dufek hereby certify that I paid $18.00 for gas on Thursday, March 151, 2018. 1 was not
able to get a receipt, however a photo of the charge is attached.
Respectfully submitted,
Gary Dufel�
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;ixt Rent a Car LLC
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::rt Lauderdale, FL 3331.0
IfIted States
rc k� nfContract-Na:-9.173 0912; KHK N
Custoner No; 9373276912
liue out; 03/_12/2918 1.1.05 Orl;:endo Int. Ai Int. No; 0013747934
h.e i��, - 03.7EIfilr26101300lirldo=lnti ,Registr No: FL-DFHF98
IEturn address: IBS��tawf417,91,
UO
WON MUD
11 Leuel; 11708 EU SB` Veh. Type:—CHEUROIEJ HNLIBU ,
r is parked on: 1 1 F 19 `'Order No; 9860125147 -�
Res No: 9B60125147
"iter 1 POriuer Renter 2: Conpany
1.PfK HOIUIRE INC.
;t PII
hfia0 OVERTURE DR 655 H(INTGOIIER4 S1
Ih CA
I'll 46033-8522 CARMEL USA 94111-2635 SAN FRANCISCO
.)r:Wing licence; 8922-26-5781;;_ 0211^412018 Indiana
conr Driuerl SITYDER DENISE—�Ifi033 (15221CARMEL
]C,to: US93D00FGAR Agent. 005110663
r.Ix:cX*:XX.k*X**xXX*X***x*1:*XX**M:xX:e*X**�:9:*u****cXXXXXXXX**XX*xXXx*XX**xX***X*xxX
HOTUIRE INC. Estioated Total Renter 2
------------------------ Number Unit Price ------ Subtot----------
IFntal days"! 5 - 1_ _—ioclusiue Al
!total Surcharge `s_= inclusive_ Al
1ilClcle License Fee `5 - inclusiue--= Al
[lu:cx*:XxxxXxXxx*X*x**Xx*:xxxxX*:x*:aXxtx*�;Xxx*#Xux*xx*xX****x*xxXxx*XX***xx**xX**
DUFEK Estinated Total Renter 1
fbrmber Unit Lice -- Subtot --
Ir bi ection Package Pred um- .1.- — 244:;95 USD :
hteni_un82-tilut7i
I1dlti.ori
;Lbi;otal net Renter 1 _ 309.90 USD
IF-Tax exempt
II Sales Tax 6,50% 4.22 USD
[teal 314.12 USD
c:l enc**'.*X:k**X*XXXX**xXX*�:xXX**X**:txXX*M:M:*x*XX*1cXX*x*xX*X*X*Xx**x*x*xx***xxxX**x
I;to includes all mis
K Tax exempt
II Sales Tax 6,50% 4.22 USD
[Ctal 314.12 USD
;I:ru;e;sion Recouery Fee included
.r.ss Danage Naiuer with an excess of [ISD 0,00
'loft Protection with an excess of [ISD 0,00
I:ucher: 9B60125147
'-:gnerit method: VI ************91)94
Irroroua1: 12.03:2018 063871:; USD
'lease let us know about: any changes to the rental agreement, otherwise
i(d1tional costs may be incurred.
Iris rate is not eligible for thi; collection of air miles or bonus points.
!E offer for an additional charge the following optional products;
.(so Damage Waiver (LOW), Partial Damage Uaiuer (POW), Personal Accident
Irsurance (PAI), Supplemental Liabi-lity Insurance (SLI). Before deciding
nether to purchase any of these products you may wish to determine whether
i(ur personal insurance or credit card affords you coverage during the rental
ic.r:iod. ]he purchase of any of these products is not required to rent the
01 icle.
ire valid and collectible liability insurance and personal injury protection
lrsurance of any authorized rental or leasing driver is primary for the
limits of liability and personal injury protection coverage required by
r:ragraphs 324.021 (7) and 627.736, Florida Statutes.
Icu agree to purchase and pay for LOW. LOW does not cover all instances of
( nage to the Vehicle. There are exclusions. Subject to the terms of
",ragraph 5 of the Terns and Conditions, we will waive your responsibility
I'(r damage to, or loss of, the Vahicle,
'cu agree to purchase and pay for POW. POW does not cover all instances of
],nage to the Vehicle. There are exclusions. Subject to the terms of
I"ragraph 5 of the Terns and Conditions, we will waive your responsibility
I'cr the first $500 of damage to, or loss of, the Vehicle.
i(u agree to purchase PAI. you acknouledge rereiuing the summary of the terms
it the PAI policy that is printed on the jacket that holds this Face Page.
1(u agree to purchase SH. you acknowledge receiving the summary of the terns
it the SLI policy that Is printed on the jackot that holds this Face Page,
;l1 does not cover all risks. There may lie exclusions for unauthorized or
lrtoxicated drivers, no first party uninsured notorist coverage, no coverage
fr.r certain passengers in the vehicle, and other exclusions. Please read the
x Hcy sunnary.
'N.thorized Drivers are the only persons permitted to drive the Vehicle. If
iiu pernit anyone other than-the Renter or as Authorized-Oriuer-listed by us.
itoue to drive the Vehicle, we will hold you responsible for danage to the
Ich:icl.e and for damage to others and their property caused by the
irauthorized driver. Damage caused by unauthorized drivers is not covered
is Loss Damage Waiver. There is a small fee to add Additional Drivers to this
'I;roement.
Ru decline to purchase fuel in aduanco. 4ou nust return the Vehicle with at
1(ast as nuch fuel as when rented. If you drive a total of 70 miles or less
)(u must provide a gas receipt at check in. If you do not, you will pay us a
:tolirig convenience fee of $13.99, despite the indication of a full tank. If
i(u drive a total of more than 70 miles and the Vehicle is returned with less
'ie:l than when rented, you will pay us for tho fuel used at
USD 0.99 per gallon.
'cu agree to purchase Roadside Assistanco, the terms of which are summarized
Ir Paragraph 5.b. of the Terns and Conditions.
ll:iii vehicle's license plate is regist:erod with Toll-By-Plate, a Florida
;(a1 road express lane service. Each tino you drive the Vehicle through an
ntnnated express lane, the license plata is photographed and we are noti-
'ied that you used the Express Lane. We offer Toll Express Service (TN), a
i foe service that permits you to use automated express lanes within Florida
iithout paying a toll at: the time you driue through.
1(u decline to purchase TN and you agree not to drive through automated
npress toll lanes. If you use an Express Lano without purchasing TR, you
ii:l:l pay us our administrative foe of USO 5.00 plus the applicable toll fee
'cr each tine you use ars Express Lane during your rental according to the
:(rus of Paragraphs 4 and 4a of the Terms and Conditions. This fee will be
;rarged to your credit card after the close of this rental transaction.
:'lure to return rented property or equipment: upon expiration of the rental
IEr:iod and failure to pay all amounts duo (including costs for damage to the
iroperty or equipment) are evidence of abandonment or refusal to redeliuer
;re property,punishable in accordance with section 012.155, Florida statutes.
:(r Renters picking up a Vehicle at locations servicing an airport; if you do
:eco Page); and (b) 4ou must prouide proof of full coverage insurance. If you
:Ir:iue the Vehicle outside the State of pick-up, we will charge you a fee of
1;11 0.50 for each mile the Vehicle has boeo driuen during your rental. If you
ruo a return airline boarding pass or, round-trip airline itinerary, the
:cnditions "For all other Renters" described below will apply.
'cr all other Renters: The Vehicle may not be used outside the.States of
:1orida, Georgia and Alabama (the "Region"). If the Vehicle is operated
0:0de the Region, we will charge you a fee of USD 0.50 for each mile the
gch:icle has been driuen during your rental. The fee does not limit in any way
tie total amount or any compensation owed to us under this Agreement.
'r.r Ome-Way Rentals: If you haue a reseruation for a one way rental to return
tto Vehicle in a state other than the state of pick-up (as shown on the Face
the territorial restrictions described aboue do not apply. Houeuer,
)cu may only use the Vehicle in the continental United States, Ontario
lr:itish Columbia, Canada.
1� are enrolling you in the Sixt Express Mastur Agreement, a program
:Ics:igned to make your next rental from Sixt proceed more efficiently.
Ito benefits of the Sixt: Master Agreement are giuen to you at no cost. The
lo-ails are explained in Paragraph 13 of the terms and Conditions and else-
tlore on the rental Jacket.
Iron handouer, uehicle free from damage except: for the damage marked
with an asterisk M.
"spoiler, bumper, front: Passenger side scratch 2-4 inch (down
Wricle Condition: It is your responsi.hility to inspect the Vehicle for
:Image before leaning our facility. If you discouer damage, return to our
alfice and notify us of the damage.
ay signing below, you agree to the Terms and Conditions printed on the rental
Ticket: and to the terms found on this face Page, which together constitute
tt:is Agreement. 4ou acknowledge that you haue been giuen an opportunity to
,tad this Agreement before being asked to sign it, and that all information
,!cu haue prouided is true and correct.
deur signature constitutes your agreement to purchase the optional products
JI scribed aboue. flour signature allous us to process credit or debit card
acuchers in your name for all amounts duo us under this Agreement.
dcu permit us to reserve against-your card at the beginning of the rental an
auount up to three times the estimated total charges as a deposit, in no
:!coot less than 8200, or the amount li.stod on the Face Page. For Vehicles in
tto executiue or luxury categories you authorize us to reserue up to 85,000
'!�a:inst your card. He may use your deposit to pay any amounts owed to us
ardor this Agreement. Nu authorize US to charge your credit/debit card
atter the rental concludes for all unpaid tolls, toll and parking violations
and fines or penalties assessed against: you, us, or the Vehicle during the
,toga] plus our administ:ratiue fee of USI) 40.00 for each such charge and to
cloase your rental and credit/dabit card information to the charging
i.t:horities for processing purpo,aes.
;ignature: 9373278912 3
444+4..................4.........+++++A.........4+++++++++++++++++++++++++++++++
dcu have been serued by Ms Angelina N
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dcu want to extend your current rental poriod or get an oueruiew of your
arouicus rents? Then register or log i.n at uuu.sixt.com/mysixt, your
arl:ine customer portal.
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llank you for choosing Sixt. haue a pleasant Journeyl
Irternet: uuu.sixt.com
:.flail.: reseruations-usa@sixt.conn , customerseruice-usaCsixt.com
:;x:11: +1(888)749-0227 Fax: +1(88(i1122-29110
?(10-03-12111:05 '
............
Fas'ParkcAI*gPORT
Fast Park.
PARK PLACE Fas"FarkL2
Airport Parking
This card/pass allows the holder to park one vehicle in the applicable facility in exchange for payment
of the applicable fee,and constitutes a license for use of the facilityby holder for the sole purpose of
parking such vehicle.No bailment is created by this card/, .and neither Fast Park,FastParlQ,Airport
Fast Park,Park Place,nor any of its affiliates,parents or subsidiaries,assumes any liability for theft,
�f're,damage,or loss of use,with respect to the holder's vehicle,or any property of the holder contained
in ,vehicle.Please visit our website listed below for a detailed description of the license granted.
www.thefastpark.com
3/5/2018 11 :37:11 AM
]rder Number: 2 0 8 8 7 6 2
Circle K 2368
545 S RANGE LINE RD
CARMEL, IN 46032-2140
(317) 574-1021
aegister:l . *, Marti-G-914466
2 SM ICE BAG 7 LB 8LB $7.96
SM ICE BAG 7 LB 8LB $2.19
Sub. Total : $10.15
Tax: 40,00
Total: _ . $10,15
Discount Total ; $0,00
TOTAL $10 - 15
Debit: $10,15
Change $0 . 00
)ebit
:ard Num : XXXXXXXXXXXX9411
austomerName:
Wroval : 412156 0
Invoice #; 150052
'IN USED
tk�CA-
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