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Home My WebLink About326468 06/20/18 ('��q,,f� CITY OF CARMEL, INDIANA VENDOR: 365545 ONE CIVIC SQUARE CHAD AMOS CHECK AMOUNT: $*****1,654.86* _� CARMEL, INDIANA 46032 712 PLEASANT POINT CIRCLE CHECK NUMBER: 326468 9�'29uN: CICERO IN 46034 CHECK DATE: 06/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 0 1,654.86 TRAVEL & LODGING VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365545 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CHAD AMOS IN SUM OF$ CITY OF CARMEL 712 PLEASANT POINT CIRCLE 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. CICERO, IN 46034 Payee $1,654.86 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 43-430.03 $1,654.86 I hereby certify that the attached invoice(s),or 6/14/18 0 Appicant background check $1,654.86 1110 101 1110 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 Friday,June 15, 2018 Jim Barlow 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer t 1 CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Chad Amos DEPARTURE DATE: 6/10/2018 TIME: 4:00 (A/ PM DEPARTMENT: CPD RETURN DATE: 6/13/2018 TIME: 6:00 AM PM REASON FOR TRAVEL: Applicant background DESTINATION CITY: Scottsdale, AZ EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN_7K_TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 6/10/18 $655.78 7$274.05 / $65.00 $994.83 6/11/18 i $65.00 $65.00 6/12/18 $65.00 $65.00 6/13/18 $72.00 $393.03 $65.00 $530.03 $0.00 .$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.0.0 $0.00 $0.00 $0.00 0.00 Total 1, $655.78 . $274.05 $0.00 $72.00 $393.03 , $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 6/14/2018 Page 1 1 of 1 � June 13, 2018 u GAINEY SUITES HOTEL Reservation Number 362684 Send to Chad Amos Phone 1317-945-6145 Guest Name Chad Amos Arrival Date Departure Date 6/10/2018 6/13/2018 Room Information 205-Studio Suite King Bill To Amos, Chad Phone 1317-945-6145 Folio Number 295365 Trans Date Description Voucher Amount Charges 6/10/2018 Booking.com gsh-205 115.00 6/10/2018 Occupancy Tax gsh-205 16.01 6/11/2018 (Gift S"p 205 490858 C". 0 6/11/2018 Booking.com gsh-205 115.00 6/11/2018 Occupancy Tax gsh-205 16.01 6/12/2018 Gift-Sh00205 490864 e 6/12/2018 Booking.com gsh-205 115.00 6/12/2018 Occupancy Tax gsh-205 16.01 Total Charges 400.53 Balance Due: 400.53 Total Occupancy Tax Total Tax $48.03 $48.03 Gainey Suites Hotel 7300 Gainey Suites Dr Scottsdale,AZ 85258 Phone:(480)922-6969 Fax:(480)922-1689 www.gaineysuiteshotel.com Thanks for choosing Southwest®for your trip. Southwest* AlLo in I View mv itinerar Check In Online GhecR Flight Status ChangeFlight SpecialOffers HotelOffers Gar Offers Ready for takeoff! Thanks for choosing Southwest®for your trip.You'll find everything you need to know about your reservation below. Happy travels! X Air itinerary AIR Confirmation: TYHA9M Confirmation Date:06/5/2018 Passenger(s) Rapid Rewards# Ticket# Expiration Est. Points Earned AMOS/CHAD B 20129690464 5261453520618 Jun 5,2019 3287 Rapid Rewards points earned are only estimates.Visit your(MySouthwest,Southwest.com or Rapid Rewards) account for the most accurate totals-including A-List&A-List Preferred bonus points. Date Flight Departure/Arrival Sun Jun 10 3665 Depart INDIANAPOLIS,IN(IND)on Southwest Airlines at 07:15 AM Arrive in PHOENIX,AZ(PHX)at 07:55 AM Travel Time 3 hrs 40 mins Wanna Get Away Date Flight Departure/Arrival Wed Jun 13 2131 Depart PHOENIX,AZ(PHX)on Southwest Airlines at 07:00 AM Arrive in LAS VEGAS, NV(LAS)at 08:05 AM Wanna Get Awav 1452 Change planes to Southwest Airlines in LAS VEGAS, NV(LAS) at 08:50 AM Arrive in INDIANAPOLIS,IN(IND)at 03:25 PM Travel Time 5 hrs 25 mins Wanna Get Away Air Cost: 655.78 IND WN PHX292.82WN X/LAS WN IND254.88USD547.70END ZP IND4.10PHX4.10LAS4.10 XF IND4.5PHX4.5LAS4.5 BLN3PNR WLA7PNRO WLA7PNRO Cost and Payment Summary AIR-TYHA9M Base Fare $ 547.70 Payment Information U.S.Transportation Tax $ 41.08 Payment Type:Visa XXXXXXXXXXXX8803 U.S.9/11 Security Fee $ 11.20 Date:Jun 5,2018 U.S. Flight Segment Tax $ 12.30 Payment Amount:$625.78 U.S. Passenger Facility Chg $ 13.50 Earl Bird $ Payment Type:Visa XXXXXXXXXXXX8803 Total Air Cost $ 655.78 Date:Jun 5,2018 Payment Amount:$15.00 Payment Type:Visa XXXXXXXXXXXX8803 Date:Jun 5,2018 Payment Amount:$15.00 —............... .. ............. ........-. ..... . ........... I k i l G R t f . INDIANAPOLIS INTERNATIONAL AIRPORT L/R 914 A Payment No.00027745 T/D #02 Ticket No.081126 Entry Time 06/10/2018 (Sun) 5:43 Exit Time 06/13/2018 (Wed) 16:33 Parking Time Mays 10:50 �iabim eea Rate D $72.00 VISA Account # *****************8803 Slip # 73082 Auth Code 000002558C Credit Card Amount $72.00 ----------------------------------------------- Total s-72- Thank you, Have a nice day! (317) 487-5017 ---------------------------------------------- ---------------------------------------------- i nterprise lental Agreement Sunnary M 447112330 HTER: CHAD AMOS :orporate: BRANCH DISCOUNT - i.0% Ion-Loyalty Dates&Tine Location unday, Jr.nr :10, 2018 1805 E SKY HARBOR CTR 18:1.9 All `i PHOENIX AZ, 85034 3418164387 ladnesday, JUL) 13, 2018 1.805 E SKY HARBOR CIR 16:00 Abl S PHOENIX AZ, 85034 3448:164387 Vehicle lake./lvlo1.1el:NISN / MAXI :olor:BLACK I'ileage:11178 'uel.:FULL icense#:ANK1996 ''chicle#:JC3611.35 rehicle Condition No D(ninge Doctsocnted Charges Price/Unit You TINE & D"ISFANCE $49.135/1)*3 $1.49.55 TI14E & DISTANCE $9.9MI $0.00 NO CHARGE $0.00/14 $0.00 DISTANCE FUEL SERVTCE $5-,1.6l,'R*1 $54.61 OPTION: DISCOUNT 10.001tii11C --$14.96 CUSTOMER $11.00./D*3 $18.00 FACILITY CHARGE 6.00/DAY MAINTENANCE FEE $O.l:VD*3 $2.13 0.71.%DAY CONCESSION 1:1..'.LL`w-C $21.26 RECOVERY FEE 11..'11PCT VEHICLE LICENSE 5.00%/C $11.53 SURCHARGE 5 PCT STADIUM 3.25'%/C $7.49 SURCHARGE TRAINS PR.IV TAX 10.60"'b/C $24.44 : r F.i'.i9 •L:S:Linxit c CLictr Je 3•� --_ $:?74.,.:0