182864 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 357303 Page 1 of 1
ONE CIVIC SQUARE ROBERT HENSLEY
CHECK AMOUNT: $241.45
CARMEL, INDIANA 46032 400 GREYHOUND PASS
CARMEL IN 46032 CHECK NUMBER: 182864
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 111.45 GASOLINE
1120 4343002 130.00 EXTERNAL TRAINING TRA
i`SY 9F CAy�
CITY OF CARMEL Expense Report (required for all travel expenses)
.w I
EMPLOYEE NAME: DEPARTURE DATE: \S \Q TIME:
DEPARTMENT: east RETURN DATE: \�o \Q TIME: V Q_ AM PM
REASON FOR TRAVEL: `t�����c� I NAT ION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/TOIIS/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
2/15110 $44.95 $65.00 $109.95
2/16/10 $66.50 $65.00 $131.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0:00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00'.
$0.00
0.00
Total $0:00 $0:00 $0.00. $111.45 $0.00 $cr.00l $0.001 $0.00 $0.00 $130-001 $0:00
DIRECTOR'S STATEMENTphereb m that all expenses listerct conform to the City's travel policy and are within my department's appropriated budget.
FEB 2 6 2010
Director Signature: Date:
City of Carmel Form ER06 Revision Date 2/25/2010 Page 1
CITY OF CARMEL
FIRE DEPARTMENT
DATE: February 25, 2010
TO: Cindy Sheeks
FROM: Keith Smith, Fire Chief
On February 15, 2010, I sent Battalion Chief Bob Hensley and Firefighter Adam Harrington to the New
World Advisory Group Meeting in Troy Michigan. BC Hensley and FF Harrington both left Carmel on
Monday morning. BC Hensley returned to Carmel on Tuesday late afternoon and FF Harrington returned to
Carmel around 8 pm on Wednesday evening.
I have attached a claim for their Travel Per Diem. You will also. find a claim for reimbursement for Jim
Alderman. Jim reserved and paid for the Hotel Room for BC Hensley and FF Harrington, our department
needs to reimburse Jima Should you have any further questions please feet free to contact me.
II 1
DRURY INN SUITES TROY
575 WEST BIG BEAVER ROAD
TROY, MI 48084
Tele 248- 528 -3330 Fax 888 -597 -1889
1
HENSLEY, BOB Room Number: 203
FISHERS FIRE DEPARTMENT Daily Rate: 79.99
7775 KEMBLE COURT Room Type: NKX
FISHERS, IN 46038 No. of Guests: 1 I 0
�ARR�I/AL��DEPARTURECREDIT�C d r�� �RATE�PL4Ni� CAT�GOf2Y t� AC
02/1 5110 0 2/16/10 XXXXXXXXXXXX7943 304741 PREF 865577
v— a• Y*;... rr .as
DAT�ROOMNO DESCRIP:TION �REFERENCE
02/15/10 203 ROOM 4203 HENSLEY, BOB $79.99
02/15/10 203 ROOM TAX ROOM TAX $5.04
02/15/10 203 OCCUPANCY TAX OCCUPANCY TAX $5.60
02116/10 203 ($90.63)
TOTAL DUE: $0.00
Terms: Due and bleu n resentauon. I AGREE that m Iiabili for this bill is
Highest in Guest Satisfaction Among Mid-Scale Limite gNa P y
onn
not waived and agree to be head peisaltyliable if the indicated person, company or
Service Hotel Chains, Four Years in a Row. -J.D. Power and Associates association tails to pay far any part or full amount of these charges including any
d a ry wn s;m�dtetw a �tmd�c*datae ne�ayl.o ro>�auso-m�sN�na�'
missing/damaged items. etc. Hotel is authorized to charge my account andlor credit
Srsxt4n lido k& sett, Wd m muss flan 0351 v,.t u,:swk SmC
I xnat ud 2xnms Riiasdg�m rc mf o,:m'!Ary
nsxw d„�,� a ,d ,,,,"r,raxe+arymw.x��r�s v� p card for all charges incurred, including any items missing or damaged during my stay.
VOUCHER NO." WARRANT NO.
ALLOWED 20
Bob Hensley
IN SUM OF
$111.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 42- 314.00 $111.45 1 hereby certify that the attached invoice(s), or
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
FEB 2 201 C
Ap
u U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$111.45
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
1 20
Clerk- Treasurer