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HomeMy WebLinkAbout191643 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00352932 Page 1 of i e ONE CIVIC SQUARE STEVEN FRYE CARMEL, INDIANA 46032 535 CHURCHMAN CHECK AMOUNT: $175.00 BEECH GROVE IN 46107 CHECK NUMBER: 191643 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 175.00 EXTERNAL TRAINING TRA CA NA G t a,.Vs Rsii 3 CITY OF CARMEL Expense Report (required for all travel expenses) saw .!N171PNP, EMPLOYEE NAME: ��l•� �c y s_ DEPARTURE DATE: TIME: AM lQil, v DEPARTMENT: RETURN DATE: 'tea T TIME: AM /(PM, REASON FOR T RAVEL ���ry .�1c`�tt�� `i+�D E�STINATION CITY:��Q` EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 10/17/10 $25.00 $25.00 10118/10 $50.00 $50.00 10/19/10 $50.00 $50.00 10/20/10 $50.00 $50.00 $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 o. o0 Total $0.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $0.00 $0.001 $175.001 $0.00 DIRECTOR'S STATEME T: k reb affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. a 7- Date: Director Signature: te 2 7 City of Carmel Form ER06 Revision Date 11/3/2010 Page 1 Hilton G�� T�g'® 53995 Indiana State Route 933 South Bend, IN 46637 LJ 1 11 Phone (574) 232 =7700 Fax (574) 232 -7711 South Bend or Name Address ww.StayHGI.com or 1 877 STAY HG[ w FRYE, STEVEN Room 331102 2 CIVIC SQUARE Arrival Date 10118/2010 6:32:00PM Departure Date 10/20/2010 CARMEL, IN 46032 Adult/Child 1/0 US Room Rate 96.00 RATE PLAN C -BLUE cc 1 HH# AL: CAR: CONFIRMATION NUMBER: 3396143584 10/2012010 PAGE 1 B L T 10117/2010 CHECK -ADVANCE DEPOStl MSCHROE 368986 $216.96 (NUMBER 190788 10/18/2010 GUEST ROOM EMGRAUE 369445 $9fi.00 ThefMtonFmi4y 10/18/2010 RM -SALES TAX EMGRAUE 369445 $6.72 10/1812010 RM -OCC TAX EMGRAUE 369445 $5.76 10/19/2010 GUEST ROOM EMGRAUE 369773 $96.00 y 1011912010 RM -SALES TAX EMGRAUE 369773 $6.72 Hilton 10/19/2010 RM -OCC TAX EMGRAUE 369773 $5.76 BALANCE $0.00 coNRnD' EXPE SE REPORT SUMMARY Dove LcTur 10/18/10 10/19/10 STAY T07 AL ROOM T $108.48 $108.48 $216.96 DAILYT TAL $108.48 $108.48 $21 .96 Ful oa Hil[on Gardenlnn Hilton Grand vacations clnkr DATE OF CHARGE FOLIO NO.ICHECK NO, ACCOUNT N0. QW HQNE�aDD SUMS min CARD MEMBER NAME AUTHORIZATION 97529 A INITIAL ESTABLISHMENT NO, &LOCATION ETTABIJSIIMB.NTAGRJTS TO pAA95MQTOCARD IIOInERFOR PAYMENT PURCHASES &SERVICES V TAXES C W- Official Sponsor TIPS CARD MEMBER'S SIGNATURE TOTAL AMOUNT AIE0. NDISE ANDjcR SERVICES PURCHASED ON THi5 CARD SHA L NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE LION RECEIPT Hilton p 53995 Indiana State Route 933' South Bend, IP146637 Gal r 1, en Inn 'Phone _(574)232 -7700 Fax(574)232 -7711 South Bend Reservations Name Address www.StayHGI.coni or 877 STAY HGI FRYE,STEVEN Room 425/Q2 2 CIVIC SQUARE Arrival Date 10/18/2010 6:33:00PM Departure Date 10/20/2010 7:09:OOAM I CARMEL, IN 46032 Adult/Child 1/0 US Room Rate 96.00 RATE PLAN C -BLUE CO2 1 C HH# AL: CAR: CONFIRMATION NUMBER: 3396143584 10/20/2010 PAGE 1 I D FEE, NO QHARGES CREDITS BALANCE 10/1712010 CHECK ADVANCE DEPOS17 MSCHROE 368987 $216.96 (NUMBER 190788) 10/18/2010 GUEST ROOM EMGRAUE 369471 $96.00 TheMtonFalnl 10/18/2010 RM -SALES TAX EMGRAUE 369471 $6.72 1 0/1 81201 0 RM -OCC TAX EMGRAUE 369471 $5.76 1011912010 GUEST ROOM EMGRAUE 369799 $96.00 Ey 10/19/2010 RM -SALES TAX EMGRAUE 369799 $6.72 Hilton 10/19/2010 RM -OCC TAX EMGRAUE 369799 $5.76 BALANCE $0.00 CON RAD EXPE SE REPO T SUMMARY 10/18110 10(19(10 STAY TO AL Dooe ieTRer ROOM T $108.48 $108.48 $21 .96 DAILY T TAL $108.48 $108.48 $21 .96 e Hitlon Garden Inir 0 VIon GrandVaT tioueclukt ACCOUNT N0. DATE OF CHARGE FOLIO NO.ICHECK NO. HONE OM NrtES C NAME AUTHORIZATION 97530 B INITIAL ESTABLISHMENT NO. LOCATION FSTAB- H.H:NTA —L%TO TRANSNCT TOCAkD HOL UFOR PAYMENT PURCHASES &SERVICES V TAXES Official SpOnSOF TIPS MISC. CARD MEMBER'S SIGNATURE TOTAL AMOUNT MERCHANDISE AND.Ok SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND PAYMENT DUE UPON RECEIPT EHilton 53995 INDIANA S.R. 933 G_ arden l R SOUTH BEND. 46637 TELEPI fOti`E (574) 232 -7700 FAA X (57J).2J2 -7711 RESERVATIONS NAME &ADDRESS www.hiRonscom or 1 800 HILTONS FRYE, STEVEN ROOM 304IKlJ 2 CIVIC SQUARE ARRIVAL DATE 10117!2010 10:42100PM CARMEL. IN 46032 U5 DEPARTURE DATE 1011812010 10:19:OOAM ADULT/CHILD 210 ROOM RATE $116.00 RATE PLAN LV4 Hhonors AL: CONFIRMATION NUMBER: 3398937592 11/412010 PAGE 1 DATE DESCRIPTION 10 REF NO CHARGES CREDITS BALANCE 10!1712010 CHECK (NUMBER 190788) MSCHROE 368974 $131.08 10!17!2010 GUEST ROOM CALKIRE5 369069 $116.00 10/1712010 RM -SALES TAX CALKIRE5 369069 $8.12 1 011 712 0 1 0 RM -OCC TAX CALKIRE5 369069 $6.96 BALANCE $0.00 i EXPENSE R PORT SUMf ARY 10/1712010 STAY TO AL ROOM T $131.08 $13108 DAILY OTAL $131.08 $131.08 ACCOUNT NO DATE OF CHARGE FOLIO 99979 B CARD MEMBER NAME AUTHORIZATION INITIAL ESTABLISHMENT NO ESTABLISHMENT AGREES TO PURCHASES SERVICES LOCATION TRANSMIT TO CARD HOLDER FOR TAXES TIPS MISC TOTAL AIMOUN'T 0 NIERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FORA CASH REFUND PAYMENT DUE UPON RECEIPT Hilt 53995 INDIANA S.R 933 arde�.Inri� SOUTH BEND: A 4( G 74 TELEP]-[ONT (574) 23(1700 FAX(574) 232 -7711 RESERVATIONS NAME ADDRESS J www.hilton.com or 1 800 HILTONS FRYE, STEVEN ROOM 204/K1J 2 CIVIC SQUARE ARRIVAL DATE 10117/2010 10:45:OOPM CARMEL, IN 46032 US DEPARTURE DATE 1011812010 s:59:00AM ADULT /CHILD 210 ROOM RATE $116.00 RATE PLAN LV4 Hhonors AL: CONFIRMATION NUMBER: 3398937592 111412010 PAGE 1 DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE I I 10117/2010 CHECK(NUMBER 190788) MSCHROE 368975 $131,08 1 10/17/2010 GUEST ROOM CALKIRE5 369037 $116.00 1011712010 RM SALES TAX CALKIRE5 369037 $8.12 1 1011712010 RM -OCC TAX CALKIRE5 369037 $6.96 BALANCE $0.00 i I i EXPENSE R PORT SUMP ARY 1011712010 STAY TO AL ROOM T $131.08 $131.08 DAILY I OTAL $131.08 S131. D8 I i I i I is i I i I i 1 ACCOUNT NO DATE OF CHARGE FOLIO 99980 B T CARD MEMBER NAME AUTHORIZATION INITIAL 1 I ESTABLISHMENT NO ESTABLISHMENT AGREES TO PURCHASES &SERVICES LOCATION TRANSMIT TO CARD HOLDER FOR TAXES TIPS M1SC I TOTAL AMOUNT MERCHANDISE AND10R SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND PAYMENT DUE UPON RECEIPT Snyder, Denise W From: Hilton Garden Inn Confirmed [hiltongardeninn res.hilton.com] Sent: Tuesday, October 05, 2010 10:37 AM To: Snyder, Denise W Subject: Hilton Garden Inn Confirmation #3396143584 C�/J r r Q Hilton Garden Inn South Bend a 53995 Indiana State Route g� south wend. IN t)nited States. 46637 Tel. 1 574- 232 -7700 Fax 1 5 Confirmation Number: 3396143584 Click here. to view or edit your reservation. Make the Most of Nafe Steven Frye Your Stays Join Hilton Arrival Date 13 Oct 2010 HHonors Stay at a participating hotel in Departur:o Date 20 Oct 2010 the Hilton Worldwide Oieck -in Ti3T,e: 3.00 Plvl portfoiio and you're on your way to earn',ng Check -out Time 12 00 PN1 free nights Il i Join Now Rate Information: Rate Type: THE BLUE CARD SYMPOS Race per night: 95,00 USD Earn Up to 30,000 Total for Stay per Room c HHonors points Rate ',y c 00 USD with the no- annual fee Taxes 96 USD Hilton HHonors Credit Total 2i6 96 USD Card from American Total for Stay: 216.96 USD Express". Earn lnciucles estimated taxes and service charges. {Gratuities n:t 20.000 HHonors included t bonus points after your first purchase on Tax: the card! Click here to There is a 7 -00'Yo Per Rccm Per Night tax" and a G 00 ".4. Per learn rnore and apply Room Per Night secondary tax Additional Charges: H H O N O R S self parking 0 001night '1 ti'' t'- Rate Rules and Cancellation Policy: 1 0/5 /20 1 0 Snyder, Denise W From: Hilton Garden Inn Confirmed [hiitongardeninn @res hilton.comj Sent: Tuesday, October 05, 2010 10:38 AM To: Snyder, Denise W Subject: Hilton Garden Inn Confirmation #3396143584 G Q 1 1 Hilton Garden Inn South Bend t dN 53:±95 Indiana State Route South Bend. iN United States. 40637 �-r� 1 el 1 574- 232 -7700 Fax 1 5 232 -7711 Confirmation Number: 3396143584 Click here to view or edit your reservation. Make the Most of Your Stays Name; Steven Frye Join Hilton Arrival Cate 13 Oct 2010 HHonors Stay at a 0 Oct U1C participating hotel in Ceparure Da;a tha Hilton Worldwide Check-in, Time 3:00 PM portfolio and you re On your way to earning Ch =ck -out Time E 2'.00 PM tree nights Rate Information: It Type THE BLUE CARD SYMPOS Rate per night. 96.00 USD Earn up to 30,000 Total for Stay per Room' Rate v 92 0 HHonors points U USD with the no- annual fee Tares Ju Hilton HHonors Credit Total 21 96 US Card from American Total for Sta 216.96 USD 5, Y Express Earn Inciutles estimated tuxes and service charges tGrstuities not 20.000 HHonors n-laded.l bonus points after ycur fi rst purchase on Tax: the card' Click here to There is a 7,00% Per Roorn Per Night tax and a 6 00%, Per learn more and apply Room Per Night secDridary tax.. Additional Charges: n.._.I H H O N O R S Self parking 0 00/n ight Rate Rules and Cancellation Policy: 10//2010 Snyder, Denise W From: Hilton Garden Inn Confirmed hiltongardeninn @res.hilton.com] Sent: Tuesday, October 05, 2010 11:00 AM To: Snyder, Denise W Subject: Hilton Garden Inn Confirmation #3398937592 r..� e•e e e Hilton Garden Inn South Bend o-� r r 539~5 !nt'.iana State Rcr}ra South Bend IN f� Um:ed Stales. a6b37 Tel 1 X74- 232 -7700 Fa I 5,^ 2 32- 7 711 Confirmation Humber: 3398937592 Click here to view or edit your reservation- Make the Most of Steven Frye Your Stays Ndi Join Hilton Arrival Data: 17 Cct 2010 HHonors Stay at a participating hotel in Departure Date. 18 Oct 2010 the Hilton Worldwide Check -in Time: 100 PNI portfolio and you re on your way to earning Cheer: -cut Time 1200 PM free nights. Join Now Rate Information: Rate per night 116.00 USD Tota! for Stay per Room Rate. 116.00 USD Earn up to 30,000 Taxes 15 03 USD HHonors points Total 131 CS USG with the no- annual fee Total for Stay: 131.08 USD Hilton HHonors Credit Lnc1•,des taxes and sernce charaes. Card from American rnduded j Express''- Earn 20.000 HHonors Tax: bonus points after There �s a 7 00 Per Room Per N—ht tax and a 6 00 1 h Per your first purchase on Rcmn Per Nignt secondary tax the card' Click here to learn more and apply Additional Charges: Self parking 0.00 night Rate Rules and Cancellation Policy: r H HONOR Your reservation is guaranteed for late arrival pleas,- contact us should you need to cancel your reservation 0/5/2010 Snyder, Denise W From: Hilton Garden Inn Confirmed hiltongardeninn@res.hilton.com) Sent: Tuesday, October 05, 2010 11:00 AM To: Snyder, Denise W Subject: Hilton Garden Inn Confirmation #3398937592 Hilton Garden Inn South Bend 5399, Indiana State Route e South Bend, IN United States. 46637 Tel ;)74 -2�2 -7700 Fa -c "1 574-232- 77 1 1 Confirmation Number: 3398937592 Click here to viev✓ or edit your reservation. Make the Most of Na ne Steven Frye Your Stays Join Hilton Arrival Date- 17 Oct 2010 HHonors". Stay at a 1S Oct 20 i0 partioi�:,at,ng hotel in pe arture Da:e the Hilton 6orldwide Ci :l -uti Time 3.00 PNI portfalio and you're on your way to earning Check -out Time 1200 Pt ✓1 free nights. Join Now Rate Information: Rate per night 116.00 USO Total for Stay per Room: Rate 116.00 USD Earn up to 30.000 Taxes 15.08 USD HHonors points Total 131 08 USD with the no- annual fee Total for Stay: 131.08 USD Hilton HHonors Credit Inciudcs estirtatad taxes and service charges (GratulUes r;ct Card from American ncludad,j Express''`. Earn 20,000 HHonors Tax: bonus points after There is a 7.00 "r, Per Room Per Night tax and a 6.00` %o Per your first purchase on R�orn Per Night seconder✓ tax the card' Click here to learn mere and apply Additional Charges: Self parking 17100!night Rate Rules and Cancellation Policy: H HONORS Your reservation is guaranteed for late arrival. please contact us should you need to cancel your resl, 1 0/5/20 10 01 U11d(:llll J F1d/- fU L.011C 1V1UHa l.UH1CI KegUnime r'ayc OI Skip to Main Content BRUNACINI'S Hazard Zone Management Ll Conference lobal risk innovations, TM INSPIRING SOLUTIONS If you have requested payment via Purchase Order. Please print this invoice and W9 form, insert your PO# and process for payment. Checks should be make payable to, Global Risk Innovations Inc. PO Box 534642 Atlanta, GA 30353 -4642 Federal Tax ID #68- 0680293 Download the W9 form to provide to your Accounts Payable Dept. here: W9 Form Invoice Registration ID: 26902683 Registration 8/30/2010 Date: Invoice Date: 8/30/2010 Issued By: Global Risk Innovations Federal Tax ID #68- 0680293 Event: Brunacini's Hazard Zone Management Conference DatelTime: Monday, October 18, 2010 8:00 AM Wednesday, October 20, 2010 12:00 PM (Eastern Time) Re glistrants Registration Name Company /Organization Type ID 26902683 Mr. Steven Frye Carmef Fire Department Full Registration 26903416 Mr. Adam Harrington Carmel Fire Department Full Registration 6903481 Mr. Jim Buttler Carmel Fire Department Full Registration 269036/2 Mr. Jim Toney Carmel Fire Department Full Registration https: /wxvw.rebonline.cal register invo ice. aspx? Eventld 85194 4 N. Attendee ld= LdDyd9RC3gEYFF... 9/2/2010 LI U ICI\. II I! J 11UGG1IU 4-VII4 1V 10111 It L-%%- I l IL l l L LkJ IILI L11 1.14 l CL`s. Billing information Steven Frye Carmel Fire Department 2 Civic Square Carmel, IN 46032 United States 317 -571 -2606 sfrye @carmei.in.gov Fee Summa Fee Quantity Unit Price Amount Full Registration Event Fee 4 $460.00 $1,840.00 Subtotal: $1,840.00 otal: $1,840.00 our total includes a g roup discount savings of $100.00. Transaction Summa Transaction Type Date Amount Balance Transaction Amount 8/3012010 $1,840.00 $1,840.00 Current Balance: $1 840.00 Payment Information Payment Method: P.O. PO Number: 2010 -4506 Payment Full Registration Only: S485.00 USD Instructions: ALL REGISTRATIONS INCLUDE THE BLUE CARD COMMAND CERTIFICATION PROGRAM 5o HOUR ONLINE COURSE Payment methods accepted: Credit Card Visa, MasterCard, American Express Other: Purchase Order (have PO# available for registration process) Print our W9 farm to provide to vour Accounts Payable Dept. Payments should be made to: Global Risk Innovations PO Box 534642, Atlanta, GA 30353 -4642 Fed. Tax ID #68- 0680293 Refund Information No refunds after October 1 st, 2010 1 1�egorilli iv 0r activ�NrwoFK littps: //w ,.vw.regonline.ca/ register /invoice.aspx ?Eventld =85 1944 &Attendecld= LdDyd9RC3gEYPF... 9/2/2010 VOUCHER NO. WARRANT NO. ALLOWED 20 Steve Frye IN SUM OF $175.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO, ACCT /T €TLE AMOUNT Board Members 1120 43- 430.02 $175.00 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 J Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) $175.00 1 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 Clerk- Treasurer