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