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Home My WebLink About191865 11/10/2010 °y CITY OF CARMEL, INDIANA VENDOR: 00350113 Page 1 of 1 0 ONE CIVIC SQUARE JIM TONEY r CARMEL, INDIANA 46032 C/O CFA CHECK AMOUNT: $175.00 IN CHECK NUMBER: 191865 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 175.00 EXTERNAL TRAINING TRA `iy_aF ci�q,� CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAM DEPARTURE DATE: Q TIME: AM lg2j DEPARTMENT RETURN DATE: `\Q '2�\� \Q TIME: A PM REASON FOR TRAVE DESTINATION CITY: 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 10/18/10 1 $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 0.00 Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $175.00 $0.00 DIRECTOR'S STATEMENT: I hereb affirm that all expenses lislVd conform to the City's travel policy and are within my department's appropriated budget. r Nov 8 2090 Director Signature: Date: City of Carmel Form ER06 Revision Date 11/3!2010 Page 1 Hilton GI(�r 53995 Indiana State Route 933 South Bend, IN 46637 G Phone(574)232 -7700 Fax (574_)232 -7711 South Bend Reservations Name Address www.StayHGT.com or 1 877 STAY HGI FRYE, STEVEN Room 331/Q2 2 CIVIC SQUARE Arrival Date 10/18/2010 6:32:OOPM Departure Date 10/20/2010 CARMEL, IN 46032 Adult/Child 1/0 US Room Rate 96.00 RATE PLAN C -BLUE G Z HH# AL: CAR: CONFIRMATION NUMBER: 3396143584 1012012010 PAGE 1 D ATE DES RHYTION IET CRED BA 10117/2010 CHECK ADVANCE DEPOSI1 MSCHROE 368986 $216.96 (NUMBER 190788) 10118/2010 GUEST ROOM EMGRAUE 369445 $96.00 TheHiltonPani4y 10/18/2010 RM -SALES TAX EMGRAUE 369445 $6.72 10/18/2010 RM -OCC TAX EMGRAUE 369445 $5.76 10/19/2010 GUEST ROOM EMGRAUE 369773 $96.00 1011912010 RM -SALES TAX EMGRAUE 369773 $6.72 Hilton 10/19/2010 RM -OCC TAX EMGRAUE 369773 $5.76 BALANCE $0.00 CONRAD' EXPE SE REPOI ZT SUMMARY DoU6t ETREF 10/18/10 10119110 STAY TOTAL ROOM T $108.48 $108.48 $21 i.96 DAILY T )TAL $108.48 $108.48 $213,96 Q ra Hitton Garden Inn Hilton Grand Vacations Club DATE OF CHARGE FOLIO NOJCHECK N0. ACCOUNT NO. HOOD 5t1rrE5 aum CARD MEMBER NAME AUTHORIZATION 87529 A INITEAL ESTABLISHMENT NO. LOCATION E.T BI_ISHMF,T MkNSurt mCAkD IOLDISF -1-y lEN1 PURCHASES SERVICES TAXES Official Sponsor TIPS MISC. CARD MEMBER'S SIGNATURE TOTAL AMOUNT MERCHA NDISE AND'OR SER1ICES PURCHASED ON THIS CARD SHAI-L NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Hilton Ga j� Tye 53995 Indiana State Route 933'• South Bend, Iti 46637 7,�1 y� lien Inn Phone (5.74) 232 -7700 �'ax (574) 232 7 7711 South Bend Reservations Name Address wwu.StayHGLcom or 1 877 STAY HGI FRYE,STEVEN Room 4251Q2 2 CIVIC SQUARE Arrival Date 10/1812010 6:33:OOPM 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 ZG HH# AL: CAR: CONFIRMATION NUMBER: 3396143584 1012012010 PAGE 1 DATE DESCRIPTION ID REF, CHARGES CRED 10/17/2010 CHECK ADVANCE DEPOSI MSCHROE 368987 $216.96 (NUMBER 190788) 10/18/2010 GUEST ROOM EMGRAUE 369471 $96.00 TheHiltonFan -0y 1011812010 RM -SALES TAX EMGRAUE 369471 $6.72 10/18/2010 RM- OCCTAX EMGRAUE 369471 $5.76 10/19/2010 GUEST ROOM EMGRAUE 369799 $96.00 10/19/2010 RM -SALES TAX EMGRAUE 369799 $6.72 Hilton 10/19/2010 RM -OCC TAX EMGRAUE 369799 $5.76 BALANCE $0.00 [ONRAD EXPE SE REPORT SUMMARY 10/18/10 10/19/10 STAY TO AL DDDeLeTREr ROOM TAI $108.48 $108.48 $2113,96 DAILY T DTAL $108.48 $108.48 $216.96 0o Hilton o Garden Inrr Fr-Uo c,ana vaP�liDne uvlT ACCOUNT NO. DATE OF CHARGE FOLIO N0.lCHECK NO. aw SUffES CARD MEMBER NAME AUTHORIZATION 97530 B INITIAL ESTABLISHMENT NO. LOCATION ESTABLISHNEYTAGRLFS TO TRANSMIT TOCARD HOWF .R1'0RPAYMFNT PURCHASES SERVICES U W. TAXES Off�cial Spoa cr TIPS MISC. CARD MEMBER'S SIGNATURE =TOTAL NT X MERCHANDISE AN DIOR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYME DUE UPON RECEIPT LT7 }aye 53995 ,DIANA S.R. 933 jlll l SOL7H [;`I TELEPHONE (574)232.7700 00 �-FAX (574 574) 212.771 I RESERVATIONS NAME ADDRESS www- hilton.00m or 1 800 HILTONS FRYE, STEVEN ROOM 304 /K1J 2 CIVIC SQUARE ARRIVAL DATE 1011712010 %42:00PM CARMEL, IN 46032 US DEPARTURE DATE 1011812010 10:19:00AM ADULTICHILD 210 ROOM RATE $116 -00 RATE PLAN LV4 Hhonors AL: CONFIRMATION NUMBER: 3398937592 111412010 PAGE 1 DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE 10117/2010 CHECK (NUMBER 190788) MSCHROE 368974 $131.08 10117/2010 GUEST ROOM CALKIRE5 369069 $116.00 10117/2010 RM -SALES TAX CALKIRE5 369069 $8.12 10117!2010 RM -OCC TAX CALKIRE5 369069 $6.96 BALANCE $0.00 EXPENSE REPORT SUM ARY 1011712010 STAY TO AL ROOM TAX $131.08 $131.08 131 08 8 0 DAILY OTAL 131. ACCOUNT NO DATE OF CHARGE FOLIO 99979 B T CARD MEMBER NAME AUTHORIZATION INITIAL 1 ESTABLISHMENT NO ESTABLISHMENT AGREES TO PURCHASES SERVICES LOCATION TRANSMIT TO CARD HOLDER FOR TAXES TIPS NIISC TOTAL AMOUNT Q MERCHANDISE ANDlOR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND PAYMENT DUE UPON RECEIPT TT i Py fltol'1 53995 INDIANA S.R. 973 Garden Inu SOUTH BEND. 46637 TELEPHONE (574) 232 -7700 FAA X (574) 232 -771 I RESERVATIONS NAME ADDRESS www.hilton.com or 1 800 HILTONS FRYE, STEVEN ROOM 2041K1J 2 CIVIC SQUARE ARRIVAL DATE 10/1712010 10:45.00PM CARMEL, IN 46032 US DEPARTURE DATE 10/1812010 6 59:OOAM ADULTICHILD 210 ROOM RATE $116.00 RATE PLAN LV4 Hhonors AL: CONFIRMATION NUMBER: 3398937592 111412010 PAGE 1 DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE 10/17/2010 CHECK (NUMBER 190788) MSCHROE 368975 $131.08 1 011 712 0 1 0 GUEST ROOM CALKIRES 369037 5116.00 10!1712010 RM -SALES TAX CALKIRES 369037 $8.12 10/1712010 RM -OCC TAX CALKIRES 369037 $6.96 BALANCE $0.00 EXPENSE R PORT SUMP ARY 1011712010 STAY TO AL ROOM T $131.08 $131.08 DAILY TOTAL $131.08 $131.08 i i ACCOUNT NO DATE OF CHARGE .FOLIO 99960 B T CARD MEMBER NAME AUTHORIZATION INITIAL 1 ESTABLISHMENT NO ESTABLISHMENT AGREES TO PURCHASES a SERVICES LOCATION TRANSMIT TO CARD HOLDER FOR TAXES TIPS 8 MISC TOTAL AMOUNT MERCHANDISE AND/OR SERVICES PURCHASED ON T111S CARD SHALL NOT BE RETURNED FOR A CASH REFUND PAI NIENT 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 Hilton Garden Inn South Bend 533995 Indiana State Route e Y 933 4 South Bend IN U 46 )nit_J Slates. 003 TeE 1 57 232 -7700 Fax., 5 Confirmation Number: 3396143584 Click here to view or edit your reservation. Make the Most of Your Stays Name Steven Frye Join Hilton Arrival Date: 13 Oct 2010 HHonors'. Stay at a Participating hotel rn Gepar,ure Dave. 20 Oct 2010 the Hilton Worldwide Ch Time 3 00, P11J1 portfolio and you're on your way to earning Check -out Time: 12:00 PM free nights li Joln Now Rate Information: Rate Type: THE BLUE CARD SY%1POS Rate per night: 96.00 1 Earn up to 30,000 Total for Stay per Room HHonors points Rate 1 USD with the no- annual fee Taxes 24 96 USD Hilton HHonors Credit Total 216 96 USD Card from American Total for Stay: 216.96 USD Express Earn Inc!,ides esliri taxes and service chaiges. (Gratuities nc; 20.000 HHonors inchrded,) bonus points after your first purchase on Tax: the card! Click here to Th•jre is a 7.00'%, Per Ream Per Night lax and a 6 G0'% Per learn more and app y Room Per Night Secondary tax Additional Charges: H H O N O R S self parking' 0- 001nighl Rate Rules and Cancellation Policy: 10/5/2010 Snyder, Denise W From: Hilton Garden inn Confirmed hiltongardeninn @res.hilton.com] Sent: Tuesday, October 05, 2010 10:38 AM To: Snyder, Denise W Subject: Hiiton Garden Inn Confirmation #3396143584 Hilton Garden Inn South Bend 53995 Indiana State Route a .a 1fv South Bend. I.! N United States. 46637 .:Y Tel: 1 574-232-7 Fax I 5+ -7711 Confirmation Number: 3396143584 Click here to view or ed!t yorir reservation. Make the Most of Na „e: Steven Frye Your Stays Join Hilton Arrr Date 8 Oct 2010 HHonors Stay at a participating hotel in Depe,ure Data 1 0 Oct 2010 the Hilton VvorldwidW Cheek -in Ti e 3:00 PM portfolio and you re on V your way to earning Chem -out Time: 12.00 PM free n ahts Join Now Rate Information: Rate Type THE BLUE CARD SYP -1POS Rate per night 90 00 USD Earn up to 30,000 Tota! for Stay per Roorn HHonors points Rate c00 USD with the no- annual fee Taxes :4 96 USD Hilton HHonors Credo! rota) 9G USD Card from Amen-,an Total for Stay: 216.96 USD Express''' Earn lnclures _stin,aled taxes a -d service charges (Gratuities r_. 20000 HHonors ir,c;..ued bonus points after your first purchase on Tax: Ine card' Click here to T,ere is a 7 00'X, Per R °om Per Night tax and a 6.00`/o Per learn more and apply Room Per Night seconr.ary tax, Additional Charges: H H O N O R S Self parking O a0 /night Rate Rules and Cancellation Policy: 10/5/2 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 539C -5 Indiana State Route 93 i Sct :th Bend IN United States. 4,3637 Te! 1 574-232-7700 Fax 57;,-222- Confirmation Number: 3398937592 Click here to view or edit your reservation. Make the Most of Your Stays Naga "'e Steven Frye Join Hilton Arrival Date. 17 Oct 2010 HHonors`' Stay at a participating hotel in Departure Dale. 15 Oct _414 the Hilten VJorldwide Check-in Time:- 3 00 PM portfol c and you're on your way to earning Check -out Time 12'.00 PM free nights. Join Now Rate Information: Rate per night: 115.00 USD Total for Stay per Room. Rate 116.00 USD Earn up to 30,000 Taxes 1 08 USD HHonorrs points Total 131 08 USG with the no- annual fey Total for Stay: 131.08 USD Hilton HHonors Credit 1ncl ;,des esirn•ated taxes and service chases. (Gratnties got Card from American nc "ne I Express Earn 20.000 HHonors Tax: bonus points after Tl. =r= is a 00:4 Per R,--m Per Night tax and a o DO% ter your first pu,� hase on Room Per Night secon ar; La the card! Click here to learn more and apply Additional Charges: Self paining: 0 00!nkght Rate Rules and Cancellation Policy: H HONORS Your reservation is guaranteed for late arrival. Please contact us should you need to cancel your resevation 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 may r 5, Indiana State Route 5 South Bend. IN Uni;ed States 46637 Tel: 1 232 -7700 Fax 5 Confirmation Number: 3398937592 Click here to view or edit your reservation. Make the Most of Your Stays Name Steven Frye Join Hilton Arrival Dot 17 Oct 2010 HHonors Stay at a participating hotel in C'zaariure Dare 18 Oct 010 the Hilton Wortd%vidE Check m Tune 3 J0 PM portfolio and you're cr your way to earning Check -out Tirne: 12:00 PM free nights. Join Now Rate Information: Rate per night. 110.00 USD Total for Stay per Room: Rate 1 6 00 USD Earn up to 30.000 Taxes 15 OF USD HHonors points TotaE 3108 USD with the no- annual fee Total for Stay: 131.08 USD Hilton HHonors Credit lncludos est!m ate.d taxes and service charges iGratuines -Ot Card from American inc!uc�d j Express'' Earn 7.0,000 HHonors Tax: bonus points after Tnere is a 7 �0 1 ✓o Per Racm Per Night tax and a 6 00` Pe! your first purchase on Room Per Night secondary ta:< the ca(d' Click here to learn mere and apply Additional Charges: Self park ng 0.00inigh; i Rate Rules and Cancellation Policy: H H O N O R S Your reser)ation is guaranteed for late arrival P €case contact us should you need to cancel your reser. on. 10/x/2010 niuiiaumi s riacaru r unc ivrana"CMCM uncerence Keguniine rs� e i c3t Skip to Main Content BRUNACINi'S Hazard Zone Management Conference lob risk innovations, T.M 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) Registrants Registration Name Company /Organization Type ID 26902683 Mr. Steven Frye Carmel Fire Department Full Registration 6903416 Mr. Adam Harrington Carmel Fire Department Full Registration 6903481 Mr. Jim Buttler Carmel Fire Department Full Registration 6903612 Mr. Jim Toney Carmel Fire Department Full Registration hups://www.regonline.ca/ register invoice. aspz? EventId 8519 44 &Attendeeld= LdDyd9RC3gEYPF... 9/2/2010 UI UllC141111 J I ICll Cll ll LVlll, lv 1. Cll lC1�41114111 Vl1i414114V 1 \4`�Vllllli4 u`4 V1 Billing Information Steven Frye Carmel Fire Department 2 Civic Square Carmel, IN 46032 United States 317- 571 -2606 sfrye @carmel.in.gov Fee Summa Fee Quantity Unit Price Amount Full Registration Event Fee 4 $460.00 $1,840.00 Subtotal: $1,840.00 T otal: $1,840.00 our total includes a group discount savings of $100.00. Transaction Summa Transaction Type Date Amount Balance Transaction Amount 8/30/2010 $1,840.00 $1,840.00 Current Balance: $1,840-00 Payment Information Payment Method: P.O. PO Number: 2010 -4506 Payment Full Registration Only: 5485.00 USD Instructions: ALL REGISTRATIONS INCLUDE THE BLUE CARD COMMAND CERTIFICATION PROGRAM 50 HOUR ONLINE COURSE Payment methods accepted: Credit Card: Visa, MasterCard, American Express Other: Purchase Order (have PO# available for registration process) Print our W9 form to provide to your Accounts Payable Dept. Payments should be made to: Global Risk Innovations PO Box 534642, Atlanta, GA 30353 -4642 Fed. Tax ID #68- 0680293 Refund Information No refunds after October 1 st, 2010 reg J 11 t ;,P,f0i SCtfsreNETWORK https: /w invoice. asp x? Eventld =85 19 44 Attendee ld= LdDyd9RC3gEYPF... 9 /2/2010 VOUCHER NO. WARRANT NO. ALLOWED 20 Jim, Toney IN SUM OF$ $175.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1 120 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 NOV 8 20 10 r Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts 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)) $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