HomeMy WebLinkAbout191569 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 354888 Page 1 of 1
0 ONE CIVIC SQUARE JAMES BUTLER CHECK AMOUNT: $175.00
CARMEL, INDIANA 46032 4806 W STONEHAVEN LANE
NEW PALESTINE IN 46163 CHECK NUMBER: 191569
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 1120 175.00 EXTERNAL TRAINING TRA
4 `ty of CAgy�
CITY OF CARMEL Expense Report (required for all travel expenses)
OP
EMPLOYEE NAM DEPARTURE DATE: TIME: AM _M
DEPARTMENT: RETURN DATE: TIME: AM PM
REASON FOR TRAVEL: -•a� cy.�� DESTINATION
EXPENSES ARE FOR (check all that apply): TRAVEL A VAN TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g 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
o.00
Total $0.001 $0.00 $0.001 $0.00 $0.001 $0.00 $0.00 $0.001 $0.001 $175.001 $0.00
DIRECTOR'S STATEMENT: I er a m that all ex es listed onform to the City's travel policy re within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 1113 {2010 Page 1
Hilton.
53995 Indiana State Route 933 'South.Bend, IN 46637
Garden Inn' Phone (574) 232 -7700. Fax (574) 232 -77 TI
South Bend Reservations
Name Address www.StayHGI.com or 1 877 STAY HGI
FRYE, STEVEN Room 3311Q2
2 CIVIC SQUARE Arrival Date 10/18/2010 6:32:OOPM
Departure Date 10120/2010
CARMEL, IN 46032 Adult/Child 1!0
US Room Rate 96.00
RATE PLAN C -BLUE G
HH#
AL:
CAR:
CONFIRMATION NUMBER: 3396143584
10/20/2010 PAGE 1
p D
R T BALAN
10!1712010 CHECK -ADVANCE DEPOSI MSCHROE 368986 $216.96
(NUMBER 190788)
1 011 812 0 1 0 GUEST ROOM EMGRAUE 369445 $96.00 TheMtZhImily
1 011 812 0 1 0 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 tj
10119/2010 RM -SALES TAX EMGRAUE 369773 $6.72 Hilton
10/19/2010 RM -OCC TAX EMGRAUE 369773 $5.76
BALANCE $0.00
CON 0.A D'
EXPE SE REPO T SUMMARY
Doust.TREr
10/18/10 10/19/10 STAY T0 AL
ROOM T $108.48 $108.48 $216,96
DAILY T TAL $108.48 $108.48 $21 i.96
Gardenhur
Hilton
Grand Vacauoos Club
DATE OF CHARGE FOLIO NO.ICHECK NO.
ACCOUNT NO.
HeNEVIUM
S ;rrE5
t.m
CARD MEMBER NAME AUTHORIZATION 97529 A INITIAL
ESTA9LISHMENT NO. LOCATION FsrneLrslixr rADRELS ro anNSw rn cnxn HO DER FOR PAxMENT PURCHASES SERVICES
TAXES
Official Sponsor
TIPS MISC.
C MEMBER'S SIGNATURE TOTAL AMOUNT r I
NERCHAA'DISE ANDIOR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR CASH REFUND. PAYMENT DUE UPON RECEIPT
Hilton
Gar -den Ian 5399$Indiana State.Route 933.• South Bend, Ill 46637
Plioae (574) 232 -7700 Fax (574) 232 -7711
South Bend Reservations
Name Address www- StayHGI.com or i 877 STAY HGI
FRYE, STEVEN Room 425102
2 CIVIC SQUARE Arrival Date 10/1812010 6 :33:OOPM
Departure Date 10/20/2010 7:09:OOAM I
CARMEL, IN 46032 Adult/Child 110
US Room Rate 96.00
RATE PLAN C -BLUE G Z G
HH#
AL:
CAR:
CONFIRMATION NUMBER: 3396143584
10/20/2010 PAGE 1
D T DESCRIPT
10117/2010 CHECK ADVANCE DEPOSI MSCHROE 368987 $216.96
(NUMBER 190788)
1 011 812 0 1 0 GUEST ROOM EMGRAUE 369471 $96.00 TheHiltonFamily
10/18/2010 RM -SALES TAX EMGRAUE 369471 $6.72
10/18/2010 RM -OCC TAX EMGRAUE 369471 $5.76
10/19/2010 GUEST ROOM EMGRAUE 369799 $96.00
10119/2010 RM -SALES TAX EMGRAUE 369799 $5.72 Hilton
1011912010 RM -OCC TAX EMGRAUE 369799 $5.76
BALANCE $0.00
CnNRAD'
EXPE SE REPORT SUMMARY
10/18/10 10/19/10 STAY TO AL Da ETREr
ROOM T $108.48 $108.48 $21 .96
DAILY T TAL $108.48 $108.48 $216.96
e 9 Hilton
Gardenl='
Hilt ,n
G'.d vacations CIutr
ACCOUNT NO. DATE OF CHARGE FOLIO NO.ICHECK NO.
�r
IQ SUITES OD
SUITES
mim
CARD MEMBER NAME AUTHORIZATION 97`530 B INITIAL
ESTABLISHMENT NO. LOCATION FSTABLIS I MENI AGkMS TOT k!SSn MCAM Iou)ER rvR rnr— PURCHASES SERVICES
U
TAXES W.
Official Sponsor
TIPS MISC.
CARD MEMBER'S SIGNATURE
TOTAL ,'UMOUtiT
X
>CERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT
u7,] to 53995 INDIANA S.R. 933
IN arden Inrr. SOUTH BEND,
V
TELEPHONE (574) 232 -7700 FAY AX (5 (5744 21: -971 I
RESERVATIONS
NAME ADDRESS www.hilton.com or 1 800 HILTONS
FRYE, STEVEN ROOM 3041KIJ
2 CIVIC SQUARE ARRIVAL DATE 10/17/2010 10742:00PM
CARMEL. IN 46032
DEPARTURE DATE 10/18/2010 10719:00RM
US
ADULTICHILD 210
ROOM RATE $116.00
RATE PLAN LV4
Hhonors
AL7
CONFIRMATION NUMBER: 3398937592
11/412010 PAGE i
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
10117!2010 CHECK (NUMBER 190788) MSCHROE 368974 $13L08
10/17/2010 GUEST ROOM CALKIRE5 369069 $116.00
10117/2010 RM -SALES TAX CALKIRE5 369069 $8.12
10/1712010 RM -OCC TAX CALKIRE5 369069 $6.96
BALANCE $0.00
EXPENSE REPORT SUMMARY
1011712010 STAY TO AL
ROOM T $131.08 $13 .08
DAILY I OTAL $131.08 $131.38
ACCOUNT NO DATE OF CHARGE FOLIO
99979 B T
CARD MEMBER NAME AUTHORIZATION INITIAL 1
ESTABLISHMENT NO ESTABLISHMENT AGREES TO PURCHASES a SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS NIISC
TOTAL ANIOUNT 0
MERCHANDISE ANINOR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PAYMENT DUE UPON RECEIPT
S GUdenlim Hilton 5 3995 INDIANA S.R. 933
SOUTH BEND, M 46637
TELEPHO \E (574) 2 FAX(574)232-7711
RESERVATIONS
NAME ADDRESS �..hilton.com or 1 800 HILTONS
FRYE, STEVEN ROOM 2041K1J
2 CIVIC SQUARE ARRIVAL DATE 10!1712010 10:45:00PM
CARMEL, IN 46032
DEPARTURE DATE 10!1812010 6:59:00AM
US
ADULT/CHILD 210
ROOM RATE $116.00
RATE PLAN LV4
Hhonors
AL:
CONFIRMATION NUMBER: 3398937592
11/412010 PAGE 1
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
10!1712010 CHECK (NUMBER 190788) MSCHROE 368975 $131.08
10/17/2010 GUEST ROOM CALKIRE5 369037 $116.00
10117/2010 RM -SALES TAX CALKIRE5 369037 $812
1 011 712 01 0 RM -OCC TAX CALKIRE5 369037 $6.96
BALANCE $0.00
EXPENSE REPORT SUMP ARY
10h7/201D STAY TO AL
ROOM T $131.08 $131.08
DAILY OTAL $131.08 $131.08
ACCOUNT NO DATE OF CHARGE FOLIO
99980 B
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO ESTABLISHMENT AGREES TO PURCHASES SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS MISC
TOTAL AMOUNT
MERCHANDISE AND /OR SER'ACES PURCHASED ON THIS CARD SHALL NOT HE 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
Ia idol
Hilton Garden Inn South Bend
53995 Indliana Slate Route ETITT2
f� l 93 3
w'
m South Bend. IN
a, x? United States. 40637
Tel 1 5t4-232-7700
Fax. 57 232 -7711
Confirmation Number: 3396143584
Click here to view or edit your reservation.
Make the Most of
Your Stays Narne Steven Frye
Join HiJtcn Arrival Date 18 Oct 2010
HHonors"' Slay at a
Denartura D
participating hotel it ata. 2G Oct 2010
the Hilton Worldwide Check -in Time, 3 00 Phii
portfolio and you're on
your way to earning Check -out Time; 12:00 Plvt
free nights
►Join Now
Rate Information:
Rate Type:
THE BLUE CARD SYMPOS
Rate par night: c0.00 USD
Earn up to 30,000 Total for Stay per Room
HHonors points Rate '.:,2.00 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 ur: es estimated taxes and service charges. t,Gratu ties nct
20.000 HHonors included
bonus points after
your first purchasr: on Tax:
the card' Click here to There is a 7.00'%, Per Ream Per Night tax and a 5 00`% Per
learn more and apply Room Per Night secondan, tax
Additional Charges:
HHONORS 5el`parkinq:0001night
Rate Rules and Cancellation Policy:
1 0/5/20 10
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: Hilton Garden Inn Confirmation #3396143584
q 0
Hilton Garden Inn South Bend
f'
53n' +5 Ind ana Stale Route r
l 933
Sout1I Rend. IN
aa United Statf s. 4b637
Tel:1 574 -232 -7700
Fax 1 57c -232 -7711
Confirmation Number: 3396143584
Click here to view or edit your reservation.
Make the Most of
Na
Your Stays nte Steven Frye
Join Hilton A,rivaI Date 13 Cct 2010
HHonors" Stay at a
participaLng hotel in Cepa ra 'Date 20 Oct 2010
the Hilton Woridwide Check -in Ti„e 00 PMl
portfolio and you re on
your Nay to earning Check -out Time 12 00 P%1
fret nights
Join Now
Rate Information:
Rate Type:
THE BLUE CARD SYMPOS
Rate per night- 95.00 USD
Earn up to 30,000 Total for Stay per Room
HHonors points Rate 1 200 USD
pith the no- annual fee Taxe' ..10 USD
Total 213 9E5 USD
Hilton HHonors Credit
Card from American Total for Stay: 216.96 USD
Express` s,
Earn Includos estimatcd taxes a; d service charges. (Gratuities no.
20.000 HHonors included i
bonus points after
your first purchase on Tax:
the card' Click here to Them= is a 7.00` Per P,ocm Per Night tax and a 6 00 Per
learn more and apply Room Per Night secondary tax.
Additional Charges:
t H H O N O R S Self parking' 0.00 /night
Rate Rules and Cancellation Policy:
10/5/20
Snyder, Denise W
From: Hilton Garden Inn Confirmed [hi Ito ngardeninn @res.hilton.com]
Sent: Tuesday, October 05, 2010 11:00 AM
To: Snyder, Denise W
Subject: Hilton Garden Inn Confirmation #3398937592
0
Hilton Garden Inn South Bend
r" h� 830` =5 In6ana Slate Rou:a 7
4"' t1C 9 3
SOL'ih Bend, IN
Uni ;ed States. 43637
Tel 1 57^: -232 -7700
Fax 1 57 232 -7711
Confirmation Number: 3398937592
Click here to view or edit Your reservation.
Make the Most of Steven Frye
Y-
Your Stays
Join Hilton Arrival Date, 17 Cct 2010
11 Stay at a
participating hotel in Departure Date- 18 Oct 2010
the Hilton VVorMwid•= Check, -in Time. 3:00 PM
portfolio and you re on
your gray to earning Cheer, -cut Time 12 00 PM
free nights.
►Join Now
Rate Information:
Rate per night 116.00 USD
r Total for Stay per Room
Rite. 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 HI lonors Credit
Includes estuwatad lanes and service charges. (Gratuities not
Card from American
InCILC
Express Ea!n
20.000 HHonors Tax:
bonus points after The(— .s a 7 00''x, Per Pz�om Per Night tax and a 6 00% Per
your first pur:hase on Roam Per Ni secondary tax
the card! Click. here to
learn more and apply Additional Charges:
Self parking, 0.00 /night
Rate Rules and Cancellation Policy:
H H 0 N a R S Your reservation is guaranteed for late arrival.
Pleas,, contact tis show; you need to cancel your reservation
10/5/2010
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
q 2 53,45 Indiana State Rouse
033
South Bend, IN
United States 46637
Tel. 1 574-232 -7700
Fax 1 564 -232 -7 7 1 1
Confirmation Number: 3398937592
Click here to view or edit your reservation
Make the Most of
Name Steven Frye
Your Stays Frye
Join Hilton Arrival Dale 17 Oct 2010
HHonors Stay at a
Deoa
participating hotel in r,ure Date 19 Oct 2010
the Hilton Worldwide Ch c m Tame 3 1't.1
portfolio and you're cn
your way to earning Check -out Time 12:00 PM
free nights.
►Join Now
Rate Information:
Rate per night. 1 !6.00 USD
Total for Stay per Room
Rate 116.00 USD
Earn up to 30,000 Taxes 12.03 USD
HHonors points Total 02 USD
with the no- annual fee Total for Stay: 131.08 USD
Hilton HHonors Credit
Includes estimated taxes a nd service charges f r_.
Card from American n IUded
Express. Earn
20 000 HHonors Tax:
bonus points after There is a 7 00'io Per Room Per Night tax and a 6.00'30 P
your first purchase on Room Per Nient seconcary tax
the card[ Click here to
learn more and apply Additional Charges:
Self parking 0.0011ight
J Rate Rules and Cancellation Policy:
i" H H O N O R S Your reservation is guaranteed for late arrival.
,it_rCrt Please contact uS should you need to cancel your reser at,on.
10/5/2010
DIU►iak�uu s riacarU c.urtc ivia[iay"cmenr c.unierence Kegunnne rage 1 01
Skip to Main Content
BRUNACINI'S
Hazard Zone Management
Conference
(9 1oba I -risk i nnovatiol is 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 $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
Daterrime: 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
26903416 Mr. Adam Harrington Carmel Fire Department Full Registration
6903481 Mr. Jim Buttler Carmel Fire Department Full Registration
26903612 Mr. Jim Toney Carmel Fire Department Full Registration
https: /wNvw.regonline.ca/ register /invoice.aspx ?E��entld =85 194 4&,Attendeetd= LdDyd9RC3gEYPF... 9/2/2010
LJ1 Ullcil.11ll J LlC1L[Ll li LVl1%, L�LCI I I CL`I. I l It l l L 1., V 111 L i I.. 11.1 1 \L2 Ll. 1. U`L vl
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
Y 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 vour Accounts Payable Dept.
Payments should be made to:
Global Risk Innovations
PO Box 534642, Atlanta, GA 30353 -4642
Fed. Tax [D #68- 0680293
Refund Information
No refunds after October 1 st, 2010
rego n l
v'f a! BCtiLICNETWOAK
https: /www.regonline.ca/ register invoice. aspx? Eventld 85 194 4&- AttendeeId=LdDyd9RC3gEYPF... 9/2/2010
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim,Buttler
IN SUM OF
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT /TITLE 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
NOV 8 Min
.9
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
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
Clerk- Treasurer