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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