HomeMy WebLinkAbout196736 04/26/2011 a CITY OF CARMEL, INDIANA VENDOR: 365254 Page 1 of 1
ONE CIVIC SQUARE JAMES BUTTLER
CARMEL, INDIANA 46032 7218 W FOX VIEW TR CHECK AMOUNT: $227.50
NEW PALESTINE IN 46163
CHECK NUMBER: 196736
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTI
1120 4343002 227.50 EXTERNAL TRAINING TRA
tiV os CAq`
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Z� DEPARTURE DATE: TIME: S AM M
DEPARTMENT: RETURN DATE: TIME: y AM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
.$0.00
4/13/11 $32.50 $32.50
4/14/11 $65.00 $65.00
4/15/11 $65.00 $65.00
4/16/11 $65.00 $65.00
X0.00
$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 $0.001 $0.001 $0.00 $0.00 $0:00 $227.50 $0.00 r
DIRECTOR'S STATEMENT: I heZf at all exile j te co, rm to the City's travel policy and are within my department's appropriated budget
Direct or Signature: Date: APR 2.2 2011
City of Carmel Form ER06 Revision Date 4/20/2011 Page 1
Moe Card 'I't'I'- Rc,�L'011jine
ge
riskinnovations
j 11 o b a
INSPIRING SOLUTIONS
'13bchal Risk. Innovations
PO Box 5346542
Atlanta, GA
30353-4642
Invoice
Registration 10. 321 77894
Registration Date: 414120I 1
Invoice Date: 4420", 1
issued By: Global Risk Innovations Inc
Event: Clay-April/I I Blue Card TtT
Date/Time: Monday April 11, 20'1 8:00 AM ;Saturday, April 16, 201 1:00 PM {E astern Time)
Registrants
s. R Name Company/Organization Type
ID
3 y1 r fit, Day Train the Trainer (you are previously
1 1 J im F31111ler Carmel Fire De artment
p
Certified)
k32177980 Carmel Fire Department LI
A"Jani 3 Day Train the Trainer (YO'clrel
Harrin ton Certified)
Billing Information
Jim buttler
Camel Fire Departi
2 Civic Square
Carmel, IN 46032
0rilted States
3.175712600
ibuttlerog,cartne
Fee Summary
414401 1
I Olue Card 't ReO)nline 1 2 k)1'2
Fee Quantity Unit Price Amount
3 Day Train the Trainer (YOU are previously Certified) Event Fee 2 $4, $3 00-Ogi
Subtotal: S8,000,00
[Tot 1:
Transadtion Summary
[Tr Date. Amount. Ballaace
j'ri i n s6 el i q iA i i b u i i t 414!201 S8,000,00 $8,000,0q
turrent talance: S8 OG.00'
Payment Information
Payment Method: RO
PC Number: Steve Frye
Payment P shoutd be made to:
Instructions: 0 k)bal Risk Innovations
PO Box 534642
Atlanta GA
-10353-4642
Tax ID: 68-0680293
Ds vynioad our VV9 forn) fof your ACCOLMtS Payable Dept,
Payment of registration fee must be recelveci a minimum of 10 days prior to the Training
Se sior start date,
Refund Information
NO refunds for cancellations less than 10 days prior to the Training session start date. Cancellations earlier
than 10 days .prier to the Training session start date swill incur a 5% processing fee,
-;Wc t. i Vt� Art Y4
ht'i J -#Nvwxv. repOn I i lie ca"re 0 i s I crh livo ice, as pX L`vc n I I d 0, 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Buttler
IN SUM OF
$227.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
1120 I I 43- 430.02 I $227.50 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
APR 2 2 9049
`�A
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))
Train the Trainer $227.50
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