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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