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HomeMy WebLinkAbout196815 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00352934 Page 1 of 1 ONE CIVIC SQUARE ADAM HARRINGTON CHECK AMOUNT: $600.40 CARMEL, INDIANA 46032 19546 TRADEW NDS DRIVE 'L)o�ao NOBLESVILLE IN 46062 CHECK NUMBER: 196815 CHECK DATE: 4/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 600.40 EXTERNAL TRAINING TRA NIT CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: DEPARTURE DATE: TIME: AM M DEPARTMENT: RETURN DATE: TIME: AM REASON FOR TRAVEL CDESTlNATION 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 4116/11 $372.90 $65.00 $437:90 $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 $0.001 $372.901 $0.00 $0.00 $0:00 $0.001 $227.501 $0.00 DIRECTOR'S STATEMENT: I e y m that all a es lis(ed conform to the City's travel policy and are within my department's appropriated budget. APR 22 2011 Director Signature: Date: City of Carmel Form ER06 Revision Date 4/2012011 Page 1 Clay- April /I I Blue Card TO'- RegOnlinc Page 1 oQ al iskin n sy*' x, i r INSPIRING SOLUTIONS Global Risk Innovations PO Box 534642 Atlanta, GA 30353-4642 Invoice Registration ID: 32177894 Registration Date: 4/4/2011 Invoice Date: 4/4/2011 Issued By: Global Risk Innovations Inc Event: Clay- April /11 Blue Card TtT Date/Time: Monday, April 11, 2011 8:00 AM Saturday, April 16, 2011 1:00 PM (Eastern Time) Registrants Registration Name Company /Organization Type ID 32177894 Jim Buttler Carmel Fire Department 3 Day Train the Trainer (you are previously Certified) 32177980 Adam Carmel Fire Department 3 Day Train the Trainer (you are previously Harrington Certified) Billing Information Jim Buttler Carmel Fire Department 2 Civic Square Carmel, IN 46032 United States 3175712600 jbuttler @carmel.in.gov Fee Summary lit:tps: //xvww. regoniine.ca /register /invoice. Isl)x ?1° vcntld= 918166,�:Attendeeld= 8V vK ig6cvuON -5cl... 4/4/2011 Clay April /11 Blue Card Tt`l' egOnlitle Page 2 cif 2 Fee Quantity Unit Price Amount 3 Day Train the Trainer (you are previously Certified) Event Fee 2 $4,000.00 $8,000.00 Subtotal: $8,000.00 Total: $8 Transaction Summary Transaction Type Date Am o u nt Balance ransaction Amount 41412011 $8,000.00 $8,000,00 Current Bafance: $8,000.00 Payment Information Payment Method: P.0. PO Number: Steve Frye Payment Payments should be made to: Instructions: Global Risk Innovations P© Box 534642 Atlanta, GA 30353 -4642 Tax ID: 68- 0680293 Download our W9 form for your Accounts Payable Dept. Payment of registration fee must be received a minimum of 10 days prior to the Training Session start date. Refund t'riformation No refunds for cancellations less than 10 days prior to the Training session start date. Cancellations earlier than 10 days prior to the Training session start date v,+ilVincur a 5 processing fee. https: /ww"r.regonIi tic. ca/ red; ister /invo ice. aspx ?_1 ventId =9 181€ i6i&_ Attendee1d= 8V vK.ig6cvuON5d... 4/41201/ Suburban Extended Stay Hotel Account: 179359606 (IN305) Date: 4/16/11 S uburba n 52825 Indiana Route 933 N Room: 121 GROUP EXTEN STAY HOTEL South Bend, IN 46637 Arrival Date: 4113/11 (574) 968 -4737 Departure Date: 4/16/11 BY CHOICE HOTELS GM.IN305@choicehotels.com Check In Time: 4113/11 8:08 PM Check Out Time: Clay Fire Department Rewards Program ID: You were checked out by: Harrington, Adam You were checked in by: JWhiteJn305 Clay Fire Training Total Balance Due: 0.00 2 Civic Square Carmel, IN 46032 E 4/13111 Room Charge #121 Harrington, Adam 55.00 4113/11 State Tax 3.85 4113/11 City County Tax 3.30 4114/11 Room Charge #121 Harrington, Adam 55.00 4114111 State Tax 3.85 4/14/11 City County Tax 3.30 4/15111 Room Charge #121 Harrington, Adam 55.00 4115/11 State Tax 3.85 4/15/11 City County Tax 3.30 x/16111 11186.45) XXXXXXXXX 165.00 State Tax 11.55 City 1 County Tax 9.90 Master Card ,(186.45) This rate is not eligible for partner rewards. Balance Due: 0.00 0.00 will be billed to: Account 562938 Clay Fire Department, 18355 Auten Road South Bend, IN 46637 X Suburban Extended Stay Hotel Account: 179359695 S ubur \�p�y (IiV305) South Bend, IN 46637 Date: 4/16/11 ba n 52825 Indiana Route 933 N Room: 103 GROUP EX T ENDED S TAY HOTEL Arrival Date: 4113111 (574) 968 -4737 Departure Date: 4/16111 BY CHOICE H O T E k S GM.IN305 @choicehotels.com Check In Time: 4/13/11 8:48 P`M Check Out Time: Clay Fire Department Rewards Program ID: Buttler, Jim You were checked out by: Clay Fire Training You were checked in by: JWhite.in305 Total Balance Due: 0.00 2 Civic Square Carmel, IN 46032 4/13/11 Room Charge #103 Buttler, Jim 55.00 4/13/11 State Tax 3.85 4113111 City 1 County Tax 3.30 4/14/11 Room Charge #103 Buttler, Jim 55.00 4114/11 State Tax 3.85 4/14111 City County Tax 3.30 4/15/11 Room Charge #103 Buttler, Jim 55.00 4115/11 State Tax 3.85 4/15/11 City County Tax 3.30 4116/11 04MMM {186.45) XXXXXXXXXX 165.00 State Tax 11.55 City County Tax 9 Master Card (186.45) This rate is not eligible for partner rewards. Balance Due: 0.00 0.00 will be billed to: Account 562938 Clay Fire Department, 18355 Auten Road South Bend, IN 46637 x VOUCHER NO, WARRANT NO. ALLOWED 20 Adam Harrington IN SUM OF $600.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /T €TLE AMOUNT Board Members 1120 I 43- 430.02 I $600.40 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services iternized thereon for which charge is made were ordered and received except APR Ar F 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 $600.40 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