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Home My WebLink About199049 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1 ONE CIVIC SQUARE MATTHEW HOFFMAN 11711 CAMERON DRIVE CHECK AMOUNT: $1,485.78 CARMEL, INDIANA 46032 FISHERS IN 46038 CHECK NUMBER: 199049 r CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 30.94 GASOLINE 1120 4343002 1,454.84 EXTERNAL TRAINING TRA 4 t+.RTYlRti��C CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAM DEPARTURE DATE: TIME: 5 AM PM DEPARTMENT: RETURN DATE: TIME: "�S_ REASON FOR TRAVEL- DESTINATION CITYY��o -`b- 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 I $0.00 6 /12711 $32.50 6113/11 $171.62 $65.00 $236.62 6/14/11 $65.00 $65.00 6/15/11 $65.00 $65.00 6/16/11 $65.00 $65.00 6/17/11 $60.00 $93.94 $802.72 $65.00 $1,021.66 $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 $60100 $93.94 $974.341 $0.00 $0.00 $0.00 $0.001 $357.501 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: JUL oat r City of Carmel Form ER06 Revision Date 6/30/2011 Page 1 g a ee A 103 06 -17 -11 Orbie Bowles Folio No. Room No. 122 7615 Mary Lane AIR Number Arrival 06 -13 -11 Indianapolis IN 46217 Group Code Departure 06 -17 -11 us Company Leisure Conf. No. 67264302 Membership No. PC 279651361 Rate Code IYOTH Invoice No. Page No. 1 of 1 Date Description Charges Credits 06 -13 -11 *Accommodation 89.99 06 -13 -11 State Tax (7.5) Room 6.75 06 -13 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -14 -11 *Accommodation 89.99 06 -14 -11 State Tax (7.5) Room 6.75 06 -14 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -15 -11 *Accommodation 89.99 06 -15 -11 State Tax (7.5) Room 6.75 06 -15 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -16 -11 *Accommodation 89.99 06 -16 -11 State Tax (7.5) Room 6.75 06 -16 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -17 -11 XXXXXXXXXfi%W 401.36 Thank you for staying at The Holiday Inn Express Pensacola. Qualifying points for this stay Total 401.36 401.36 will automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www. priorityclub.com. We look forward to welcoming you back soon. Balance 0.00 Guest Signature: I have received the goods and 1 or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Express Pensacola 130 Loblolly Lane Pensacola, FL 32526 Telephone: (850) 944 -8442 Fax: (850) 941 -4995 a 107 06 -17 -11 Orbie Bowles Folio No. 54859 Room No. 122 7615 Mary Lane AIR Number Arrival 06 -13 -11 Indianapolis IN 46217 Group Code Departure 06 -17 -11 us Company Leisure Conf. No. 67264302 Membership No. PC 279651361 Rate Code iYOTH Invoice No. Page No. 1 of 1 Date I Description I Charges J Credits 06 -13 -11 `Accommodation 89.99 06 -13 -11 State Tax (7.5) Room 6.75 06 -13 -11 BedfOccupancy Room Tax (4.0 3.60 06 -14 -11 `Accommodation 89.99 06 -14 -11 State Tax (7.5) Room 6.75 06 -14 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -15 -11 'Accommodation 89.99 06 -15 -11 State Tax (7.5) Room 6.75 06 -15 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -16 -11 "Accommodation 89.99 06 -16 -11 State Tax (7.5) Room 6.75 06 -16 -11 Bed /Occupancy Room Tax (4.0 3.60 06 -17 -11 XXXXXXXX 401.36 Thank you for staying at The Holiday Inn Express Pensacola. Qualifying points for this stay Total 401.36 401.36 will automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www. priorityclub.com. We look forward to welcoming you back soon. Balance 0.00 Guest Signature: I have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer, Holiday Inn Express Pensacola 130 Loblolly Lane Pensacola, FL 32526 Telephone: (850) 944 -8442 Fax: (850) 941 -4995 Comfort Inn (FL588) Account: 186078678 Date: 6/13/11 8690 Pine Forest Road Room: 217 scR Pensacola, FL 32534 -3992 Arrival Date: 6/11/11 850.476.8989 Departure Date: 6/13/11 B Y C H 0 1 C E H O T E L S gm.FL588@choicehotels.com Check In Time: 6/12/11 12:44 AM Check Out Time: 6/13/11 7:30 AM BOLES, ORBIE Rewards Program ID: 7615 MARY LANE You were checked out by: mholme.fl588 Indianapolis, IN 46217 You were checked in by: mholme.f1588 Total Balance Due: 0.00 Post Dat V g s Comment w y: 6/11111 Room Charge #217 BOLES, ORBIE 75.99 6/11/11 State Tax 5.70 6111/11 City County Tax 3.04 6/11/11 Safe w /Itd Warranty 1.00 6111/11 Sales Misc tax 0.08 6/12/11 Room Charge 4217 BOLES, ORBIE 75.99 6/12/11 State Tax 5.70 6112/11 City County Tax 3.04 6112/11 Safe w /ltd Warranty 1.00 6/12/11 Sales Misc tax 0.08 6/13/11 A. a w; '°i'9' �r .n�a a—�e°"�� y w.. ^m^t'✓ 151.98 State Tax 11.40 City County Tax 6.08 Sales Misc tax 0.16 (171.62) Safe w /ltd Warranty 2.00 This rate is eligible for partner rewards. If this rate is changed, you Balance Due: 0.00 may no longer be entitled to partner rewards. All charges are personal indebtedness. If payment is by credit card, you are authorized to charge my account for the total amount due. Debit card funds will be on hold from your account immediately and may remain unavailable for up to 15 days. x Comfort Inn (FL588) Account: 186731263 Date: 6/13/11 8690 Pine Forest Road Room: 219 sca Pensacola, FL 32534 -3992 Arrival Date: 6/11/11 850.476.8989 Departure Date: 6/13/11 B Y C N 0 1 C E H 0 T E L s gm.FL588@choicehotels.com Check In Time: 6/12/11 12:42 AM Check Out Time: 6/13/11 7:31 AM BOLES, ORBIE Rewards Program ID: 7615 MARY LANE You were checked out by: mholme.f1588 Indianapolis, IN 46217 You were checked in by: mholme.f1588 Total Balance Due: 0.00 6/11/11 Room Charge #219 BOLES, ORBIE 75.99 6111/11 State Tax 5.70 6/11/11 City County Tax 3.04 6/11/11 Safe w /Itd Warranty 1.00 6/11/11 Sales Misc tax 0.08 6/12/11 Room Charge #219 BOLES, ORBIE 75.99 6/12/11 State Tax 5.70 6/12/11 City County Tax 3.04 6/12/11 Safe w /Itd Warranty 1.00 6/12/11 Sales Misc tax 0.08 6/13/11 (171.62) XXXXXXXXXX ,�o x F„oIIO�Surtittlary 6f1�1' /11 6/:1'3/11 151.98 State Tax 11.40 City County Tax 6.08 Sales Misc tax 0.16 (171.62) Safe w /Itd Warranty 2.00 This rate is eligible for partner rewards. If this rate is changed, you Balance Due: 0.00 may no longer be entitled to partner rewards. All chargos are personal indebtedness. If payment is by credit card, you are authorized to charge my account for the total amount due. Debit card funds will be on hold from your account immediately and may remain unavailable for up to 15 days. x MAT F HOFFM)AN Account Ending 6-06007 P, 6112 Detail Amount 06/13/11 Comfort Inn OGOOOMO Pell Saco 16 1 $171.62 ArnvalDare Depart tire Date 045/1111 06/ 13/ 11 00000000 I ODGING, 061 Comfort Inn 00000000pensacola FL $171,62 Arrival Mvp Depirtirrp. Date 06111/11 0611 3/11 00000000 1 ODGING 061 WOKEY'S REAL n r Bf3PFNSAC0LA FL $54,80 850.968-9182 FOOD 547.66 TIP S7,14 06/15/11 NETT-LIX NONE LOS GATOS CA $10.69 NONE 06/15111 CXXONMOBIL PENSACOLA BEA FL $61,23 AU10 FUEL DISPENSER Description OAS/SERV[CES (XV16/11 F14HERS YMCA FISHERS IN $131,00 C HARITARL r ORG 06117111 DELTA AIR LINES AII-ANTA $60,00 DELTA AIR LINES From; Carrier cilss: N/A N/A Yy 00 N,'A yy 00 N/A yy 00 N/A yy 00 Ticket Nurnber, 006824 54 79878 2 Date. of Departure: 12/31 Passenger Name: HOFFMAN/MA'ITHEWF Document type: MISC. CHARGE ORDER (MCO)/PIIEPAIL) TICKE r AUTH. 06f 1711 1 SHELL OIL 575426902()PFNSACC)LA 71, 530,94 AU1 0 FUEL DISPENSER 06i) 7i I I HOLIDAY INN EXPRESS PENSACOLA FL $401.36 ArrivafDarf� Depwrim 06113/1 1 06/17i'll 00000000 06/ 711 i HOLIDAY INN EXPRESS PENSACOLA Fl- 5401.36 Arrival Date Departure Date 06/13/11 06/ D0000wo 06/17/11 BONEFISH 4 /090 306SPLNSACOI..A FL, $91,97 8504712324 FOODIBEVERAGE 576.97 TIP $15.00 06118/1 t INDIANAPOLIS AIRPORTINDIANAPOLIS IN 163.00 3174875015 Description Price PARKING 561,00 MARSH 1-017 000000000FISHERS IN $35.30 317572S325 ontinued on next page Page l of transact ion Des cl DELTA AIR LI NES Al LAN TA DELTA AIRLINES NIA YY 00 NIA yy 00 N/A yy 00 Ticket Numb.r: 00662454798782 Date of Departure 12/31 Passenger Name HOFFkAAN/MAT ment Type: MISC. CHARGE ORDER (MCO)/PREPAlD TICKET AUTH. Amount S: 6000 Merchant Add.s.: DEPT 680 1030 DELTA R�VD ATLANTA CA UNTED STATES Travel Airlwe httpo:Hoo|inc.umercunrxprcua. u/eotort/un/docu/nrnt duo.brm] 6/27/201| o h o I v a -i ru C FPTM 1pffli 32 1' G 2 ao IJ C E T EW 1 ("I' ac 1 a R 0 —1pri c r) of Interviews and Interrogations i r 3 0 T S 14 T C i A f ;.1 'p �'T Payment due on or before first day of class, W.7 Snyder, Denise W From: Debbie Tunstill [Debbie.Tunstill @thetravelagentinc.com] Sent: Friday, June 03, 2091 4:14 PM To: Snyder, Denise W Subject: Confirmed Flight for Matthew Hoffman SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: JUN 03 2011 ACCOUNT ZT8DQA PAGE: 01 FOR: HOFFMAN /MATTHEW F TO: CITY OF CARMEL CITY OF CARMEL -FIRE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN: DENISE SNYDER CARMEL IN 46032 TWO CIVIC SQUARE CARMEL IN 46032 11 JUN 11 SATURDAY MILES- 432 ELAPSED TIME- 1:39 AIR LV INDIANAPOLIS 734P DELTA FLT :2281 FIRST CLASS CONFIRMED AR ATLANTA 913P NONSTOP RESERVED SEATS 2B AIRLINE CONFIRMATION:DL GQ8VUQ MILES- 272 ELAPSED TIME- 1:19 AIR LV ATLANTA 10252 DELTA FLT :1967 FIRST CLASS CONFIRMED AR PENSACOLA 1044P NONSTOP RESERVED SEATS 3B AIRLINE CONFIRMATION:DL GQ8VUQ 17 JUN 11 FRIDAY MILES- 272 ELAPSED TIME- 1:19 AIR LV PENSACOLA 640P DELTA FLT:1236 COACH CLASS CONFIRMED AR ATLANTA 859P NONSTOP RESERVED SEATS 20F AIRLINE CONFIRMATION:DL GQ8VUQ MILES- 432 ELAPSED TIME- 1:32 AIR LV ATLANTA 1025P DELTA FLT:1945 COACH CLASS CONFIRMED AR INDIANAPOLIS 1157P NONSTOP RESERVED SEATS 14B AIRLINE CONFIRMATION:DL GQ8VUQ THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY. DELTA CONF GQ8VUQ *YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED FEES AND PENALTIES EXIST FOR REISSUES REFUNDS- CHANGES. AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373 CODE A09- $15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL FOR TERMS AND CONDITIONS- AIRLINE LUGGAGE POLICES AND OTHER SERVICES OFFERED. THANK YOU. DEBBIE TUNSTILL 317 805 5762 1 AIR TRANSPORTATION 328.37 TAX 67.43 TTL 395.80 PROCESSING FEE 35.00 SUB TOTAL 430.80 CREDIT CARD PAYMENT 430.80 TOTAL AMOUNT 0.00 2 C- ITY OF CARMEL FIRE DEPARTMENT DATE: June 29, 2011 TO: Cindy `cheeks FR.O€vh Keith 5nrtith. Fite Chief 1 Attached YOU Will find reinihursement claims for Matt 1°It>WN CkWe Bowles anc'1 :Mark C:'romfich. I sent these three to a Interview and Interrogations Class in Pensacola Flc3ridw The de.pmmment will he paying one night of their I«dgMg m the CmnRm Into, Me tither night is personA tithe. They swiWed V) the; I'Why Inn on June 13 and l will be reimbtwAg them for the ciura6011 of tile SUIV. If you have any questions, please feel free to contact tile. VOUCHER NO. WARRANT NO. ALLOWED 20 Matt Hoffman IN SUM OF $1,485.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members 1120 43- 430.02 j $1,454.84 I hereby certify that the attached invoice(s), or 1120 42- 314.00 $30.94 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 /7 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)) $1,454.84 $30.94 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