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Home My WebLink About202259 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 355224 Page 1 of 1 ONE CIVIC SQUARE DAWN PATTYN CHECK AMOUNT: $395.00 CARMEL, INDIANA 46032 141 SHERMAN DRIVE CARMEL IN 46032 CHECK NUMBER: 202259 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION 1120 4343002 395.00 EXTERNAL TRAINING TRA cT� N C gR 'HF�.. CITY OF CARMEL Expense Report (required for all travel expenses) �.NDIANP EMPLOYEE NAME a�� o-'��y r DEPARTURE DATE: TIME: DEPARTMENT: RETURN DATE: TIME: AM PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas /Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 $0.00 9/18/11 $25.00 $9.00 $65.00 $99.00 9/19/11 $9.00 $65.00 $74.00 9/20/11 $9.00 $65.00 $74.00 9/21/11 $9.00 $65.00 $74.00 9/22/11 $9.00 $65.00 $74.00 $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 $0.001 $0.00 $25.00 $45.00 $0.00 $0.00 $0.00 $0.00 $0.00 $325.001 $0.00 DIRECTOR'S STATEMENTZhr a t that all exile se I�ed,c3nform to the City's travel policy and are within ray j6yfrtment's appropriated budget. SEP 2. 1 Director Signature: Date: City of Carmel Form ER06 Revision Date 9/23/2011 Page 1 Invoice PDS Prin Decision systems Iatematianal DATE INVOICE NO. 10/14/2010 2010 -_'253 BILL TO: SHIP TO: Carmel Fire Department 2 Carmel Civic Square Carmel. IN 46032 Attention:.Jean Junker P.O. NO. TERMS DUE DATE REP SHIP DATE SHIP VIA FOB PROJECT 21129 Net 311 12/31/2010 10/3/2010 SERVICED ITEM DESCRIPTION QTY RATE AMOUNT TS I"ARLY Us... EARLY registration tee IorTeleSta17'2011 User 3 600.00 1.900.00 Conference and Training Seminar Sept 191h to 2 1st) Jean Junker. Dawn Patten. Orhie Bowles If you have any questions, please call Case- Albert it (714)703 -2150 x 1207 Total USI) 1.900.00 I'lease make check payahle to I'RINCII'Al. DECISION SYSTEMS INI1,. Balance Due I USD 1800.00 TeleStaff 'OSTAFFeasy (fMS 50 Corporate Park, Irvine, California 92606 tel 800.850.7374 fax 774.703.3000 www.pdsi-software.com Snyder, Denise W From: Debbie Tunstill Debbie. Tunstill @thetravelagentinc.com] Sent: Tuesday, May 24, 2011 11:47 AM To: Snyder, Denise W Subject: Confirmed Flight for Dawn Pattyn SALES PERSON: A09DT ITINERARY /INVOICE NO. ITIN DATE: MAY 24 2011 ACCOUNT CPD Z2SOBO PAGE: 01 FOR: PATTYN /DAWN E 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 15 SEP 11 THURSDAY MILES- 762 ELAPSED TIME- 2:25 AIR LV INDIANAPOLIS 1150A AMERICAN FLT:1897 ECONOMY CONFIRMED AR DALLAS /FT WOR 115P NONSTOP FOOD TO PURCHASE RESERVED SEATS 18A AIRLINE CONFIRMATION:AA JHGWOD MILES- 1205 ELAPSED TIME- 3:05 AIR LV DALLAS /FT WOR 250P AMERICAN FLT:1285 ECONOMY CONFIRMED AR ORANGE COUNTY 355P NONSTOP FOOD TO PURCHASE RESERVED SEATS 26E AIRLINE CONFIRMATION:AA JHGWOD 22 SEP 11- THURSDAY MILES- 846 ELAPSED TIME-2:13 AIR LV ORANGE COUNTY 1030A FRONTIER AIR FLT: 234 ECONOMY CONFIRMED AR DENVER 143P NONSTOP FOOD TO PURCHASE RESERVED SEATS 8E AIRLINE CONFIRMATION:F9 BLXMER MILES- 977 ELAPSED TIME- 2:22 AIR LV DENVER 255P FRONTIER AIR FLT: 608 ECONOMY CONFIRMED AR INDIANAPOLIS 717P NONSTOP FOOD TO PURCHASE RESERVED SEATS 15E AIRLINE CONFIRMATION:F9 BLXMER TICKET IS NONREFUNDABLE. TO RECEIVE AIRLINE CREDIT FLIGHTS MUST BE CANCELLED PRIOR TO DEPARTURE. CHANGE FEES WILL APPLY AMERICAN CON JHGWOD FRONTIER CONF BLXMER "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. 1 T Hyatt Regency Orange County H -Y —T�l 11999 Harbor Boulevard R E G E N C Y Garden Grove, CA 92840 ORANGE COUNTY TEL: 714.750.1234 NEAR DISNEYLAND RESORT FAX: 714.740.0465 www.hyattoc.com PRO -FORMA FOLIO Payee Dawn Pattyn Room No. 0427 141 Sherman Dr Arrival 09 -15 -11 Carmel IN 460321514 Departure 09 -22 -11 United States Page No. 1 of 2 Membership GP 5070872232 Folio Window 1 Bonus Code Folio Confirmation No. 5262323401 Invoice Group Name Date Description Charges Credits. 09 -15 -11 Guest Room 169.00 09 -15 -11 City Occupancy Tax 13% 21.97 09 -15 -11 GGTID Assessment 4.23 09 -15 -11 CA Tourism Assessment Fee 0.10 09 -16 -11 Guest Room 169.00- 09-16-11 City Occupancy Tax 13% 21.97 09 -16 -11 GGTID Assessment 4.23 09 -16 -11 CA Tourism Assessment Fee 0.10 09 -17 -11 Guest Room 169.00 09 -17 -11 City Occupancy Tax 13% 21.97 09 -17 -11 GGTID Assessment 4.23 09 -17 -11 CA Tourism Assessment Fee 0 -1.9 09 -18 -11 Guest Room 169.00 09 -18 -11 City Occupancy Tax 13% 21.97 09 -18 -11 GGTID Assessment 4.23 09 -18 -11 CA Tourism Assessment Fee 0.10 09 -19 -11 Guest Room 129.00 09 -19 -11 City Occupancy Tax 13% 16.77 09 -19 -11 GGTID Assessment 3.23 09 -19 -11 CA Tourism Assessment Fee 0.10 09 -20 -11 Guest Room 129.0 09 -20 -11 City Occupancy Tax 13% 16.77 09 -20 -11 GGTID Assessment 3.23 09 -20 -11 CA Tourism Assessment Fee 0.10 09 -21 -11 Check 1,400.66 Split Into 758.08 And 642.58 642.58 Junker Jean #1621 >Pattyn Dawn #0427 09 -21 -11 Guest Room 129.00 Hyatt Regency Orange County H A Y T--,T 11999 Harbor Boulevard R E G E N C Y Garden Grove, CA 92840 ORANGE COUNTY TEL: 714.750.1234 NEAR DISNEYLAND RESORT FAX: 714.740.0465 www.hyattoc.com PRO -FORMA FOLIO Payee Dawn Pattyn Room No. 0427 141 Sherman Dr Arrival 09 -15 -11 Carmel IN 460321514 Departure 09 -22 -11 United States Page No. 2 of 2 Membership GP 5070872232 Folio Window 1 Bonus Code Folio Confirmation No. 5262323401 Invoice Group Name Date Description Charges Credits 09 -21 -11 City Occupancy Tax 13% 16.77 09 -21 -11 GGTID Assessment 3.23 09 -21 -11 CA Tourism Assessment Fee 0.10 Your Gold Passport account will be credited for this stay. Total 1,228.50 642.58 Balance 585.92 Guest Signature WE HOPE YOU ENJOYED YOUR STAY US! I agree that my liability for this bill is not waived and I agree to be held We are interested in hearing your feedback regarding your visit. For comments regarding this personally liable in the event that the indicated person, company or visit, please contact our Consumer Affairs Department. association fails to pay for any part or the full amount of these charges. E -mail: qualityalica @hyatt.com Mail: Consumer Affairs 11999 Harbor Blvd. Garden Grove, CA 92840 -2732 1 accept delivery of The Wall Street Journal. If refused, a refund of $1.00 Call Toll -Free: (866) 444 -HROC (4762) will be provided. Questions regarding your hotel charge, please call our Accounting Department (714) 750 -1234 ext.6110 Mon -Fri 8am -4pm Purchase your Hyatt Gift Card at our Front Desk. Hyatt Gift Cards are the perfect gift for any occassion. Ask your Front Desk Agent for a Hyatt Gift Card today. To receive special offers and news about the Hyatt Regency Orange County, please send and e- mail request to salesalica @hyatt.com. 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)) $395.00 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 VOUCHER N WARRANT N ALLOWED 20 Dawn Pattyn IN SUM OF $395.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I I 43- 430.02 I $395.00 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 41 �r".3o-.Jw..• t Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund