HomeMy WebLinkAbout202932 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 028500 Page 1 of 1
ONE CIVIC SQUARE GARY BRANDT CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 212 WALTER STREET
oN CARMEL IN 46032 CHECK NUMBER: 202932
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 150.00 EXTERNAL TRAINING TRA
oar TNEOgR�F�
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CITY OF CARMEL Expense Report (required for all travel expenses)
INDIANa.'
EMPLOYEE NAME: `�c��o� DEPARTURE DATE: TIME: 3 AM M
DEPARTMENT: RETURN DATE: TIME: AM M
REASON FOR TRAVEL� C 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
10/16/11 $32.50
10/17/11 p $65.00
10/18/11 $65.00
10/19/11 $32.50
$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 $0.001 $0.00 $0.00 $0.001 $0.001 $0.00 i $0.00 i $0.001 $0.00 $0.00
DIRECTOR'S STATEMENT: I here y ffirm that all pe�ses I1stgd conform to the City's travel policy and are within my department's appropriated budget.
OCT 2 4 2011
Director Signature: Date:
City of Carmel Form ER06 Revision Date 10/21/2011
RED ROOF INN MISHAWAKA NOTRE
DAME
1325 EAST UNIVERSITY DRIVE COURT
POO GRANGER, IN 46530 US
Phone: 574- 271 -4800
Fax: 571- 271 -0956
Email: i0629 @redroof:com
Printed: 10/19/20116:28:45 AM
Folio (Detailed)
Name: DEPT, CARMEL Confirmation Number: 797 426423
Room: 313 Room Type: NS2Q, NON- SMOKING STANDARD 2 QUEEN BEDS
Nights: 3 Guests: 2/0
Rate Plan: BAR Daily Rate: $64.99 $0.00 Tax GTD: 900 CASH
Arrival: 10/16/2011 (Sun) Departure: 10/19/2011 (Wed)
Room Rate:
10/16/2011 (Sun) 10/18/2011 (Tue) $64.99 $0.00 Tax per night.
Date Code Description Amount Balance
10/16/2011 900 CASH ($194.97) ($194.97)
10/16/2011 900 CASH $194.97 $0.00
10/16/2011 901 CHECK ($194.97) ($194.97)
10/16/2011 100 ROOM CHARGES $64.99 ($129.98)
10/17/2011 100 ROOM CHARGES $64.99 ($64.99)
10/18/2011 100 ROOM CHARGES $64.99 $0.00
Summary
Room Tax F &B Other CC Cash D8
$194.97 $0.00 $0.00 $0.00 $0.00 ($194.97) $0.00
2nd Annual F3runacin1`ti I hazard Zone Management Coll[ rence Reg {.)aline fate t uP3
d
P
r
't TT,
Invoice
Registration ID: 36330120
Registration Date: 9/13/2011
Invoice Date: 9/13/2011
Issued By: Global Risk Innovations Inc
Event: 2nd Annual Brunacini's Hazard Zone Management Conference
Date[Time: Monday, October 17, 2011 8:30 AM Wednesday, October 19, 2011 12:00
PM (Eastern Time)
Registrants
Name RDegistration Company /Organization Type
Mr Jeff Fuchs 36330120 Carmel Fire Department Full Registration
Mr Bob Hensiev 36329911 Carmel Fire Department Full Registration
Mr Frank Vallone 36330343 Carmel Fire Department Full Registration
Mr. Tim Conner 36330446 Carmel Fire Department Full Registration
Mr. Jeff Steele 36330543 Carmel Fire Department Full Registration
Mr. Gary Brandt 36330618 Carmel Fire Department Full Registration
Mr Adam Harrington 36330691 Carmel Fire Department Full Registration
Mr. Jim Toney 36330798 Carmel Fire Department Full Registration
Billing Information
Jeff Fuchs
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
United States
317 571 -2606
lit tps: /wwAN .rcgonIInexa/ register /invoiee.a�sp0 ventld= 91 M Atte ndeeId= 712Jn 9/13;2011
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))
$195.00
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 NO. WARRANT NO.
ALLOWED 20
Gary Brandt
IN SUM OF
Jj�
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I I 43- 430.02 I .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
t
l
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund