HomeMy WebLinkAbout203017 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 357303 Page 1 of 1
ONE CIVIC SQUARE ROBERT HENSLEY
CARMEL, INDIANA 46032 400 GREYHOUND PASS CHECK AMOUNT: $150.00
CARMEL IN 46032 CHECK NUMBER: 203017
CHECK DATE: 10125/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1120 4343002 REIMB 150.00 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
INDIpNA.
EMPLOYEE NAME: DEPARTURE DATE: �a TIME: 3 A M M
DEPARTMENT: RETURN DATE: TIME: y AM M
REASON FOR TRAVEL'. N DESTINATION CITY:__��'r
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
10/16/11 $32.50
10/17/11 $65.00
10/18/11 o $65.00
10/19/11 $32.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 _t
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Total $0.001 $0,00L $0.001 $0.001 $0.001 $0.00 $0.00 $0.001 $0.00 95.00 $0.00
DIRECTOR'S STATEMENT: I hereby aff' m that all expenses listed conform to the City's travel polic@,a2r4wR0ij my department's appropriated budget.
Director Signature: r
g Date:
e
City of Carmel Form ER06 Revision Date 10/21/2011
RED ROOF INN MISHAWAKA NOTRE
DAME
1325 EAST UNIVERSITY DRIVE COURT
GRANGER, IN 46530 US
ezik,00 Phone: 574- 271 -4800
Fax: 571- 271 -0956
Email: i0629 @redroof.com
Printed: 10/19/20116:09:07 AM
Folio (Detailed)
Name: DEPT, CARMEL FIRE Confirmation Number: 786 625306
Room: 316 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 DB
$194.97 $0.00 $0.00 $0.00 $0.00 ($194.97) $0.00
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2»d Annual Briinaciny' s j-Iaz.arC1 7 Uitc �AaT1a4v;U11811 U)1hCmu
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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
I Name Registration D CompanylOrganization Type
Mr Jeff Fuchs 36330120 Carmel Fire Department Full Registration
Mr Bob Hensley 36329911 Carmel Fire Department Full Registration
Mr Frank Vallone 36330343 Carmel Fire Department Full Registration
Mr. Tim Conner 36330446 Carmel Fire Department Full Registration 11
Mr. Jeff Steele 36330543 Carmel Fire Department Full Registration
Mr. Gary Brandt 36330618 Carmel Fire Department Full Registration
Mr Adam Harrin ton 36330691 Carmel Fire Department Full Registration
Mr. Jim Tonev 36330798 Carmel Fire Department Full Registration
Billing Information
Jeff Fuchs
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
United States
317- 571 -2606
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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
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
VOUCHER NO. WARRANT N
ALLOWED 20
Bob Hensley
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 I I 43- 430.02 I x.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
n
Fire Chie
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund