HomeMy WebLinkAbout203190 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00350113 Page 1 of 1
ONE CIVIC SQUARE JIM TONEY
C/O cFO CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032
I N CHECK NUMBER: 203190
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343003 150.00 TRAVEL LODGING
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: DEPARTURE DATE: TIME: 7 AM M
DEPARTMENT: RETURN DATE: TIME: AM PM
REASON FOR TRAVEL' \v- DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation GaslTolls! Meals
Date Lodging Misc. Total
Parkin
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$070
10/16/11 $32.50 $32.50
10/17/11 $V.00 $65.00'
10118/11 $6 0 r $65.00
10/19/11 $32.50
$0.00
$0.00
$0.00
$0.00
$0.00
$o:oo
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0:oo
$0.00
0.0
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.001 $0.0 00 $0.00
DIRECTOR'S STATEMENT: I r Sy affirm that all expenses lisped conform to the City's travel policy and are within my department's appropriated budget.
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Director Signature: Date: �CT
City of Carmel Form ER06 Revision Date 10/2112011 Page 1
RED ROOF INN MISHAWAKA NOTRE
DAME
1325 EAST UNIVERSITY DRIVE COURT
GRANGER, IN 46530 US
Phone: 574- 271 -4800
Fax: 571 -271 -0956
Email: i0629 @redroof.com
Printed: 10/19/20116:28:57 AM
Folio (Iff)"etalled)
Name: DEPT, CARMEL Confirmation Number: 828- 172806
Room: 314 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 IF &B Other CC Cash DB
$194.97 $0.00 $0.00 $0.00 $0.00 ($194.97) $0.00
3
nd Annual 13runacinl's I.�tazard Zr�rle Management C; ojj.rerenc% Page I of")
y a
Er x
s
Invoice
Registration ID: 36330120
Registration Date: 911312011
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)
R
Name RDegistration Company /Organization Type
Mr Jeff Fuchs______ 36330120 Carmel Fire Department Full Registration
Mr B Hensley 36329911 Carmel Fire Department Full Registration
Mr Frank Vallone 36330343 Carmel Fire Department Full Registration
Mr, Tim Canner 36330446 Carmel Fire Department Full Registration
Mr. Jeff Steele 36330643 Carmel l=ire Department Full Registration
Mr. Gar Brandt 36330618 Carmel Fire Department Full Registration
Mr Adam Harrin ton 36330691 Carmel Fire Department Full Registration
kAr, 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
17tt.ps:l! -r���. egnnlznt,.cG're isicr /invoice. sl�a ?l:,vendd r) 3(? (ll9cL:.- �ttcnciceld== 712.1:��k zzcl ()thy)... 9/t 3/2011
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Toney
IN SUM OF
$195.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I I 43- 430.03 l -*+95 -00� I 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
cc 24 11
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))
oo
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
2d
Clerk- Treasurer