178715 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1
ONE CIVIC SQUARE MATTHEW HOFFMAN CHECK AMOUNT: $399.52
s,� r CARMEL, INDIANA 46032 11711 CAMERON DRIVE
FISHERS IN 46038 CHECK NUMBER: 178715
CHECK DATE: 10/28/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 25.02 GASOLINE
1120 4343002 374.50 EXTERNAL TRAINING TRA
c oc CA
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: `''c�o DEPARTURE DATE: moo, `moo o� TIME: A:0 PM
DEPARTMENT RETURN DATE: TIME: AM P
REASON FOR TRAVEL: �d c DESTINATION CITY:
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
10/20/09 $65.00 $65.00
10/21/09 $65.00 $65.00
10/22/09 $65.00 $65.00
10/23/09 $65.00 $65.00
10/24/09 $82.00 $25.02 $32.50 $139.52
$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
Totall $0.001 $0.001 182-001 $25.021 $0.001 $0.00 $0.00. $0.001 $0.00 $292.501 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that, all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Y Director Signature: l�r Date0 9 0 9nno
City of Carmel Form ER06 Revision Date 10/26/2009 Pagel
A arnott GUEST FOLIO
EL PASO 1600 Airway Boulevard, El Paso, TX 79925 915.779.3300. Marriott.com /ELPTX
350 HOFFMAN /MATTHEW .00 10/24/09 13:00 2048 12040
Room Name Rate Depart Time ACCT GROUP
NDB 10/20/09 15:52
Type Arrive Time
22
y MR
C lerk Address Payment
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$.00
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Signature X
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EJ
THE TRAVEL AGENT tel 317846.9619 800.347.2512
fax 317848.3998
Established 1979. email info @thetrave [age nt.travel UUMMM vl RT UOS O IM L `9 B E R.
11562 Westfield Boulevard I Carmel, Indiana 46032 web www.thetravelagent.travel SPECIAL IS IS IN 7 It E ART OF TRAVEL
:ALES PERSON: DT2 ITINERARY /INVOICE NO. 58647 DATE: OCT 12 2009
ACCOUNT MKTQC2 PAGE: 01
P—
OF 'N_'AA? MATT HEW F
:i0: 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
2r} OCT 09 TUESDAY MILES— 762 ELAPSED TIME— 2:20
A:R LV INDIANAPOLIS 1140A AMERICAN FLT:1207 ECONOMY CONFIRMED
AR DALLAS /FT WOR 100P NONSTOP FOOD TO PURCHASE
RESERVED SEATS 17E
AIRLINE C'ONFIRMATIGN:AA PKKSTR
FZILES— 551 ELAPSED 'LIME— 1.40
`4
:.3 =I�: i V Lt�LLAS /F'•T.:rnIOR 240P, AMERICAN -FLT 83.5 ECONOMY C0NFIRY11
AR'E;L T 320P NONSTOP
RESERVED-,SEATS 13E
AIRLINE CONFIRMATION:AA PKKSTR
24 OCT 09 SATURDAY MILES— 551 ELAPSED TIME— 1:40
ASR LV EL PASO 600A AMERICAN FLT:1794 ECONOMY CONFIRMED
AR DALLAS /FT WOR 840A NONSTOP
RESERVED SEATS 15E
AIRLINE' CONFI.TL ATION:AA PKKSTR
MILES 762 ELAPSED TIME— 2:05
.A, R LV L`ALLAS F T WOR 9 4 0A AMERICAN FLT: 482 ECONOMY CONFIRMED
AR INDIANAPOLIS 1245P NONSTOP F00 "L rt'O PURCHASE
RESERVED SEATS 10E
IRLINE CONFIRPLATION: AA PKKSTR
AMERICP-N� CONF;.,PKKSTR
IHiS; IS;+AN .ELEC'xRONIC TICK`!,' PLEASE PR.ESEI`;1T PHOTO
�TT��m /'�tT nf.'; TT7 �iTmL� l,. ,'r;• IS PIJ i=., i•
t'..L 'A �-K vU 1. 111 .u._LV-
NC .k�x':,r.Ur3?31.E� ZF UNUSED. MAY
T- RANIEL DATE. FEES WIT;:, APPLY.
Y'OU RUST VERIFY ALI, INFORIvViTION 1 S) ';NCE ISSUED.
AS YOURTRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALLTRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER..
FOR TERMS AND CONDITIONS, REFER TO: W.WW.TTA.TRAVEUTERMS
Centeri-
hublic:Safety Invoice
Excellence
4501 Singer Cr., Ste. 180, Chantilly, VA 20151 Date Invoice
866 866 -2324T 703 961 -0113 F I 9/21/2009 05 -1476
Bill To Ship To
Carmel Fire. Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46038 Carmel, IN 46038
No: Tefms_Dt?eDafe; Rep
Due on receipt 9/21/2009 MJ
Description Quantity U/M Rate Amount
Self Assessment Workshop 2 495.00 990.00
Standards of Cover Workshop 2 155.00 310.00
El Paso, TX workshops Mrs. Denise Snyder Ms. Jean
Junket
Non- 1`azable 0.00% 0.00
v
Payments /Credits $0.00
Total $1,300.00
Thank you for your business!
Balance Due $1,300.00
Visit our website for more information on our programs and upcoming workshops events in your area!
www.publicsafetyexcellence.org
4
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))
$25.02
$374.50
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
Matt Hoffman
IN SUM OF
$399.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 314.00 $25.02 1 hereby certify that the attached invoice(s), or
1120 43- 430.02 $374.50 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
nrT nos
a
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund