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213864 10/23/2012 a CITY OF CARMEL, INDIANA VENDOR: 354888 Page 1 of 1 `• ONE CIVIC SQUARE JAMES BUTLER s CHECK AMOUNT: $175.00 CARMEL, INDIANA 46032 4806 W STONEHAVEN LANE �y_oN NEW PALESTINE IN 46163 CHECK NUMBER: 213864 CHECK DATE: 10/2312012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 175 . 00 EXTERNAL TRAINING TRA G`t p tY,0111\. CITY OF CARMEL Expense Report (required for all travel expenses) `�/NOIANP' EMPLOYEE NAME< DEPARTURE DATE: ``p _ �y�_�'� TIME: AM DEPARTMENT: � �. RETURN DATE: TIME: AM / M REASON FOR TRAVEL:���-zo-ru �_�a�� DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Meals Air-fare Car Rental Other Parkin Lodging Misc. Total 9 Breakfast Lunch Dinner Snacks Per Diem $0.00 $0.00 10/14/12 $25.00 $25.00 10/15/12 $50.00 $50.00 _ 10/16/12 $50.00 $50.00 10/17/12 $50.00 $50.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00____$0_._00r $175.001 $0.00 0 DIRECTOR'S STATEMENT: I here y 4 irm,tat expen sled confo m to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: OCT 2 2 2012 City of Carmel Form#ER06 Revision Date 10/22/2012 Page 1 Snyder, Denise W From: trainingadmin @bshifter.com Sent: Tuesday, September 04, 2012 1:40 PM To: Snyder, Denise W Subject: Event Registration (Subject to PO Approval) Bshifter Event Registration Confirmation **************************Event Info*****************`******'** Event Title:Alan Brunacini's 3rd Annual Hazard Zone Conference Date Start: 10/15/2012 Date End: 10/17/2012 CostPerSeat:$495.00 Department: Brunacini Group Event Registration Transaction Id:lb9c49b4-f64f-4d5d-8d75-Oe46f2bfc8f4 Seats Registered:5 Discount Applied: Total Fee:$2,475.00 Billing PersonName:Denise Snyder Billing Addressl:Carmel Fire Department Billing Address2:2 Civic Square Billing City:Carmel Billing Zip:46032 Billing Country: USA Billing Phone:317-571-2622 Billing Email:dsnyder.@carmel.in.gov Transaction Type: Purchase Order Billing Reference: 24387 PO Reference/Number:24387 **********««***************Rosters********«***«**«*********** Event Registration ID: 1895f134-5ab4-4264-8Oa3-e5d94133dOc8 First Name:Adam Last Name: Harrington Email:aharrinaton@carmel.in.Rov Event Registration ID:674ef6f6-4c93-42b6-9d6c-767aab7471cd First Name: Frank Last Name:Vallone Email:fvallonea@carmel.in.eov Event Registration ID:23f3212S-d761-428a-a8a7-314d5b816df9 First Name:Jim Last Name: Buttler Email:ibutler @carmel.in.Rov Event Registration ID:bb596551-c8d6-49ee-a(07-be38ela4e9a6 First Name:Jeffrey Last Name:Steele Email:isteele@carmel.in.gov Event Registration ID:67953ac2-7cO4-4ce6-8061-Ofe26ae3006f First Name: Robert Last Name: Hensley Email: bhenslev @carmel.in.sov 1 v ! October 15-17, 2012 3^d Annual Brunacini Hazard Zone Management Conference The Brunacinis have collaborated with the leading fire-service instructors to host this outstanding conference. This year's event will continue to highlight the latest in hazard-zone management, decision-making processes, leadership skills and fire s research as they apply to tactics, strategies, incident command and firefighter safety. Please Join Us! ®r. Gary Klein Gordon Graham u s:. Dr. Klein is a research Mr.Graham is a 33-year psychologist renowned for veteran of the California his pioneering work in the Highway Patrol. His field of decision-making. education as a risk He is credited for his manager and experience research in developing the as an attorney have i € °slide tray'decision- helped him become one }` making process that has of the nations leading 9 ' p 9 3< been used by the fire public safety speakers. �__", service for the past 20 Don't miss Gordon & ears.Don't miss this rare Bruno Unplugged fire-service appearance! following Mr. Graham's y s 7, general session. r OBLUS CAR16 &BLUE CN,SO Admission price Includes a free Blue Card Subscription—A $385 value* *Subscription is transferable,) but not refundable. k, October 15-17, 2612 University of Notre Mame This year's conference also features: Dave Bodsong wart Varoneq Joe Starnest Peter Van ®or e, James Dalton, Matt Tobia, Dan Madrzyk6wafti, tide '►S.��` � max. °' runacinis and moral Clock heTre to Register Red Roof Iun Mishawaka -Notre Dame AM 1325 East University Drive Court Granger,'1N 46530 US ado Phone: 574-271-4800 ® Fax: 571-271-0956 Email- i0629©redroofcom Printed: 10/]7/2012 6:29:38 AM Folio (Detailed) Name: DEPT, CARMEL- FRANK Confirmation Number: 629-539715 Room: 220 Roam Type: NS2Q, NON-SMOKING STANDARD 2 QUEEN BEDS Nights: 3 Guests: 1/0 Rate Plan: BAR Daily Rate: $55.99 + $7.28 Tax GTD: 900 - CASH Arrival: 10/14/2012 (Sun) Departure: 10/17/2012 (Wed) Room Rate: 10/14/2012 (Sun) - 10/16/2012 (Tue) $55.99 + $7.28 Tax per night. Date Code Description Amount Balance 10/4/2012 901 CHECK ($189.81) ($189.81) 10/14/2012 100 ROOM CHARGES $55.99 ($133.82) 10/14/2012 150 STATE TAX $3.92 ($129.90) 10/14/2012 151 COUNTY TAX $3.36 ($126.54) 10/15/2012 100 ROOM CHARGES $55.99 ($70.55) 10/15/2012 150 STATE TAX $3.92 ($66.63) 10/15/2012 151 COUNTY TAX $3.36 ($63.27) 10/16/2012 100 ROOM CHARGES $55.99 ($7.28) 10/16/2012 150 STATE TAX $3.92 ($3.36) 10/16/2012 151 COUNTY TAX $3.36 $0.00 Summary Room Tax F&B Other CC Cash DB $167.97 $21.84 $0.00 $0.00 $0.00 ($189.81) $0.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Jim Buttler IN SUM OF $ $175.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-430.02 I $175.00 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 OCT 22 2012 p Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Irescribed 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 nfiom, 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)) $175.00 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