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Home My WebLink About213945 10/23/2012 - CITY OF CARMEL, INDIANA VENDOR: 00352934 Page 1 of 1 ONE CIVIC SQUARE ADAM HARRINGTON CARMEL, INDIANA 46032 19546 TRADEWINDS DRIVE CHECK AMOUNT: $175.00 NOBLESVILLE IN 46062 CHECK NUMBER: 213945 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 175 . 00 EXTERNAL TRAINING TRA CAN4 nT 1, VW � N s CITY OF CARMEL Expense Report (required for all travel expenses) NDIANP/ EMPLOYEE NAME: DEPARTURE DATE: TIME: AM PM DEPARTMENT: mss_ RETURN DATE: TIME: AM REASON FOR TRAVEL: \��--L�� Z--Q��Q\� STINATION 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 $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 $0.00 $175.001 $0.00 9 DIRECTOR'S STATEMENT: I hereby affirm that all expens s_liste�confo m to t he City's travel policy and are within my department's appropriated budget. Director Signature: �1� Date: OCT 2 2 2012 City of Carmel Form#ER06 Revision Date 10/22/2012 Page 1 &BLUE CRIJ Invoice Across the Street Productions 19101 Stone Ridge Drive- Suite A Date Invoice South Bend, Indiana 46637 9/11/2012 12-0914 Bill TO f: Carmel Fire Department Denise Snyder 2 Civic Square Carmel, IN 46032 P:O.-No. Terms; Duebate 24387 Net 30 10/11/2012 -Quantity Description Rates Amouht 5 Brunacini Hazard Zone Conference at Notre Dame University 495.00 2,475.00 2012; Vailone, Buttler, Steele, Hensley; Harrington I ; .r t Train the Traiper Invokes mast 13c paid 14 days prior to the start of class Make Checks Payable to: � Tot�!i 2X7; 511 � y Across the Sheet ft-otluctluns Phone-.(574):27!3.0:9&2 Tall Fr (855) 72-5821 Vax�65'7i� 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 Addressi: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: 1895fl34-5ab4-4264-8Oa3-e5d94133dOc8 First Name:Adam Last Name: Harrington Email:aharrineton @carmel.in.sov Event Registration ID:674ef6f6-4c93-42b6-9d6c-767aab7471cd First Name: Frank Last Name:Vallone Email:fvallone @carmel.in.gov Event Registration ID:23f32125-d761-428a-a8a7-314d5b816df9 First Name:Jim Last Name: Buttler Email:ibutler @carmel.in.eov Event Registration ID:bb596551-c8d6-49ee-af07-be38ela4e9a6 First Name:Jeffrey Last Name:Steele Email:isteele @carmel.in.gov Event Registration ID: 67953ac2-7c04-4ce6-8061-0fe26ae3006f First Name: Robert Last Name: Hensley Email: bhenslev @carmel.in.sov 1 Red Roof Inn Mishawaka -Notre Dame 1325 East University Drive Court Ra Changer, IN 46530 US Phone: 574-271-4800 r Fax: 571-271-0956 Email: i0629@redroof.com Printed: 10/17/2012 6:29:38 AM Folio (Detalled) Name: DEPT, CARMEL- FRANK Confirmation Number: 629-539715 Room: 220 Room Type: NS2Q, PION-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 COUNT Y 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 Adam Harrington 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 2 2 2012 ,-a 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 Nn 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)) $175.00 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