213948 10/23/2012 �., CITY OF CARMEL, INDIANA VENDOR: 357303 Page 1 of 1
t ONE CIVIC SQUARE ROBERT HENSLEY
CARMEL, INDIANA 46032 400 GREYHOUND PASS CHECK AMOUNT: $175.00
CARMEL IN 46032 CHECK NUMBER: 213948
ON 0
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 175 . 00 EXTERNAL TRAINING TRA
aT I
ten \
"�" CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME DEPARTURE DATE: TIME: AM / M
DEPARTMENT: ` RETURN DATE: TIME: y AM
<M;
REASON FOR TRAVEL. \��aZ��p ^Z---o ti� DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking 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 $175.00 .. 0 0$0.00
DIRECTOR'S STATEMENT: I her by affirm hat all exper s�jted conf rm to the City's travel policy and are within my department's appropriated budget.
---• OCT 2 2 2012
Director Signature: Date:
e
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
*****s**************s*****Registertnfo*****s********ss*s*s*s********
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
****************ss*********Rosters************ss****s********
Event Registration ID: 1895f134-5ab4-4264-8Oa3-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.sov
Event Registration ID:23f32125-d761-428a-a8a7-314d5b816df9
First Name:Jim
Last Name: Buttler
Email:*butler @carmel.in.gov
Event Registration ID: bb596551-c8d6-49ee-a(07-be38ela4e9a6
First Name:Jeffrey
Last Name:Steele
Email:isteele @carmel.in.eov
Event Registration ID:67953ac2-7c04-4ce6-8061-Ofe26ae3006f
First Name: Robert
Last Name: Hensley
Email: bhenslev@carmel.in.eov
1
oave the Dates!
October 15-17, 2012
3rd 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
research as they apply to tactics, strategies, incident command and firefighter safety.
Please Join Us!
}
7 hIs aff9s conference will ea r
®r. Gary Klein Gordon Graham
g t 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 i
field of docision-making. oducation as a risk
>.
He is credited for his manager and experience ,
' research in developing the as an attorney have °' i
r °slide tray'decision- helped him become one
making process that has of the nation's leading
been used by the fire public safety speakers. 4
g .>, .. service for the past 20 Don't miss Gordon &
y tr years. Don't miss this rare Bruno Unplugged r. �
fire—service appearance! following Mr. Graham's '
general session. fi
&BLUE Coo ;*495 go Luc CARI 5
Admission price-includes a free _ lue Card Subscription--A $385 value*
*Subscription its 4transf6rable, but not refundablle.
a
15-17, 2012
UnIversity of Notre e
This year's conference also features:
Dave Dodson, Curt Varone, Joe Starnes,
Peter Van Dorpe, Ja ez Dalton, Matt
Tobla s Dan adrZ' k wakl: the
Brunacinis and morel
Cl '"ck here to Register
Red Roof Inn Mishawaka-Notre Dame
1325 East University Drive Court
Granger, IN 46530 US
Phone: 574-271-4800
kDoor Fax: 571-271-0956
Email: i0629Qredrnnf.com
Printed: 10/17/2012 6:30:37 AM
Folio (Detailed)
Name: DEPT, CARMEL Confirmation Numher: 629-830500
Room: 224 Room Type: NS2Q, NON-SMOKING STANDARD 2 QUEEN BEDS
Nights: 3 Guests: 2/0
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
Bob Hensley
IN SUM OF $
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I 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
UCT 2 2 2012
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))
$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