218881 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00352934 Page 1 of 1
ONE CIVIC SQUARE ADAM HARRINGTON CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 19546 TRADEWINDS DRIVE
NOBLESVILLE IN 46062 CHECK NUMBER: 218881
CHECK DATE: 4/912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 225 . 00 EXTERNAL TRAINING TRA
OF Ak-
CITY OF CARMEL Expense Report (required for all travel expenses)
`�ND I ANA i
EMPLOYEE NAME: �`�-� ���-�< �� DEPARTURE DATE: `!S TIME: S AM / N►
DEPARTMENT: RETURN DATE: � _� > TIME: 3 .�jQ AM PM
REASON FOR TRAVEL:�z�������. �°�\d_%kSTI NAT ION 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
3/24/13 1 1 $25.00 $25.00
3/25/13 $50.00 $50.00
3/26/13 $50.00 $50.00
3/27/13 $50.00 $50.00
3/28/13 $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
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 _$0.001 $225.00 $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.
Director Signature: Date: A_ 7013
City of Carmel Form# RO6 Revision Date 4/8/2013 Page 1
BAYMONT ELKHART
3010 BRITTANY COURT
- ELKHART, IN 46514 US
Phone: 574-264-7222
Fax: 574-264-7222
Email: ELKHART.fN @CPHOSP.COM
Printed: 3/28/2013 7:14:37 AM
Folio (Detailed)
Name: HARRINGTON, ADAM Confirmation Number: 10599230
Company: *DEPT OF HOMELAND SECURITY Account Number: 631-308519
Receivable Account Number: 590-780023
Address: 19546 TRADEWINDS DR
NOBLESVILLE, IN 46062 US
Room: 117 Room Type: NK1, 1 KING/NON SMK Nights: 4 Guests: 1/0
Rate Plan: L14 Daily Rate: $70.00 + $8.40 Tax GTD: DR - DIRECT BILL
Arrival: 3/24/2013 (Sun) Departure: 3/28/2013 (Thu) *DEPT OF HOMELAND
Room Rate:
3/24/2013 (Sun) - 3/27/2013 (Wed) $70.00 + $8.40 Tax per night.
Date Code Description Amount Balance
3/24/2013 RM ROOM CHARGE $70.00 $70.00
3/24/2013 TAX1 STATE TAX $4.90 $74.90
3/24/2013 TAX2 LODGING TAX $3.50 $78.40
3/25/2013 RM ROOM CHARGE $70.00 $148.40
3/25/2013 TAX1 STATE TAX $4.90 $153.30
3/25/2013 TAX2 LODGING TAX $3.50 $156.80
3/26/2013 RM ROOM CHARGE $70.00 $226.80
3/26/2013 TAXI STATE TAX $4.90 $231.70
3/26/2013 TAX2 LODGING TAX $3.50 $235.20
3/27/2013 RM ROOM CHARGE $70.00 $305.20
3/27/2013 TAX1 STATE TAX $4.90 $310.10
3/27/2013 TAX2 LODGING TAX $3.50 $313.60
3/28/2013 DR HARRINGTON, ADAM [*DEPT OF ($313.60) $0.00
HOMELAND SECURITY]
Summary
Room Tax F&B Other CC Cash DB
$280.00 $33.60 $0.00 $0.00 $0.00 $0.00 ($313.60)
' BAYMONT ELKHART
- _ 3010 BRITTANY COURT
ELKHART, IN 46514 US
Phone: 574-264-7222
l Fax: 574-264-7222
Email: ELKHART.IN @CPHOSP.COM
Printed: 3/28/2013 7:14:37 AM
Folio (Detailed)
By signing below, I agree to these terms and conditions.
Guest Signature:
(1)Regardless of charge instructions,the undersigned acknowledges the above as personal indebtedness. (2)This property is privately owned and
management reserves the right to refuse services to any one,and will not be responsible for injury or accidents to guests or loss of money,jewelry or
any personal valuables of any kind.
"We or our affiliates may contact you about goods and services unless you call 888-946-4283 or write to Opt/Privacy,Wyndham Hotel Group,LLC,22
Sylvan Way,Parsippany, N)07054 to opt out. View our website about privacy."
Snyder, Denise W
From: Harrington, Adam C
Sent: Monday, April 08, 2013 10:35 AM
To: Snyder, Denise W
Subject: Fwd: Enrollment Confirmation
Sent from Adam's iPhone
Begin forwarded message:
From: "Clarke, Denise" <declarkegdhs.IN.gov>
Date: February 5, 2013, 14:46:03 EST
To: "Harrington, Adam C" <AHarrington@carmel.in.gov>
Subject: Enrollment Confirmation
To: Adam C. Harrington
PSID #: 6062-7791
Subject: Enrollment Confirmation
Class: All-Hazards Planning Section Chief (L-962)
Date: 3/25/2013 - 3/28/2013
Time: 8:00:00 AM - 5:00:00 PM
Business: Elkhart County Correctional Facility
Address: Elkhart County Correctional Facility
26861 County Road 26
Elkhart, IN 46517
Greetings and welcome to the Indiana Department of Homeland Security Training Institute! We
received your training application and you have been accepted to our class.
Those students needing lodging should call the Jameson Inn, 3010 Brittany Court in Elkhart,
Indiana, 46237 at (574) 264-7222. Please let them know the room will be directly billed to the
Indiana Department of Homeland Security. Additional fees, including room service and in-room
movies, must be paid for by the student. It is the responsibility of the student to make the hotel
reservation. The hotel will only hold rooms until ten (10) days prior to the first day of the course.
In order to assure rooms will be available, it is suggested that you contact the hotel immediately
upon receipt of your enrollment confirmation in the course listed above. Students will NOT be
reimbursed for staying at hotels, campgrounds, or lodging other than a hotel designated by the
Indiana Department of Homeland Security Training Institute.
i
Students eligible for lodging during the course are those who will be traveling more than fifty
(50) miles to the training academy. Students traveling more than seventy-five (75) miles are
eligible for lodging the night before the course starts.
If you are unable to attend the course or if you are called away on business and will not return it
is your responsibility to cancel your hotel reservation. If you fail to cancel your reservation, you
will be billed for the room. Please plan to arrive and sign-in thirty (30) minutes before class
begins.
If you have any questions, please feel free to call us. We look forward to seeing you in class!
Ashley Holcomb
Program Manager
(317) 431-4864
aholcomb(a)-dhs.in.aov
2
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))
$225.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Adam Harrington
IN SUM OF $
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-430.02 I $225.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund