222999 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350460 Page 1 of 1
ONE CIVIC SQUARE MARK HULETT
CARMEL, INDIANA 46032 7526 STONEY SIDE LANE CHECK AMOUNT: $978.17
?� INDIANAPOLIS IN 46259
CHECK NUMBER: 222999
CHECK DATE: 811312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 25 .40 GASOLINE
1120 4343002 952 . 77 EXTERNAL TRAINING TRA
.`A"y OF CAq,N
CITY OF CARMEL Expense Report (required for all travel expenses)
x
�N01 AN A
EMPLOYEE NAME DEPARTURE DATE: ��.-�'� TIME: AM PM
DEPARTMENT: RETURN DATE: °J TIME: IIZ5\ A / PM
REASON FOR TRAVEL: DESTINATION CITY: ��-
EXPENSES ARE FOR (check all that apply): TRAVEL AD NCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM ✓
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air-fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
8/4/13 $65.00 $65.00
8/5/13 $65.00 $65.00
8/6/13 $65.00 $65.00
8/7/13 $65.00 $65.00
8/8/13 $65.00 $65.00
8/9/13 $25.40 $562.77 $65.00 $653.17
$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 $0.001 $0.001 $0.001 $25.40 $562.771 $0.00 $0.00 $0.00 $0.001 $390.001 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy any ara vyit�in r, lepartment's appropriated budget.
Director Signature: Date: Hl1l� 1 LU13
City of Carmel Form#ER06 Revision Date 8/12/2013 Page 1
The Villa .
of Amelia Island Plantation
Mark Hulett Room No. 2328
2 Civic Square Arrival 08-04-13
Carmel IN 46032 Departure 08-09-13
United States Page No. 1 of 2
Folio No.
INFORMATION INVOICE Conf. No. 395608
Membership No. Cashier No.
A/R Number
Group Code 072913PINNACLE2
Company Name 08-09-13
Date Description Charges Payments
08-04-13 Deposit Transfer 375.18
08-04-13 Room Charge 169.00
08-04-13 7% State Occupancy Tax 11.83
08-04-13 4% County Occupancy Tax 6.76
08-05-13 Room Charge 169.00
08-05-13 7% State Occupancy Tax 11.83
08-05-13 4% County Occupancy Tax 6.76
08-06-13 Room Charge 169.00
08-06-13 7% State Occupancy Tax 11.83
08-06-13 4% County Occupancy Tax 6.76
08-07-13 Room Charge 169.00
08-07-13 7% State Occupancy Tax 11.83
08-07-13 4% County Occupancy Tax 6.76
08-08-13 Room Charge 169.00
08-08-13 7% State Occupancy Tax 11.83
08-08-13 4% County Occupancy Tax 6.76
Total 937.95 375.18
Balance 562.77
39 Beach Lagoon Road
Amelia Island, FL 32034
Phone:904-261-6161 Fax:904-277-5945
Reservations: 1-888-444-OMNI
The V10 as
of Amelia Island Plantation
Mark Hulett Room No. 2328
2 Civic Square Arrival 08-04-13
Carmel IN 46032 Departure 08-09-13
United States Page No. - 2 of 2
Folio No.
INFORMATION INVOICE Conf. No. 395608
Membership No. : Cashier No.
A/R Number
Group Code 072913PINNACLE2
Company Name 08-09-13
Date Description Charges Payments
39 Beach Lagoon Road
Amelia Island,FL 32034
Phone:904-261-6161 Fax:904-277-5945
Reservations: 1-888-444-OMN I
Snyder, Denise W
From: Debbie Tunstill [Debbie.Tunstill @thetravelagentinc.com]
Sent: Tuesday, May 21, 2013 10:47 PM
To: Snyder, Denise W
Subject: Confirmed Flight for Mark Hulett
SALES PERSON:.DT2 ITINERARY/INVOICE NO. ITIN DATE: MAY 212013
ACCOUNT K5H19S PAGE: 01
FOR:
HULETT/MARK A
TO: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
-----------------------------------------------------------------------
04 AUG 13-SUNDAY MILES- 432 ELAPSED TIME- 1:29
AIR LV INDIANAPOLIS 1005A DELTA FLT: 796 ECONOMY CLA CONFIRMED
AR ATLANTA 1134A NONSTOP
RESERVED SEATS 20E
AIRLINE CONFIRMATION:DL-GAWU7T
MILES- 270 ELAPSED TIME- 1:15
AIR LV ATLANTA 145P DELTA FLT:2297 ECONOMY CLA CONFIRMED
AR JACKSONVLE FL 300P NONSTOP
RESERVED SEATS 41E
AIRLINE CONFIRMATIOWDL-GAWU7T
ENTERPRISE 1 COMPACT 2/4 DR DROP-09AUG CONFIRMED
PICKUP-JACKSONVLE FL JACKSONVILLE, FL ARPT
RATE- 260.08 WEEKLY GUARANTEED EXTRA HR 10.40-UN
MILEAGE-UNL/FM CODE-EWSN EXTRA DAY 52.01-UN
PHONE-904-741-6390
CON F I R M ATI O N-781240453 CO U NT
APPROXIMATE TOTAL INCLUDING TAXES$329.39
CAR TYPE NISSAN VERSA OR SIMILAR
09 AUG 13-FRIDAY MILES- 270 ELAPSED TIME- 1:16
AIR LV JACKSONVLE FL 350P DELTA FLT:2297 ECONOMY CLA CONFIRMED
AR ATLANTA 506P NONSTOP
RESERVED SEATS 27F
AIRLINE CONFIRMATION:DL-GAWU7T
09 AUG 13 -FRIDAY MILES- 432 ELAPSED TIME- 1:35
AIR LV ATLANTA 554P DELTA FLT:1261 ECONOMY CLA CONFIRMED
AR INDIANAPOLIS 729P NONSTOP
RESERVED SEATS 20E
AIRLINE CONFIRMATION:DL-GAWU7T
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY
1
NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL
TRAVEL DATE. FEES WILL APPLY.
DELTA GAWU7T
"VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES EMERG.AFT FIRS CALL 8776456373 CODE
A09$20 CALL+TRANSACTION COSTS
A CANCEL FEE OF 15PCT ON TTL COST APPLIES. FOR TERMS/CONDITIONS/
AIRLINE LUGGAGE POLICIES AND OTHER SVCS. SEE WWW.TTA.TRAVEL
THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO
FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING
THIS SEE WWW.TZELL411.COM
THANK YOU. DEBBIE TUNSTILL 317 805 5762
AIR TRANSPORTATION 347.91 TAX 69.69 TTL 417.60
PROCESSING FEE 35.00
SUB TOTAL 452.60
CREDIT CARD PAYMENT 452.60-
TOTAL AMOUNT 0.00
BAGGAGE ALLOWANCE
ADT
DL INDJAX OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
CARRY ON-CARRY ON DATA NOT AVAILABLE
MYTRI PAN DMORE.COM/BAGGAGEDETAI LSD L.BAGG
DLJAXIND OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
CARRY ON-CARRY ON DATA NOT AVAILABLE
MYTRI PAN DMORE.COM/BAGGAGEDETAI LSD L.BAGG
BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/
ONLINE CHECKIN/FORM OF PAYMENT/MILITARY/ETC.
2
PINNACLE 2013 - Confirmation I Online Registration by Cvent Page 1 of 1
PINNACLE 2013
Registration Summary
Name: Mark Hulett
Title: Chief of EMS
Company: Cannel Fire Department
Address: 2 Civic Square
Cannel,Indiana 46032
USA
Number of People Registered: 1
Confirmation Number: HXHJRF9R2BH(needed to modify your registration)
Event Title: PINNACLE 2013
Location: Omni Plantation Amelia Istand
6600 First Coast Highway
Amelia Island,Florida 32034
USA
Phone: 904.261.6161
Date: 0 11105/2013
Time: 8:00 AM Adtl to my calendar
Order Details
Mark Hulett
Registration Items
__........_...___..__._.._...____._...,.___-------
_______
Registration Ito. Cost
i Main Conference 8 Optional Power Seminars $625,00 0
Sessions
Date and Time Session Cost
0610542013 6:00 AM PS 01:Strategies for Implementing Community Pammedicine, $155.00 I
Part I
I 0810512013 1:00 PM PS lid:Strategies for Implementing Community Parsmadicine. $155.00
Part 11
i
Order Summary
Order
Date Type Amt Ordered Arm Paid Amt Duo
05/1312013 12:49 PM ET online order $935.00 50.00 $935.00
Total: $935.00 50.00 $935.00
Payment Details
https://www.cvent-com/events/Registrations/MyRegistration.aspx?i=7fD 1.6919-e404-4b97-909d-1... 5/13/2013
Transaction Details Page 1 of t
Close Window
Ca mil` Print this page
Transaction Details
Transaction Date: 05/13/2013
Posted Date: 05/16/2013
Amount: $375.18
Details: OMNI AIP RESORT 904-261-6161 FL
OMNI HOTELS
Category: Lodging
02013 Capital One
The trademarks used herein are owned by Capital One.
All rights reserved. Close Window
https://servicing.capitalone.com/C 1/Accounts/Print.aspx?q--dHJ4RGFOZTOwNS8xMy8y... 5/17/2013
Date:May 13,2013 PINNACLE'
Invoice from:Fitch&Associates YM"°i`"O`RZS`'I-
Invoice to: Make Check Payable to:
Carmel Fire Department Pinnacle EMS Conference
2 Civic Square PO Box 170
Cannel,IN 46032 Platte City,MO 64079
Attn:Mark Hulett Attn:Sharon Conroy
Invoice#13-689-031
OVERVIEW
Pinnacle EMS Conference 2013
Registration for Mark Hulett $ 935.00
INVOICE TOTAL USD S 935.00
Payment Due: UPON RECEIPT
3�F; 't"l..tr R:�ittu`. Y:'ri�.. 5-�..irt,r t;, a r= a fi.. 't7 w F dfl� f:i} `•5ll res�3' ■ �Ft... trt{.ev i�. �F.E7(_ ■ i.max ,.Ff 1 � ;t;� c r'.r� a .vwut i,i11'1i5.::Cl:t
Hulett, Mark A
From: Amelia Island Plantation <reservations @villasofameliaisland.com>
Sent: Friday, May 10, 20131:18 PM
To: Hulett, Mark A
Subject: Villas of Amelia Island Plantation Reservation Confirmation 40011579490
PLAY DINE EXPLORE GET
'FIRE 14BRE - " ,' HERE HV..'RE
Your Reservation at the
Villas of Amelia Island Plantation k
is Confirmed
ONNA_':
k M21 ,
Villas of Amelia Island Plantation ROOM RATE
39 Beach Lagoon Pinnacle 2013
Amelia Island FL US 32034 5 nights 169.00 USD
Phone:904-261-6161 Subtotal(5 nights) 845.00 USD
Fax:904-277-5945 Taxes 92.95 USD
Driving Directions to the Hotel> Fees 0.00 USD
Grand Total 937.95 USD
GUEST
Marls Hulett Applicable resort fees included in room
2 Civic Square rate above.Additional fees may apply.
Carmel IN US 46032
ACCOMMODATIONS
980 sq.ft.;Resort view,full kitchen,
ARRIVING: DEPARTING: living room,balcony or patio.Resort
08/0412013 08/09/2013 View One Bedroom Villa One King
Spacious resort view villa affords the
CHECK IN TIME CHECK OUT TIME: flexibility to entertain in comfort,and relax
3:00 PM 11:t10 AM in abundant privacy.
Features:
•Large resort view villa featuring a
bedroom with one king bed
•Full size kitchen,expanded living
room,and dining room
-Private balcony or patio available
*TV with cable channels,high speed
internet access,in-room safe,
coffeemaker,hairdryer,iron and
ironing board
NUMBER OF GUESTS
1 Adult(s)0 Child(ren)
1
GUARANTEE
Visa*****"`0152
Deposit of 375.18 is due by 05/1012013
I®R,
D
Resort Activities °
Explore a variety of activites
s available at Amelia Island
l Plantation.
Learn More>
Championship Golf
` Book your tee time on one of
our two signature courses.
Tf RJ
Learn Aare>
If you have a question about this reservation please contact us by phone at
800-834-4900.You can obtain more information regarding Villas of Amelia
Island Plantation Resort from our website.We thank you for your patronage
and wish you a pleasant stay at the Villas of Amelia Island Plantation.Other
customer requests will be confirmed at check-in.
02013 Villas of Amelia!stand Plantation Resort All Rights Reserved.
2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark Hulett
IN SUM OF $
$978.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1120 43-430.02 j $952.77 1 hereby certify that the attached invoice(s), or
1120 42-314.00 $25.40 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
AUG 12 2013
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))
$952.77
$25.40
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