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Home My WebLink About222999 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