223407 08/27/2013 CITY OF CARMEJL, INDIANA VENDOR: 027290 Page 1 of 1
0 ONE CIVIC SQUARE ORBIE BOWLES CHECK AMOUNT: $365.15
CARMEL, INDIANA 46032 7615 MARY LANE
INDIANAPOLIS IN 46217 CHECK NUMBER: 223407
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 365 . 15 SPECIAL PROJECTS
CITY OF CARMEL Expense Report (required for all travel expenses)
'�NDIFN?!
EMPLOYEE NAME: DEPARTURE DATE: TIME: AM P
DEPARTMENT: RETURN DATE: TIME: 3 AM
REASON FOR TRAVEL: �� �-�-� DESTINATION CITY: \\--
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM t/'
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
8/13/13 $6.50 $53.15 $32.50 $92.15
8/14/13 $32.50 $32.50
8/15/13 $30.00 $74.00 $65.00 $169.00
8/16/13 $6.50 $65.00 $71.50
$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
0.00
Total $0.00 $0.00 $36.50 $133.65 $0.001 $0.00 $0.00 $0.00 $0.00 $195.00 $0.00
DIRECTOR'S STATEMENT- I ereb ffi tha all expense isted conform to the City's travel policy and are within m epartment's appropriated budget.
,
AUG 2� 2 �3
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 8/22/2013 Page 1
I, Orbie Bowles, hereby certify that I paid $13.00 for toll road fees while attending the Accreditation
Hearings in Chicago, August 13, 2013 through August 16, 2013.
Respectfully submitted,
9rrowles
CITY OF CARMEL
FIRE DEPARTMENT
DATE: August 22, 2013
TO: Cindy Sheeks
FROM: Matthew Hoffman, Fire Chief
Attached you will find several Per Diem Claims and Receipts for the Department members to attend the
Accreditation Hearings in Chicago, IL August 13, 2013 through August 16, 2013.
Please process these claims. If you have any questions, please feel free to contact me.
SWISS Me CHICAGO Room 1811
Folio# 438050
Cashier# 286
323 EAST WACKER DRIVE, Page# 1 of 1
CHICAGO, IL 60601
Tel:312 565 0565 Fax:312 565 0540 Group Name Center for Public Safety Excellence/IAFC
www.swissotelchicago.com
International Association of Fire Chiefs
Jean Junker Arrival 08-13-13
7901 Windhill Drive Departure 08-15-13
Indianapolis IN 46256
United States
MEMNIIIIIIIIIIIIIIii
08-13-13 Deposit Transferred at C/I 440.00
08-13-13 Room Charge 189.00
08-13-13 State Room Tax 11.9% 22.49
08-13-13 City Room Tax 4.5% 8.51
08-14-13 Room Charge 189.00
08-14-13 State Room Tax 11.9% 22.49
08-14-13 City Room Tax 4.5% 8.51
Total 440.00 440.00
Balance Due 0.00
TAX Summary
Room 62.00
F&B 0.00
Other 0.00
Total 62.00
Guest Signature X
I agree that my liability for this bill is not waived and agree to be held personally
liable in the event that the indicated person,asociation,or company fails to pay
for any part or the full amount of these charges.
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®priceoune.com- notel receipt
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Your Reservation Is Confirmed
Thank you for your reservation. Please print your hotel receipt and show it at check in.
Your Name: Matthew F Hoffman
Priceline Trip Number: 11295742380
j Renaissance Chicago O' Hare Suites Hotel �� r
8500 West Bryn Mawr Check-In: Thu, Aug 15, 2013 -03:00 PM ! 'V
Avenue Check-Out: Sat, Aug 17, 2013 - 12:00 PM
Chicago, IL Number of Nights: 2
POhone: 773-380-9600 Number of Rooms: 1
I
I Room 1: Orbie Bowles Confirmation Number: 85715359 j
Room Type: Spacious Two Room Suite, 1 King Or 2 Double, Sofabed, Mini-Fridge, j
420Sgft/38Sgm, Living/Sitting Area, Dining Area
I
Hotel Freebies: Free Internet in public areas
i
I Summary of Charges
Billing Name: Matthew F Hoffman
I
Payment Method: American Express (ending in 6007)
Room Cost:
avg.per room,per night $109.00
Rooms: 1
I
Nights: 2
Room Subtotal: $218.00 I
i
Taxes and Fees: $35.76
Total Charged to Card:
I
prices are in US dollars $253°76 I
i 1
F_
https://www.priceline.com/hotel/printltlnerary.do?offer—num=l l 295 7423 80&j sk=3 54a050a364a0... 8/20/2013
Printer Friendly Receipt Page 2 of 2
Customer Help
If you have any questions or require further assistance, please contact our Customer Service I
Department toll-free at 1-800-657-9168. j
Please have your Priceline Trip Number(11295742380) and the phone number you used when
you placed your request(3175386893) ready when you call.
Important Information
i
j Rate Description: Websaver- Full pre-payment required upon booking
• Hotel Freebies Details:
• Free internet in public areas
i
• Cancellation Policy: For the room type you've selected, you can cancel your reservation
for a full refund up until noon on Wednesday, August 14th (local hotel time). If you decide to
cancel your reservation anytime between noon on Wednesday, August 14th and noon on {
Thursday, August 15th (local hotel time), the hotel requires payment for the first night's i
stay. You will be charged for the first night's stay including taxes and fees. Any remaining j
amount will be refunded to you. Refunds or cancellations are not available after noon local
hotel time on your day of arrival (Thursday, August 15th).
• Guarantee Policy: Reservation is guaranteed for arrival on the confirmed check-in j
date only. If you don't check-in to the hotel on the first day of your reservation and you do
not alert the hotel in advance, the remaining portion of your reservation will be canceled {
and you will not be entitled to a refund. I
All rooms are booked for double occupancy (i.e. 2 adults) and accommodations for more
than two adults are not guaranteed. (j
• The reservation holder must present a valid photo ID and credit card at check-in. The credit
card is required for any additional hotel specific service fees or incidental charges or fees
that may be charged by the hotel to the customer at checkout. These charges may be I
mandatory (e.g., resort fees) or optional (parking, phone calls or minibar charges) and are
l not included in the room rate.
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Orbie Bowles
IN SUM OF $
$365.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-590.00 1 hereby certify that the attached invoice(s), or
1120 43-590.00 bill(s) is (are) true and correct and that the
1120 I ( 43-590.00 I $365.15 materials or services itemized thereon for
which charge is made were ordered and
received except
AIJG 263
t
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))
$365.15
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