HomeMy WebLinkAbout223512 08/27/2013 °eo CITY OF CARMEL, INDIANA VENDOR: 354969 Page 1 of 1
ONE CIVIC SQUARE MATTHEW HOFFMAN
CARMEL, INDIANA 46032 4736 HAVEN LAKE RD#B CHECK AMOUNT: $1,984.58
`+ INDPLS IN 46280 CHECK NUMBER: 223512
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 419. 38 SPECIAL PROJECTS
851 5023990 1, 565 . 20 OTHER EXPENSES
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CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME. �� -�����a�-?- DEPARTURE DATE: TIME: M
DEPARTMENT: RETURN DATE: TIME: -3 AM PM
REASON FOR TRAVEL: �- `�-�s-o DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
8/14/13 $65.00 $32.50 $97.50
8/15/13 $65.00 $65.00 $130.00
8/16/13 $126.88 $65.00 $191.88
$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
$0.001 $0.001 $0.001 $130.001 $126.88 $0.00 $0.00 $0.00 �$000 $162.501 $0.00
DIRECTOR'S STATEMENT: I h r y affi r. th all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
AUG B 6 2013
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 8/22/2013 Page 1
s rY issote CHICA O Room 2801
Folio# 438332
Cashier# : 64
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
Matthew Hoffman Arrival 08-14-13
11711 Cameron Drive Departure 08-16-13
Fishers IN 46038
United States
=11
- • • 4 • • • • a • ' .r
08-14-13, : Deposit Transferred at C/I 660.00
08-14-13 Parking 03-862 65.00
blk,mb
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
08-15-13 Parking 03-862 65.00
08-15-13 Room Charge 189.00
08-15-13 State Room Tax 11.9% 22.49
08-15-13 City Room Tax 4.5% 8.51
08-16-13
Total 570.00 570.00
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.
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.
Printer Friendly Receipt Page 1 of 2
prkoeflnexom- hotel 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
Renaissance Chicago O' Hare Suites Hotel
8500 West Bryn Mawr Check-In: Thu, Aug 15, 2013 -03:00 PM p
Avenue Check-Out: Sat, Aug 17, 2013 - 12:00 PM
Chicago, IL Number of Nights: 2
60631 Number of Rooms: 1
Phone: 773-380-9600
Room 1: Orbie Bowles Confirmation Number: 85715359
Room Type: Spacious Two Room Suite, 1 King Or 2 Double, Sofabed, Mini-Fridge,
420Sgft/38Sgm, Living/Sitting Area, Dining Area
Hotel Freebies: Free internet in public areas
Summary of Charges
Billing Name: Matthew F Hoffman
Payment Method:
Room Cost: $109.00
avg.per room,per night
Rooms: 1
Nights: 2
Room Subtotal: $218.00
Taxes and Fees: $35.76
Total Charged to Card: $253°76
prices are in US dollars
https://www.priceline.com/hotel/printltinerary.do?offer_num=11295 7423 80&j sk=3 54a050a364a0... 8/20/2013
i
Printer Friendly Receipt Page 2 of 2
Customer Help
If you have any questions or require further assistance, please contact our Customer Service
Department toll-free at 1-800-657-9168.
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
• Rate Description: Websaver- Full pre-payment required upon booking
• Hotel Freebies Details:
• Free internet in public areas
• 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
stay. You will be charged for the first night's stay including taxes and fees. Any remaining
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
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.
• All rooms are booked for double occupancy (i.e. 2 adults) and accommodations for more
than two adults are not guaranteed.
• 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
mandatory (e.g., resort fees) or optional (parking, phone calls or minibar charges) and are
not included in the room rate.
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https://www.priceline.com/hotel/printltinerary.do?offer—num=l 1295 7423 80&j sk=3 54a050a3 64a0... 8/20/2013
CITY I ITEM RECEIPT REIMBURSE
2 Miller Lite $ 9.50 $ -
6 Bud Light $ 28.50 $ -
31Sam Adam $ 17.25 $ -
2lJack Daniels I $ 20.00 $ -
41 Diet Coke I $ 11.80 $ 11.80
1ITea 1 $ 2.95 $ 2.95
1lCaymus $ 225.00 $ -
21Tuna Appetizer I $ 98.00 $ 98.00
11Jumbo Diver Scal I $ 49.00 $ 49.00
2 Cocktail Prawns $ 98.00 $ 98.00
1 Burrata Salad $ 16.00 $ 16.00
2 Dinner Salad $ 14.00 $ 14.00
1lWedge Thousand $ 10.00 $ 10.00
2 1 Chop House Wedge $ 20.00 $ 20.00
1 Caesar Salad I $ 9.00 $ 9.00
2 Soup Du Jour I $ 26.00 $ 26.00
41 Dry Boneln Filet $ 316.00 1 $ 316.00_
21Grand Dry Filet i $ 124.00 $ 124.00
1lGrand Dry Strip I $ 69.00 $ 69.00
1IDry Boneln Ribeye 1 $ 69.00 $ 69.00
1)Petite Dry Strip $ 59.00 I $ 59.00
1 DryAge Tomahawk $ 79.00 $ 79.00
10 Three Way Sides $ 120.00 [C 120.00
3 1 Coffee I $ 8.85 $ 8.85
1 I Decaf Dbl Espres $ 8.00 $ 8.00
1lsambuca $ 14.00 $ -
1I Blk/White Cake $ 12.00 $ 12.00
(TOTAL INVOICE $ 1,533.85 $ 1,219.60
18% Gratuity $ 305.10 $ 219.53
(Adjusted -Alcohol $ 1,439.13
8.76%(Sales Tax 1 $ 161.16 $ 126.07
1Less$100 Cash $ (100.00)1
(Total 1 $ 1,900.111 $ 1,565.20
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.
Chicago Chop House
60 West Ontario
Chicago, IL 60654
(312) 787-7100
Tbl : 67 Gsts: 10 Srvr: Team D
Date: 08-14-2013 9:23pm 1 .1237.00035
2 Miller Lite _975.0-1
6 Bud Light 2-8:tT
3 Sam Adam Lager1�
2 Jack Daniels —26-@6-
4 Diet Coke Btl 11 .80
1 Ice Tea 2.95
1 1032*Caymus 06
2 Tuna App 98.00
1 Jumbo Diver Scal 49.00
2 Cocktail Prawns 98.00
1 Burrata Salad 16.00
2 Dinner Salad 14.00
Creamy Bleu Che
Balsamic Vinaig
1 Wedge Thousand I 10.00
2 Chop House Wedge 20.00
1 Caesar Salad 9.00
**No Anchovies
2 Soup Du Jour 26.00
4 Dry BoneIN Filet 316.00
2 Grand Dry Filet 124.00
1 Grand Dry Strip 69.00
1 Dry BoneIN Ribey 69.00
1 Petite Dry Strip 59.00
1 DryAge Tomahawk 79.00
'10 Three Way Sides 120.00
3 Coffee 8.85
1 Decaf Dbl Espres 8.00
1 Sambuca -4.00
1 Blk/White Cake 12.00
18.00 Gratuity: 305.10
Sub-Total : 1838.95
Tax: 161 .16
Total Due : 2000 . 11
Thank you _goo-oo
For Choosing The Chicago Chop House!!
Come Back Soon!!
Chicago Chop House
60 West Ontario
Chicago, IL 60654
(312) 787-7100
Emp: Team D AMEX
08-14 9:39pm Tbl# 67
Swipedl 98395
---------------------7------------------
SALE
Exp Date: ** / ** HOFFMAN/MATTHEW F
Apprvl Code: 576734
AMOUNT : 1610 . 23
GRATUITY : 289 . 88
ADTL TIP : —
TOTAL :
X
Cardmember agrees to pay total in
accordance with agreement governing
use of such card.
** GUEST COPY;**
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))
$1,565.20
$419.38
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
Matt Hoffman
IN SUM OF $
$1,984.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 120-851.00 $1,565.20 1 hereby certify that the attached invoice(s), or
1120 43-590.00 $419.38 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 2 6 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund