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Home My WebLink About223512 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 of CA9;y. 4nQWT�F1(y gyp(\ 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 »Print Receipt »Back to Previous Page 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. »Print Receipt »Back to Previous Page 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