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Home My WebLink About227980 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 365130 Page 1 of 1 ONE CIVIC SQUARE MARK CROMLICH e CARMEL, INDIANA 46032 CHECK AMOUNT: $473.81 12685 LANTERN RD FISHERS IN 46038 CHECK NUMBER: 227980 CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 473 . 81 EXTERNAL TRAINING TRA \t4-OF Cqq4,, 4 µT prcP.pS9C\, CITY OF CARMEL Expense Report (required for all travel expenses) NOIAN"VI EMPLOYEE NAME: DEPARTURE DATE: TIME: �30AM / M DEPARTMENT: RETURN DATE: -� - �"3 TIME: AM / ,AAS REASON FOR TRAVEL: ��-��`�� - `�-5 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 1/4/13 $32.50 $32.50 1/5/13 $65.00 $65.00 1/6/13 $311.31 $65.00 $376.31 $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 0.00 Total $0.00 $0.00 $0.00 $0.00 $311.31 $0.00 $0.00 $0.00 $0.00 $162.50 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. JAN 13 Director Signature: Date: City of Carmel Form#ER06 Revision Date 1/10/2014 Page 1 RAFT Invoice 33365 Raphael Road Date Invoice# Farmington Hills, Ml 48336-1777 1/2l2014 3386 Bill To Carmel(fN)Fire Dept Attn: Mark Cromlich P.O. No. Terms Project Due on receipt Quantity Description Rate Amount 1 Registration for the 2 1/2 day Safety&Leadership Conference. 325.00 325.00 January 6-8,2014. (8AM-5YM Mon&Tues,SAM tit Noon on Wed). William Costick Activities Center(28600 W.Eleven Mile Road.Farmington Mills.Ml 48336). Attendee(s): Mark Cromlich Mahe check payable to RAFT 1 Mail to:33365 Raphael Rd. Total $325.00 Farmington hills,MI 48336 Hotels.com - Hotel rooms with reviews. Discounts and Deals on 85,000 hotels worldwide Page 1 of 2 Hotels.wm Hotels.com Confirmation Number: 115120348487 Booked: Online-Thursday, January 2, 2014 11:47:53 AM EST ......_......... ............................ . ..........--. .. ........... ........................ .... ................. I Your Receipt E Billing Name: Mark Cromlich Billing Address: 46038 E US i Booking Details Guest Name: Mark Cromlich Room Type: Standard Room, 2 Queen Beds Check-in: Sunday, January 5, 2014 Hotel Details. Fairfield Inn & Suites by Check-out: Wednesday, January 8, Marriott Detroit Farmington 2014 Hills Number of Nights: 3 27777 Stansbury Blvd Number of Rooms: 1 Farmington Hills US +12484429800 Charges: USD $ Sunday,January 5, 2014: $87.20 Monday, January 6, 2014: $87.20 Tuesday,January 7, 2014: $87.20 Discount applied: $0.00 Sub-total: $261.60 Tax recovery charges and service fees: $49.71 $0.00 VAT: Total Price: $311.39 Amount paid: $311.31 Amount still due to Hotels.com: $0.00 Payment Method: Credit Card Number: XXXXXXXXXXX https:Hssl.hotels.com/customer_care/print_receipt.htm1 1/10/2014 Hotels.com - Hotel rooms with reviews. Discounts and Deals on 85,000 hotels worldwide Page 2 of 2 Cancellation Policy Free cancellation until 01105114 • If you change or cancel your booking after 5:00 PM; 01105114((GMT-05,,00) Eastern Time (US& Canada)) you will be charged for 1 night(including tax) We will not be able to refund any payment for no-shows or early check-out. Hotels.com has charged you for the full payment of this booking. Any additional charges and fees incurred during your stay will be charged to your hotel's local currency and may be subject to a foreign exchange fee. This receipt was printed on: Friday, January 10, 2014 1:18:04 PM EST Invoice number: 1389377884471-115120348487 This is not a VAT invoice. Retain this copy for statement verification. Please note that if you make changes in your booking, they could result in charges applicable by policy and availability. When you book a hotel located in the EU, Hotels.com, LP does not issue VAT invoices because it does not charge VAT on your bookings.This is due to the operation of a special EU VAT scheme for tour operators and travel agents which applies to Hotels.com, LP (a limited partnership established in the United States). However, your booking confirmation does act as payment proof. Therefore, the"tax"charges referred to on your booking confirmation do not relate to VAT charged to you by Hotels.com, LP, but to any transaction taxes incurred by Hotels.com, LP (e.g. sales and use, hotel occupancy tax, excise tax, etc)that Hotels.com, LP pays directly to the hotel in relation to your booking. Please see the website for Terms and Conditions: http://www.hotels.com/customer_care/terms_conditions.htm I?pos=HCOM_US&locale=en_U S Hotels.com, LP 10440 N. Central Expressway, Suite 400, Dallas,Texas 75231 USA https://ss1.hotels.com/customer care/print—receipt.html 1/10/2014 VOUCHER NO. WARRANT NO. ALLOWED 20 Mark Cromlich IN SUM OF $ $473.81 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-430.02 ( $473.81 1 hereby certify that the attached invoice(s), or 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 JAN 13 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Irescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, 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)) $473.81 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 5-11-10-1.6 120 Clerk-Treasurer