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Home My WebLink About230350 03/26/14 0<�% ._ CITY OF CARMEL, INDIANA VENDOR: 027290 ONE CIVIC SQUARE ORBIE BOWLES CHECK AMOUNT: $******"200.00' CARMEL, INDIANA 46032 7615 MARY LANE CHECK NUMBER: 230350 ',r>�- INDIANAPOLIS IN 46217 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 200.00 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Q w �—� DEPARTURE DATE: - �\-\�\ TIME:�yS A PM DEPARTMENT: RETURN DATE: -w. - `y TIME: AM / -M REASON FOR TRAVEL: �� C�`�� DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 3/11/14 $50.00 $50.00 3/12/14 $50.00 $50.00 3/13/14 $50.00 $50.00 3/14/14 $50.00 $50.00 $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 1 $0.001 $0.001 $0.00 $0.001 $0.001 $0.00 $0.00 $0.001 $0.001 $0.001 $200.00 e e e e DIRECTOR'S STATEME T, I he y re t all errs-es listed conform to the City's travel policy and are wjthin department's appropriated budget. c��' MAR 2 Director Signature: Date: City of Carmel Form#ER06 Revision Date 3/21/2014 Page 1 3!612014 Mid-America OSHA Education-Courses A hazardous arc can occur in any electrical device in which the energy is high enough to sustain an arc. Arc flash hazards can result from many factors including: dropped tools, accidental contact with electrical systems, build up of conductive dust, corrosion, and improper work procedures. Every year, more than 2,000 workers are treated in bum centers with severe arc Flash injuries.The flash is immediate, but the results can cause severe injuries that last months, years - even a lifetime. In some cases, they may cause death. This course is designed to inform you of the dangers of arc flashes, understand today's standards(NFPA 70E), performing live work, and selecting the appropriate PPE/Safety procedures as outlined in NFPA 70E. Arc Flash Compliance 03-10-2014 $205.00 Training 3/10/14 Soringbgro 08:00 AM-04:00 PM EST A hazardous arc can occur in any electrical device in which the energy is high enough to sustain an arc. Arc flash hazards can result from many factors including: dropped tools, accidental contact with electrical systems, build up of conductive dust, corrosion, and improper work procedures. Every year, more than 2,000 workers are treated in bum centers with severe arc flash injuries. The Flash is immediate, but the results can cause severe injuries that last months, years- even a lifetime. in some cases, they may cause death.This course is designed to inform you of the dangers of arc flashes, understand today's standards (NFPA 70E), performing live work, and selecting the appropriate PPE/Safety procedures as outlined in NFPA 70E. OSHA 502 Update 03-10-2014-03-12-2014 $600.00 Construction Outreach 08:00 AM-05:00 PM EST Trainers 3112/14 Middleburg Heights.OH i• This course is designed for personnel in the private sector who have completed 500 Trainer Course in Occupational Safety and Health Standards for Construction and who are active trainers in the outreach program It provides an update on such topics as OSHA construction standards, policies, and regulations. Credit Awarded: 1.9 CEUs Note:Authorized OSHA Outreach trainers are required to attend this course once every four years to maintain their trainer status.prior to registration,students must provide a copy of their current trainer's card for validation. Prerequisites: Course 500. OSHA 511 OSHA Standards 03-11-2014-03-14-2014 $800.00 r General tndustry 08:00 AM-05:00 PM EST 03/14114 later.IN Pr, This course for private sector personnel covers OSHA policies, procedures, and standards, as well as general industry safety, and health principles. Topics include scope and application of OSHA general industry standards. Special emphasis is placed on those areas that are most hazardous, using OSHA standards as a guide. Credit Awarded: 2.5 CEUs MA7220 Hospital Hazardous 03-12-2014 $200.00 Materials-First Receiver 08:00 AM-05:00 PM EST Training 3!12/14 Soringboro, OH OSHA 5600 Disaster Site 03-17-2014-03-20-2014 $750.00 Worker Train-the-Trainer 08:00 AM-05:00 PM EST Course 3/20/14 Sgri,Qgboro, OH hUpsJIMdaffericamha.org/faqs/courses 2/8 Ho(c}ozocn - Hotel rooms with reviews. Discounts and Deals on 85,000 hotels worldwide Pouo | of W � �� @—��8z)"CuU K U ' Hoto|muomConfirmation Number: 115g028O1731 Booked: Online- Sunday. March 9, 20148:43�00AK8 EST Your Receipt Billing Name� Mark Cromlich Billing Address: 46038 us Booking Details Guest Name: K4arkCnom|ioh Room Type: Two Queen Beds, Non- Smoking Check-in: Tuesday, March 11. 2O14 Hotel Details: Holiday Inn Express Hotel & Check-out: Friday, K8omh 14. 2O14 Suites Jasper Number o/Nights: 3 20OOHospitality Cv Number ofRonmsi 1 Jasper U8 +18124823344 Charges: USD $ Tuesday, March 11. 2O14: $11 0A0 Wednesday, March 12. 2O14: $110,40 Thursday, March 13, 2014: 3100.00 Dbapplied: $0,00 Sub-total: $328,00 $39,46 Tax recovery charges and service fees: $0.00 VAT: Total Price: $368.26 Amount paid: $36826 Amount still due to Hoto|s,com: $0,00 PuymortKAethod� Credit Card Number: ' Cancellation Policy 6thps:Hsa[hotclnzon/custononr care/print—reccipt.html 3/19/2014 Hotels.com - Hotel rooms with reviews. Discounts and Deals on 85,000 hotels worldwide Page 2 of 2 • If you change or cancel your booking after 6:00 PM, 03109114((GMT-05:00)Eastern Time(US& Canada)) you will be charged for 1 night(including tax) • If you change or cancel your booking on or before 6:00 PM; 03109114((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: Wednesday, March 19, 2014 8:33:38 AM EST Invoice number: 1395236018258-115902801731 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 Hoteis.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.htmi?pos=HCOM_U S&locale=en_US Hotels.com, LP 10440 N. Central Expressway, Suite 400, Dallas,Texas 75231 USA https://ssl.hotels.com/customer_care/print_receipt.html 3/19/2014 VOUCHER NO. WARRANT NO. ALLOWED 20 Orbie Bowles IN SUM OF $ $200.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 j 43-430.02 $200.00 1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except MAR 2 4 2014 ;v Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Drescribed 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 Nhom, 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)) $200.00 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