HomeMy WebLinkAbout232000 04/30/14i
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u;' CITY OF CARMEL, INDIANA VENDOR: 00350456
® i,r ONE CIVIC SQUARE STEVE EDWARDS CHECK AMOUNT: $*******494.00*
�. �° CARMEL, INDIANA 46032 45 WOODACRE DR CHECK NUMBER: 232000
"+i,��oH�Q. CARMEL IN 46032 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 REIMB 494.00 EXTERNAL TRAINING TRA
�1V oP C42,
CITY OF CARMEL Expense Report (required for all travel expenses)
/NDIAtlA
EMPLOYEE NAME:�-��1 m os DEPARTURE DATE: TIME: M M
DEPARTMENT:
RETURN DATE: TIME: \O -�z,4Z)_ 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
4/13/14 $25.00 $65.00 $90.00
4/14/14 1 $65.00 $65.00
4/15/14 $65.00 $65.00
4/16/14 $65.00 $65.00
4/17/14 $65.00 $65.00
4/18/14 $25.00 $54.00 $65.00 $144.00
$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 $50A0 $54.00 $0.001 $0.001 $0.001 $0.00 $0.001 T390.001 $0.00 •- s
DIRECTOR'S STATEMENT: I here irm t I sed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 4/25/2014 Page 1
- E
IrSACCONFERENCE
APRIL 15—17 2014 1 SAN DIEGO CA
h TISEAY-YOU TRAIN
TRAIN
Name t�1 eUc, CO1tjN a4)6 NSCA Nfember # 54-
Institution/Company Cl( � G` CNt^CL- Ft 2C DGS" _Credentials
Address 6 1 ✓Ic- SQ Phone 3+ 1 - 14&- SZ
City/State/Zip C A rtin aL , 1 j q&0 3 Email 5 rd O w N 2 35 e C Atl,r C6 . /N
Emergency Contact and Phone# C C L ES'f C CO tJAtt0 S St-7- 5'1 L
T�SAC Type: Branch of Service:
Firefighter ❑ Army ❑ Federal LIMunicipality
❑ Law Enforcement ❑ Air Force ❑ Firefighter ❑ Navy
❑ Military ❑ Coast Guard ❑ Marines ❑ Private Sector
Conference Fees: Before Feb 24- After March 30
(Please circle an option) Feb 24, March 30 On-Site Only
Conference Registration $315 365 $415
One Day Only $210 $260 $310
FMS Pre-Con $150 Y75 $200
Program Book: $35 35 $35
Total Due: $ `J '5
T-Shirt Size: S M GXL XXL XXXL
(Please circle your selection
NOTE.-For 5+ attendees registered together there is a 1046 group discount rate, can only be used for pre-
registration.All cor ference t-shirts and progrant books reserved for pre-registered individuals only.All
individuals registering onsite run the risk of the 1VSCA running out of t-shirts and program books.
Method of Payment: Refund Policy
—/ All refund requests must be
❑ Cash D Check payable to NSCA submitted in writing(mail,fax,
❑ Visa ❑ American Express email) and should state the reason for
❑ MasterCard cancellation.
Name on card: NO REFUNDS WILL BE
CC#: Exp ACCEPTED VIA PHONE
Signature: Full refund less $20 if postmarked by
February 24
50% refund if postmarked February
Mail to: 25-March 30
NSCA Conferences Department NO Refund after March 30, 2014
1885 Bob Johnson Dr.
Sessions at a Glance
Time Session Title and Speakers Track/Location
Monday,April 14,2014
Pre-Con
0800-1700 FMS Pre-Con
Rio Vista Pavilion
Exhibit Hall
1800-2000 Welcome Reception
Rio Vista Ballroom
Time Session Title and Speaker(s) Track/Location
Tuesday,April 15,2014
Exhibit Hall
0700-0830 Bootcamp/Warm-up
Rio Vista Ballroom
HITT Biomechanics of Multi-Directional Movements Hands-on
Ryan Massimo,CSCS,TSAC-F Rio Vista Pavilion
Transitioning from the Sport Athlete to the Tactical Athlete Military
0840-0945 Zach Weatherford Cabrillo 1
Training Specialized Law Enforcement Units:A Proven Approach Law Enforcement
Jason Dudley,MS,FMSC-1,CSCS,*D,TSAC-F Cabrillo 2
Going Back to the Basics-A"New Era"in Firefighter Peer Training Fire/ist Responder
Ian Crosby,CSCS Sierra 5&6
Effectively Utilizing Functional Exercise Progressions Hands-on
Lee Burton,PhD,CSCS Rio Vista Pavilion
A System for Assessing Operational Readiness:A Comprehensive Approach to Performance
Testing,Screening,and Injury Assessment of the Tactical Athlete Military
Cabrillo 1
0955-1100 Earl Ware,CSCS
Development of Criterion Task Tests(CTT)for the U.S.Border Patrol Search,Trauma, Law Enforcement
Rescue(BORSTAR)Special Operations Group Cabrillo 2
Garth Spendiff,MS,CSCS
Periodization Strategies for Firefighters Fire/is`Responder
Mark Abel,PhD,CSCS,*D,TSAC-F Sierra 5&6
Are You as Fit as the Royal Air Force Regiment? Hands-on
Matt Rodda Rio Vista Pavilion
My Team's Bigger than Yours:Physical Training Programming in the U.S.Army Military
1110-1215 David Feltwell,PT,OCS Cabrillo 1
FBI Physical Fitness:An Agent's Perspective Law Enforcement
Jake Owens,MS Cabrillo 2
Managing Fatigue for Firefighters Fire/1st Responder
Jorge Carvajal,FMSC,CSCS,USAW Sierra 5&6
1215-1345 Lunch(Not Provided)
How Do You Move:First Responders Mobility and Stability Hands-on
John Hofman,MS,CSCS Rio Vista Pavilion
An Alternative Conceptual Framework for Tactical Physical Training Military
Whitfield(Chip)East,EdD Cabrillo 1
1345-1450 A Model for Predicting and Improving Police Officer Occupational Resilience and Law Enforcement
Performance Cabrillo 2
Mick Stierli,MSc,CSCS,TSAC-F
Fitness,Wellness and Medical Surveillance Fire/1st Responder
Jill Craig,MS Sierra 5&6
Torso Training Hands-on
Michael Barnes,MEd,CSCS,*D,NSCA-CPT,*D Rio Vista Pavilion
1500-1605 Physiology of Military Deployment:Optimizing Warfighter Performance and Mitigating Military
Health Risk Cabrillo 1
Bradley Nindl,PhD
100%of Physical Performance is 90%Mental:Training Mental Toughness in Police Officers I Law Enforcement
to Maximize Response Cabrillo 2
Tyler Christiansen,CSCS,*D,RSCC,Dr.Michael Asken,PhD&Tristen Asken,SPT,CSCS
Fit for Duty Fire/15`Responder
Alan Brunacini Sierra 5&6
Strength Complexes for Fat Loss and Conditioning-Sponsored by Sorinex Hands-on
Nick Tumminello Rio Vista Pavilion
Physical Fitness in the Military:State of the Union Military
Neal Baumgartner,PhD&Patrick Gagnon,MSc Cabrillo 1
1615-1720 Physical Fitness in Law Enforcement:State of the Union Law Enforcement
Kelly Kennedy,PhD,CISSN,CSCS,LISAW,Jake Owens,MS,Ron Sheppard&Thor Eells, Cabrillo 2
MCJ,TSAC-F
Physical Fitness in Fire and Rescue:State of the Union Fire/151 Responder
Ian Crosby,CSCS,Jill Craig,MS&John Hofman,MS,CSCS Sierra 5&6
1730-1930 Exhibitor Reception(Open to All Attendees) Exhibit Hall
Rio Vista Ballroom
Time 7Session Title and Speaker(s) Track/Location
Wednesday,April 16,2014
0700-0830 Bootcamp/Warm-up Exhibit Hall
Rio Vista Ballroom
Movement Orientated Training in Practice Hands-on
Robin Orr,PhD,TSAC-F Rio Vista Pavilion
Reload HITT-"Rebuilding the Warrior Athlete" Military
0840-0945 Ryan Massimo,CSCS,TSAC-F Cabrillo 1
Law Enforcement Fitness Policies Law Enforcement
U Roscoe,MS Cabrillo 2
Training to Survive and Thrive Fire/151 Responder
Bryan Fass,ATC,LAT,EMT-P,CSCS Sierra 5&6
Simplifying Olympic Lifts:Competency Development for the Tactical Athlete Hands-on
Tyler Christiansen,CSCS,*D,RSCC Rio Vista Pavilion
Correlation of USMC Physical Fitness Test and Combat Fitness Test events to Physically Military
Demanding Military Occupational Specialty Tasks Cabrillo 1
0955-1100 Brian McGuire,MS,ATC,CSCS
SWAT Physical Fitness:An Operator's Perspective Law Enforcement
Ron Sheppard Cabrillo 2
Impact of the Self-Contained Breathing Apparatus on Firefighter Performance Fire/15`Responder
Randy Dreger,PhD,CSCS Sierra 5&6
Running Session with Little or No Equipment Hands-on
Mick Stierli,MSc,CSCS,TSAC-F Rio Vista Pavilion
Performance Nutrition for the Tactical Athlete:Information Coaches and Trainers Should Military
Know
Cabrillo 1
1110-1215 Trisha Brooke Stavinoha,MS,RD,CSSD,CSCS
Working Towards Wellness Law Enforcement
Luc Poirier,CSCS,TSAC-F Cabrillo 2
Operating Fitness-Readiness Programs Fire/is'Responder
John Bennett,MS,EMT-P,CSCS Sierra 5&6
1215-1345 Lunch(Not Provided)
Frontline Fitness:Physical Training in Remote Locations,FOBS,PBs and CPs Hands-on
Matt Rodda Rio Vista Pavilion
U.S.Naval Academy Plebe Physical Education Program:A Decade of Success Military
1345-1450 Mike Prevost,PhD Cabrillo 1
The Essentials of Functional Program Planning and Design for Law Enforcement Law Enforcement
Syl Lemelin,MSc,CSCS Cabrillo 2
Everything You Knew About Back Pain is Wrong? Fire/15`Responder
John Hofman,MS,CSCS Sierra 5&6
1500-1605 1 Same,But Different Hands-on
Mark Toomey,CSCS IRio Vista Pavilion
Modeling Resistance Training Programs to Meet Warfighter Demands Military
William Kraemer,PhD,CSCS,*D,FNSCA&Tunde Szivak,MA,CSCS Cabrillo 1
Law Enforcement Physical Training(PT):Lessons Learned Law Enforcement
Kelly Kennedy,PhD,CISSN,CSCS,USAW Cabrillo 2
Making Exercise Matter-An Evidence-Based Approach to Firefighter Fitness Fire/1St Responder
David Frost,PhD,CSCS,*D Sierra 5&6
Assessing and Addressing Movement Quality in Small and Large Groups to Improve Hands-on
Performance and Reduce Injury Risk
Rio Vista Pavilion
Mike Contreras,CSCS
Air Force Physical Abilities and Skills Testing for Selection into Battlefield Airmen Career Military
Fields
Cabrillo 1
1615-1720 Neal Baumgartner,PhD
Holding the Line-Implementing Fitness Standards in Public Safety Law Enforcement
Thor Eells,MCJ,TSAC-F Cabrillo 2
Wildland Firefighter Job Task Analysis and Implications for Fitness Assessment and Fire/155 Responder
Programming Sierra 5&6
Katie Sell,PhD,CSCS,TSAC-F
Time Session Title and Speaker(s) Track/Location
Thursday,April 17,2014
0700-0805 Mobility Management:Tackling Flexibility and Soft Tissue Problems Hands-on
Lee Burton,PhD,CSCS Rio Vista Pavilion
Sustain Your Brain:Performance Nutrition to Support the Tactical Athlete's Most Vital Lecture 1
Assets
Cabrillo 1
Nick Barringer,MS,RD,CSSD,CSCS
All Service Round Table:Injury Reduction Lecture 2
John Hofman,MS,CSCS,Jill Craig,MS&Bryan Fass,ATC,LAT,EMT-P,CSCS Cabrillo 2
0815-0920 Team-Building Evolution Hands-on
Kelly Kennedy,PhD,CISSN,CSCS,USAW Rio Vista Pavilion
Program Design for Tactical Athletes Lecture 1
Matt Wenning,MS Cabrillo 1
Hit What You See Lecture 2
Hal Breedlove,OD Cabrillo 2
0930-1035 2155 Century Paradigm Shift:Demonstrating the Army's Physical Readiness Training Hands-on
Anthony Soika,MS,CSCS,TSAC-F&Brian Hughes Rio Vista Pavilion
Where the Rubber Meets the Road:A Step-by-Step Program for Implementing Lecture 1
Performance-Based Standards Cabrillo 1
Paul Davis,PhD,FACSM
Optimizing the Conditioning of New Recruits Lecture 2
Robin Orr,PhD,TSAC-F Cabrillo 2
1035-1135 Lunch(Not Provided)
1135-1240 Programming:Special Forces vs.Athletes Hands-on
Paul Goldberg,MS,RD,CSSD,CSCS Rio Vista Pavilion
Conducting a Task Analysis:Examples from the Military and Fire Service Lecture 1
Brent Alvar,PhD,CSCS,*D,RSCC*D,FACSM,FNSCA&Bradley Warr,PhD Cabrillo 1
How to Train Your Trainers Lecture 2
Jay Merlino,MS,FMSC,CSCS,USAW-1 Cabrillo 2
1240-1345 Metabolic Conditioning for the Tactical Athlete Hands-on
Jay Dawes,PhD,CSCS,*D,NSCA-CPT,*D,FNSCA Rio Vista Pavilion
The FORCE Program:From Military Tasks to Operational Fitness Testing and Training-The Lecture 1
Canadian Armed Forces Approach Cabrillo 1
Patrick Gagnon,MSc
Human Performance in Combat Operations Lecture 2
Will Peveler,PhD Cabrillo 2
1355-1500 Common Pitfalls in the Execution and Integration of Performance and Corrective Strategies Hands-on
in the Development of the Tactical Athletes
Rio Vista Pavilion
Jose Cruz,MS,FMSC-1,CSCS,USAW
All Service Round Table Lecture 1
Ian Crosby,CSCS,Neal Baumgartner,PhD and Thor Eells,MCJ,TSAC-F Cabrillo 1
Development of and Concerns with a Stationary Bike and Elliptical Trainer Aerobic Test in Lecture 2
the U.S. Navy Cabrillo 2
Austin Latour,MS,CSCS,NSCA-CPT
I, Steve Edwards, hereby certify that I paid $25.00 for baggage fees while attending the Tactical
Strength and Conditioning Conference in San Diego, CA, April 13 — 18, 2014.
Respectfully submitted,
Steven Edwards
I
Snyder, Denise W
From: Debbie Tunstill <Debbie.Tunstill@thetravelagentinc.com>
Sent: Friday, March 07, 2014 23:55
To: Snyder, Denise W
Subject: Confirmation for Steven Edwards
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: MAR 07 2014
ACCOUNT ROK29W PAGE: 01
FOR:
EDWARDS/STEVEN L
TO: CITY OF CARMEL CITY OF CARMEL-FIRE DEPT
ONE CIVIC SQUARE-3RD FLOOR ATTN: DENISE SNYDER
CARMEL IN 46032 TWO CIVIC SQUARE
CARMEL IN 46032
-----------------------------------------------------------------------
13 APR 14-SUNDAY MILES- 503 ELAPSED TIME- 1:46
AIR LV INDIANAPOLIS 935A DELTA FLT:1430 ECONOMY CLA CONFIRMED
AR MPLS/ST PAUL 1021A NONSTOP
RESERVED SEATS 18C
AIRLINE CONFIRMATION:DL-HJG3QY
MILES- 1532 ELAPSED TIME-3:56
AIR LV MPLS/ST PAUL 1145A DELTA FLT:1787 ECONOMY CLA CONFIRMED
AR SAN DIEGO 141P NONSTOP FOOD TO PURCHASE-MOVIE
RESERVED SEATS 18C
AIRLINE CONFIRMATIOWDL-HJG3QY
ENTERPRISE 1 FULL SIZE2/4 DR DROP-18APR CONFIRMED
PICKUP-SAN DIEGO 1691 HANCOCK STREET
RATE- 249.71 WEEKLY GUARANTEED EXTRA HR 9.98-UNL
MILEAGE-UNL/FM CODE-EG5 EXTRA DAY 49.94-UN
PHONE-619-294-3313
CONFIRMATION-684140356COUNT
18 APR 14- FRIDAY MILES- 1532 ELAPSED TIME-3:36
AIR LV SAN DIEGO 1245P DELTA FLT:1687 ECONOMY CONFIRMED
AR MPLS/ST PAUL 621P NONSTOP FOOD TO PURCHASE-MOVIE
RESERVED SEATS 22C
AIRLINE CONFIRMATION:DL-HJG3QY
18 APR 14- FRIDAY MILES- 503 ELAPSED TIME- 1:35
AIR LV MPLS/ST PAUL 735P DELTA FLT: 675 ECONOMY CONFIRMED
AR INDIANAPOLIS 1010P NONSTOP
RESERVED SEATS 14C
AIRLINE CONFIRMATIOWDL-HJG3QY
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AIR TRANSPORTATION 527.44 TAX 83.56 TTL 611.00
PROCESSING FEE 35.00
SUB TOTAL 646.00
CREDIT CARD PAYMENT 646.00-
TOTAL AMOUNT 0.00
BAGGAGE ALLOWANCE
ADT
DL INDSAN OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO62L1/158LCM
BAG 2 - 35.00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
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2
arnotto
HOTELS & RESORTS
SAN DIEGO - MISSION VALLEY GUEST FOLIO
1007 KINNEY/JARED/MR 199,00 04/18/14 11 :00 6215
ROOM NAME RATE DEPART TIME ACCT#
GD 04/13/14 14:27
TYPE ARRIVE TIME
25
ROOM
CLERK PAYMENT MRW#:
ADDRESS
DATE REFERENCE CHARGES CREDITS BALANCE DUE
04/13 ROOM TR 1007', 1 125.00
04/13 TAX 1007, 1 13. 13 A
04/13 CA FEE 1007, 1 . 10 D
04/13 TMD TAX 1007, 1 2.50 H
04/14 ROOM GP 1007, 1 133.00
04/14 TAX 1007, 1 13.97 A
04/14 CA FEE 1007, 1 . 10 D
04/14 TMD TAX 1007, 1 2.66 H
04/15 ROOM GP 1007 , 1 133.00
04/15 TAX 1007, 1 13.97 A
04/15 CA FEE 1007, 1 . 10 D
04/15 TMD TAX 1007, 1 2.66 H
04/16 ROOM TR 1007, 1 199.00
04/16 TAX 1007, 1 20.90 A
04/16 CA FEE 1007, 1 . 10 D
04/16 TMD TAX 1007, 1 3.98 H
04/17 ROOM TR 1007, 1 199.00
04/17 TAX 1007, 1 20.90 A
04/17 CA FEE 1007, 1 . 10 D
04/17 TMD TAX 1007, 1 3.98 H
04/18 MC CARD $888. 15
TO BE SETTLED TO: MASTERCARD CURRENT BALANCE .00
THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT,
PLEASE DIAL 0, PRESS "MENU" ON YOUR TV REMOTE TO ACCESS
VIDEO CHECKOUT OR DIAL EXT 59 TO ACCESS VOICE MAIL CHECKOUT.
------------------- SUMMARY OF TAXES -------------------
DESCRIPTION TAXED AMOUNT TAX
A TOT 10.5% .00 82.87
D STATE TOURISM FEE .00 .50
H TMD FEE .00 15. 78
K RM RENTAL TAX 8% .00 .00
NET CHARGES TAX CREDITS FOLIO
789.00 99. 15 .00 888. 15
------------------- EXP. REPORT SUMMARY -------------------
04/13 ROOM&TAX 140. 73
04/14 ROOM&TAX 149.73
04/15 ROOM&TAX 149.73
AarnOtt. 8757 RIO SAN DIEGO D
HOTELS & RESORTS SAN DIEGO, CA 921.08
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account,you will owe us such amount. If you
are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonab!e cost of collection,including attorney fees.
Signature X
,Aarrd®ttt
HOTELS & RESORTS
SAN DIEGO - MISSION VALLEY GUEST FOLIO
1007 KINNEY/JARED/MR 199.00 04/18/14 11 :00 6215
ROOM NAME RATE DEPART TIME ACCT#
GD 04/13/14 14:27
TYPE ARRIVE TIME
25
ROOM
CLERK PAYMENT MRW#:
ADDRESS
DATE REFERENCE CHARGES CREDITS BALANCE DUE
------------------- EXP. REPORT SUMMARY -------------------
04/16 ROOM&TAX 223.98
04/17 ROOM&TAX 223.98
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
JKINNEY@CARMEL. IN.GOV
SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM
-molt. SAN DIEGO - MISSION VALLEY
J� 8757 RIO SAN DIEGO D
HOTELS & RESORTS SAN DIEGO, CA 92108
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account,you will owe us such amount. If you
are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees.
Signature X
IS
^arnott.
HOTELS & RESORTS
SAN DIEGO - MISSION VALLEY GUEST FOLIO
1012 KINNEY/JARED/MR 199.00 04/18/14 11 :00 6214
ROOM NAME RATE DEPART TIME ACCT#
GK 04/13/14 14:26
TYPE ARRIVE TIME
25
ROOM
CLERK PAYMENT MRW#:
ADDRESS
DATE REFERENCE CHARGES CREDITS BALANCE DUE
04/13 VALETPAR KDN 22.00
04/13 ROOM TR 1012, 1 125.00
04/13 TAX 1012, 1 13. 13 A
04/13 CA FEE 1012, 1 . 10 D
04/13 TMD TAX 1012, 1 2.50 H
04/14 VALETPAR KDN 22.00
04/14 ROOM GP 1012, 1 133.00
04/14 TAX 1012, 1 13.97 A
04/14 CA FEE 1012, 1 . 10 D
04/14 TMD TAX 1012, 1 2.66 H
04/15 VALETPAR CCE 22.00
04/15 ROOM GP 1012, 1 133.00
04/15 TAX 1012, 1 13.97 A
04/15 CA FEE 1012, 1 . 10 D
04/15 TMD TAX 1012, 1 2.66 H
04/16 VALETPAR KDN 22.00
04/16 ROOM TR 1012, 1 199.00
04/16 TAX 1012, 1 20.90 A
04/16 CA FEE 1012, 1 . 10 D
04/16 TMD TAX 1012, 1 3.98 H
04/17 VALETPAR CCE 22.00
04/17 ROOM TR 1012, 1 399.00
04/17 TAX 1012, 1 20.90 A
04/17 CA FEE 1012, 1 . 10 D
04/17 TMD TAX 1012, 1 3.98 H
04/18 MC CARD $998. 15
TO BE SETTLED TO: MASTERCARD CURRENT BALANCE .00
THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT,
PLEASE DIAL 0, PRESS "MENU" ON YOUR TV REMOTE TO ACCESS
VIDEO CHECKOUT OR DIAL EXT 59 TO ACCESS VOICE MAIL CHECKOUT.
------------------- SUMMARY OF TAXES -------------------
DESCRIPTION TAXED AMOUNT TAX
A TOT 10.5% .00 82.87
D STATE TOURISM FEE .00 .50
H TMD FEE .00 15.78
K RM RENTAL TAX 8% .00 .00
NET CHARGES TAX CREDITS FOLIO
899.00 99. 15 .00 998. 15
�y a rriott. SAN DIEGO - MISSION VALLEY
1 8757 RIO SAN DIEGO D
HOTELS & RESORTS SAN DIEGO, CA 92108
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account,you will owe us such amount. If you
are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees.
Signature X
^%I 'm
HOTELS & RESORTS
SAN DIEGO - MISSION VALLEY GUEST FOLIO
1012 KINNEY/JARED/MR 199.00 04/18/14 11 :00 6214
ROOM NAME RATE DEPART TIME ACCT#
GK 04/13/14 14:26
TYPE ARRIVE TIME
25
ROOM
CLERK PAYMENT M RW#:
ADDRESS
DATE REFERENCE CHARGES CREDITS BALANCE DUE
------------------- EXP. REPORT SUMMARY -------------------
04/13 VALETPAR 22.00
ROOM&TAX 140.73
04/14 VALETPAR 22.00
ROOM&TAX 149.73
04/15 VALETPAR 22.00
ROOM&TAX 149.73
04/16 VALETPAR 22.00
ROOM&TAX 223.98
04/17 VALETPAR 22.00
ROOM&TAX 223.98
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO:
JKINNEY@CARMEL. IN.GOV
SEE " INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM
a rrtott. SAN DIEGO - MISSION VALLEY
8757 RIO SAN DIEGO D
HOTELS & RESORTS SAN DIEGO, CA 92108
This statement is your only receipt. You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to
you. The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above. (The
credit card company will bill in the usual manner.) If for any reason the credit card company does not make payment on this account,you will owe us such amount. If you
are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5%
per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees.
Signature X
3rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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))
$494.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Steve Edwards
IN SUM OF $
$494.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.02 $494.00 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
APR 2 8 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund