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HomeMy WebLinkAbout232000 04/30/14i +ur.C�gyR 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 THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO 1 ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY. DELTA CONF HJG3QY "VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES EMERG.AFT HRS CALL 8776456373 CODE A09 $20 CALL+TRANSACTION COSTS A CANCEL FEE OF 15PCT ON TTL COST APPLIES. FOR TERMS/CONDITIONS/ AIRLINE LUGGAGE POLICIES AND OTHER SVCS. SEE WWW.TTA.TRAVEL THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING THIS SEE WWW.TZELL411.COM THANK YOU. DEBBIE TUNSTILL 317 805 5762 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 MYTRIPAN DMORE.COM/BAGGAGEDETAILSDL.BAG G DLSANIND OPC BAG 1 - 25.00 USD UPTO50LB/23KG AND UPTO62LI/158LCM BAG 2 - 35.00 USD UPTO50LB/23KG AND UPTO62L1/158LCM MYTRIPAN DMO RE.COM/BAGGAGEDETAILSDL.BAGG CARRY ON ALLOWANCE DL INDMSP IPC BAG 1- NO FEE PERSONAL ITEM DL MSPSAN 1PC BAG 1 - NO FEE PERSONAL ITEM DL SANMSP IPC BAG 1 - NO FEE PERSONAL ITEM DL MSPIND 1PC BAG 1- NO FEE PERSONAL ITEM EMBARGO - FOR BAGGAGE LIMITATIONS-SEE DL INDMSP MYTRIPAN DMORE.COM/BAGGAGEDETAILSDL.BAGG DL MSPSAN MYTRIPAN DMORE.COM/BAGGAGEDETAILSDL.BAGG DL SANMSP MYTRIPAN DMO RE.COM/BAGGAGEDETAILSDL.BAGG DL MSPIND MYTRIPANDMORE.COM/BAGGAGEDETAILSDL.BAGG BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/ ONLINE CHECKIN/FORM OF PAYMENT/MILITARY/ETC. 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