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HomeMy WebLinkAbout232503 05/13/14 .Ley '; CITY OF CARMEL, INDIANA VENDOR: 00351688 d `il ONE CIVIC SQUARE GARY FISHER CHECK AMOUNT: $ ...'*555.76" f. _� CARMEL, INDIANA 46032 316 NORRIS DRIVE CHECK NUMBER: 232503 +,;_,oN, ANDERSON IN 46013 CHECK DATE: 05/13/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 65.76 GASOLINE 1120 4343002 440.00 EXTERNAL TRAINING TRA 1120 4355300 50.00 ORGANIZATION & MEMBER \1V OF Cqq� 4aQ\M1T.\I.4 PF( CITY OF CARMEL Expense Report (required for all travel expenses) /NDIANP EMPLOYEE NAME: DEPARTURE DATE: �-��.-�`\ TIME: AM PM DEPARTMENT: �` � RETURN DATE: TIME: AM M REASON FOR TRAVEL: 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 4/29/14 $25.00 $65.00 $90.00 4/30/14 $50.00 $65.00 $115.00 5/1/14 $65.00 $65.00 5/2/14 $65.00 $65.00 5/3/14 $65.00 $65.00 5/4/14 $25.00 $65.76 $65.00 $155.76 $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 $0.00 $0.00 $100.00 $65.76 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 $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. Director Signature: PAW Date: MAY 1 Z 2614 City of Carmel Form#ER06 Revision Date 5/12/2014 Page 1 ' fv l REGISTRATION FORM Complete one form per registrant • o e • o � Name IAF(Member Number 1)de Rank(➢lease chow one from the list of options below,}: U(�Rre Chief O(b)Chief Officer rJ(()Company Officer(Fire Officer) l(d)Staff Officer G(e)Firefighter r )Firefighter/Parameeddic Q(Ig)EMS Officer / i�(h)Emergency Management r_1(i)Other "AryVle�' l t 'sr t' rurahon„. 1 s/-fa ,admm ❑oeaamtet)or-f City state Tip Country 3 r S-7t- m�� a-(,5`ie( C'FL(rAe( • Irl .dad Phone Fax E' IlPleasetompletetoreceiveyawconfirmationandconfuenceupdates.) oil Please indicate the educational sessions you will be attending by checking the box to the right of the corresponding number.For up-to-date conference information visit www.(afr-org/firm. PRE-CONFERINCE RATS CONFERENCE RATES `' 8:00 am-5:00 fore PI(2 day) $200 $250 IAF C MEMBER s T 8:00am-SAOpm P2 $154 $W :NOM-MEPABER $440 Wadalay,lay,April 30 8:00 am-SAO fort P3 $154 $200 1:00 pm-5.00 pm P4- $125 S17? 1:00 pm.51M pm PS $125 S175 8:00 am-112:00 pm P6 $125 $175 Total Registration Due(in U.S.Dollars):$ + Thursday,Mny( 8:00 tun-5:00 pm P7 $150 $200 (Total sum of Sections A•8) B:OD am-5:00 pm Pe, $1 SO s260 To help us better serve you,please answer the following: t.Type of department 3.What is your purchasing responsibility? U(a)volunteer 13(b)career O(c)combination O(d)tribal Q(a)final decision maker Ci(b) research/specify •(e)airport C](f) industrial O(g)military ❑(h)other �i'(c)recommend :1(d)significant influence E.5tze of population served 4.Is thi's your lost time attending the conference? U(a)0-9,999 U(b)10,0011-49,999 c)50.000-99,999 d(a)Yes Q(b)No,1 have attended for the past years. U(d)100,000.199,999 Q(e)200,000 and up 4 s a a• , s s OCheck Enclosed(Please make checks payable to"IAFC•`In U.S.fundsJ Purchase Order N (Copy of PO or form must be provided to process registration.) O Credit Card O AMEX Cf VISA J MasterCard (tFyou are registering as a govemmem employee,your credit card must trove expiration date after 6/14 and your reedit Gard will be charged crime weeks prior to the conference) Card If(with C5V code) Expiration pate(Whist be ads 6n4l . Name as it appears on card Signature as I W.NOVIS • Online:Wwwjafc.org/FRM Mail:IAFC c/o Ex erient,Inc.,P.O.Box 4088,Frederick,MD 21705 di rAfOeLify urequiespecl laccorwmwim g P ® drsabuutesfyourequlrespertala«ommodatlons Fax:301-6945124 Questions:866-229-2386 or email FRM@experient-inc.com orZduanaids.please no*usofyour needs in advance by talthw 866.289.2386. Snyder, Denise W From: Tunstill, Debbie - The Travel Agent <Debbie.Tunstill@thetravelagentinc.com> Sent: Wednesday, April 23, 2014 11:42 To: Snyder, Denise W Subject: Confirmation for Gary Lee Fisher SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: APR 23 2014 ACCOUNT MJFS3S PAGE: 01 FOR: FISHER/GARY LEE 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 ----------------------------------------------------------------------- 29 APR 14-TUESDAY MILES- 476 ELAPSED TIME- 1:35 AIR LV INDIANAPOLIS 1003A UNITED FLT:6181 UNITED ECON CONFIRMED AR WASH/DULLES 1138A NONSTOP RESERVED SEATS 11A AIRLINE CONFIRMATION:UA-E64113 04 MAY 14-SUNDAY MILES- 476 ELAPSED TIME- 1:42 AIR LV WASH/DULLES 1215P UNITED FLT:3726 UNITED ECON CONFIRMED AR INDIANAPOLIS 157P NONSTOP RESERVED SEATS 20C AIRLINE CONFIRMATION:UA-E64113 THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO ID AND CONF NUMBER AT CHECK IN. TICKET IS COMPLETELY NON REFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES MAY APPLY. UNITED CONF E64113 "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 343.72 TAX 47.78 TTL 391.50 PROCESSING FEE 35.00 SUB TOTAL 426.50 1 CREDIT CARD PAYMENT 426.50- TOTAL AMOUNT 0.00 BAGGAGE ALLOWANCE ADT UA INDWAS OPC BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM BAG 2 - 35.00 USD UPTO50LB/23KG AND UPTO62LI/158LCM MYTRIPAN DMO RE.COM/BAGGAGEDETAILSUA.BAGG UA WASIND OPC BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM MYTRIPAN DMORE.COM/BAGGAGEDETAILSUA.BAGG CARRY ON ALLOWANCE UA INDWAS CARRY ON ALLOWANCE DATA NOT AVAILABLE UA WASIND CARRY ON ALLOWANCE DATA NOT AVAILABLE BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/ONLINE CHECKIN/FORM OF PAYMENT/MILITARY/ETC. 2 -Chase Online - Page 1 of 1 Chase Online Tuesday, May 06, 2014 r- Search Results Net Use(... Transaction type:All Transactions Date range:05/04/2014-05/06/2014 Search Results 1 -1 Date Type Description Debit Credit 05/05/2014 Debit Card Transaction UNITED 016260741 800-932-2732 TX $25.00 05/04 i © r https://banking.chase.com/AccountActivity/PrintTransactions.aspx?AI=418563250&txnType=ALL... 5/6/2014 i .lines-Boarding Passes https://www.united.com/travel/checkin/boardingpass_print.aspx?Sl... Baggage Receipt Issue Date: April 28, 2014 Traveler Baggage Document Ticket Number FISHER/GARYLEE 01626071132464 01673478510115 FLIGHT INFORMATION j Day, Date Flight Departure City/Time Arrival City/Time Aircraft Tue, 29APR14 UA6181 INDIANAPOLIS (IND) WASHINGTON-DULLES (IAD) ERJ 145 10:03 AM 11:38 AM FEE INFORMATION Description Quantity Fees Method of Payment First Bag Fee 1 $25.00 --------------------------------------------------------------------- TOTAL FEES: $25.00 Cardholder Name Gary L Fisher Excess Baggage Terms and Conditions ® All excess baggage is subject to space availability. o Receipt for payment must be presented at bag check. For up to the minute flight information, go to mobile.united.com. l c 2 of 2 4/28/2014 11:19 AM GUEST FOLIO . CRYSTAL GATEWAY MARRIOTT MARRIOTT 1207 ALVERSON/JON 184.00 05/04/14 12:00 9492 11133 Room Name Rate Depart Time ACCT# GROUP NDB 3 04/29/14 11 :07 Type Arrive Tlme 75 Room payment RWD#: XXXXX3678 Clem Addleas 04/29 SELF PRK # 949297 .00 04/29 ROOM 1207, 1 184.00 04/29 STATETAX 1207, 1 23.52 04/30 SELF PRK #0949297 .00 04/30 ROOM 1207, 1 184.00 04/30 STATETAX 1207, 1 23.52 05/01 SELF PRK #0949297 .00 05/01 ROOM 1207, 1 184.00 05/01 STATETAX 1207, 1 23.52 05/02 SELF PRK #0949297 26.00 05/02 ROOM 1207, 1 184.00 05/02 STATETAX 1207, 1 23.52 05/03 SELF PRK #0949297 26.00 05/03 ROOM 1207, 1 184.00 _05/.03 STATETAX 1207, 1 23.52 05/04 $1089.60 PAYMENT RECEIVED BY: CURRENT BALANCE .00 THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT, PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT. GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM Your Rewards points/miles earned on your eligible earnings will be credited to your account. Check your Rewards Account Statement for updated activity. CRYSTAL GATEWAY MARRIOTT 1700 JEFFERSON DAVIS ARLINGTON, VA 22202 703 920 3230 Tn.sst<item.:mrsyo,;rr.Wyrccdipt.Yout><ure<.-liredtot,ayu;rashort:yupprovenpersortal^.t+4'cxa:oautrrotiznus:nchargr,yourcrthYtta+n.c ec;arrwuntsthar,ti ;;you That ar�mi±»rc*wn lr,Ur cr.84ts r,,tumn uPt�s,te airy cr�•Lt c:w,ni,*ru}u,tyx?nehtrenrp column at�re w.11�e cna,guA tr,Lim crerLt caro„pn t>.zr set fork atwvo {The cra&I crud mTomw 4 ba1,n ttr u% rruw+e:r 1 if fa any reason,chc cr,ct.t eaB corrgxvry Aces rrot mane trayment on tMs acm.,nt ynu,v n owe us such anmun+_ If yptl 3rC Cu+36':tkl J.M,tt?C Evti'tQ(hTynW'I,t ty rVt nLYJB within ZS dry3.lftRr Ci%cc t ciut youw:P Ow.us ote.est fron,tnn checkj]ui cwx an a,`y unr�z Y+�GUr:t at the td of l 5'%tx month(ANNUAL RAT E l0'%1,or irx,mtue,nen:f&-ed by law.'A's01k.,edso ;:ct,st of coPectwm mcneorurg attyncY fees To secure your next stay,go to marriott.com GUEST FOLIO 1 -CRYSTAL GATEWAY MARRIOTTMARRIOTT 1205 ALVERSON/JON 184.00 05/04/14 12:00 9491 11133 Room Name Rate Depart Time ACCT# GROUP NDB 3 04/29/14 09:54 —.•._�' Tj" -- _ Nma Time 75 - Room Payment RWD#: XXXXX3678 CHARGES CREDrfSBALANCE'DUE 04/29 ROOM 1205, 1 184.00 04/29 STATETAX 1205, 1 23.52 0 4/2 9 -66Nt4-&R-G-----B —6-5-Y 04/30 ROOM 1205, 1 184.00 04/30 STATETAX 1205, 1 23.52 0 5/O 1 -HWNH1` —3-7-5-,t6- 5.8.03- 05/01 ROOM 1205, 1 184.00 05/01 STATETAX 1205, 1 23.52 05/02 ROOM 1205, 1 184.00 05/02 STATETAX 1205, 1 23.52 05/03 ROOM 1205, 1 184.00 05/03 STATETAX 1205, 1 23.52 05/04 $1101 . 14 DAr1V NT_-RFC.ETVFn .BYE CURRENT BALANCE .00 THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT, PLEASE CALL THE FRONT DESK, OR PRESS "MENU° ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT. GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM Your Rewards points/miles earned Gn your eligible-carnir`gs - will be credited to your account. Check your Rewards Account Statement for updated activity. CRYSTAL GATEWAY MARRIOTT 1700 JEFFERSON DAVIS ARLINGTON, VA 22202 703 920 3230 T s attnx u,k:your cu�y rete pt Yu r iv ve ag erd to pay n ras4 a by ap{xer pe sone U echo o auttw ce us n ma go your c.cy t co a for as arnounts merged t'.rt t The amount ShC-1 Y1 tM CrC(!Y:Mi.,,m oprO de wry ac`ffit CarO�'.ntrr m tM-fen'nCe Cohen ebow wiA oe Cn.'s�efl to tJm crlbrt G3rG number set forth above. t7 t -rcd:t cart]crn*Y>a+'7 wis t>iTkt inn u+,iwtt Warner 1 It for a+ry reasan pM crod:t cav comparry does not mate Ps/'Tti' r+^tnc:.xc.wnt you udl Dae us weh amount. cnrect`Hard.m ttv:B ent payment�s ncR rnscfe wi;lnn 25 drys afte.cnechatt you rsu 0> us�n;orest trrm rhe Crxxwut date m or ry unt,arnoum of tiu;nrty. 077.5SStH+mWjh(ANNUAL RATE tfi%).orU*mv�mrmeo%t-d bry taw p4s tt�re�,a+abde cost of co'*ct+on mckg"auorr yfees Spwuua X To secure your next stay,go to r Iott.com 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)) $65.76 $440.00 $50.00 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 Gary Fisher IN SUM OF $ $555.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 42-314.00 $65.76 1 hereby certify that the attached invoice(s), or 1120 43-430.02 $440.00 bill(s) is (are) true and correct and that the 1120 j 43-553.00 j $50.00 materials or services itemized thereon for which charge is made were ordered and received except MAY 1 2 2014 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund