HomeMy WebLinkAbout232423 05/12/14 y pf_Coq*
�'• CITY OF CARMEL, INDIANA VENDOR: 357341
�sl. CHECK AMOUNT: $*******260.00*
ONE CIVIC SQUARE IAN REPPERT
f? �; CARMEL, INDIANA 46032 6731 DORCHESTER DRIVE CHECK NUMBER: 232423
-9�If'pjy�G�` ZIONSVILLE IN 46077 CHECK DATE: 05/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 260.00 EXTERNAL TRAINING TRA
Print and Mail Completed Form To Address Below. You can fill this out scan and email it to me
if you wish to pay via credit card. I will call you to complete the registration.
201 ium rh""'egistration
The 2014 Registration fee for KTA is X65 per attendee. Checks can be made payable to
City,of Lewisville. If you wish to pay via credit card we can accommodate you. If you wish to
use a credit card please include a daytime phone number and I will contact you to get the
necessary information. YOU WILL NOT BE REGISTERED UNTIL WE RECEIVE YOUR
PAYMENT! Each participant MUST complete the form. Please choose between Pipes and
Drums or Honor Guard but not both.
Name ea;z
Department Name 4
Department City
Department State
Cell Phone
Email Address
Please circle the aanropriate response:
What are you signing up for (Please Only Choose One)
Honor Guard
Honor Guard Commander Team Member
Pipes
Beginner Intermediate Advanced****
****Advanced players will be required to audition for this group on day one
Drums _
Snare Tenor CBass'
Beginner Intermediate Advanced`'.
Will you require transportation from the airport Yes No
I
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CITY OF CARMEL Expense Report (required for all travel expenses)
/NDIANp
EMPLOYEE NAME: DEPARTURE DATE: -`O -�y TIME: (A PM
DEPARTMENT: RETURN DATE: TIME:
REASON FOR TRAVEL: ��F-� ��i�� y `�,a-.�. DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM V
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
5/7/14 $65.00 $65.00
5/8/14 $65.00 $65.00
5/9/14 $65.00 $65.00
5/10/14 $65.00 $65.00
$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--$0.001 $0.00 $0.001 $0.001 $0.001 $260.001 $0.0011111111111111111F.W011M
DIRECTOR'S STATEMENT: I hereby affirm that all expenses.listed conform to the City's travel polic*Ayarf v21lZ0department's appropriated budget.
Director Signature: i,&0Date:
City of Carmel Form#ER06 Revision Date 5/12/2014 Page 1
i
Snyder, Denise W
From: Debbie Tunstill <Debbie.TunstiII@thetravelagentinc.com>
Sent: Tuesday, March 04, 2014 12:33
To: Snyder, Denise W
Subject: Confirmed Flight for Ian Reppert. Booked as US air flight but he will have to check in at
American.
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: MAR 04 2014
ACCOUNT VZV59S PAGE:01
FOR:
REPPERT/IAN T
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
-----------------------------------------------------------------------
07 MAY 14-WEDNESDAY MILES- 762 ELAPSED TIME-2:30
AIR LV INDIANAPOLIS 835A US AIRWAYS FLT:1557 COACH CLASS CONFIRMED
AR DALLAS/FT WOR 1005A NONSTOP FOOD TO PURCHASE
RESERVED SEATS 26D
AIRLINE CONFIRMATION:US-CBEQ9Y
OPERATED BY AMERICAN AIRLINES
10 MAY 14-SATURDAY MILES- 762 ELAPSED TIME-2:00
AIR LV DALLAS/FT WOR 1255P US AIRWAYS FLT:1129 COACH CLASS CONFIRMED
AR INDIANAPOLIS 355P NONSTOP FOOD TO PURCHASE
RESERVED SEATS 27D
AIRLINE CONFIRMATION:US-CBEQ9Y
OPERATED BY AMERICAN AIRLINES
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT A PHOTO
ID AT CHECKIN.
TICKET IS COMPLETELY NONREFUNDABLE IF UNUSED. MAY CHANGE
ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY
US AIR CONF CBEQ9Y
"VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES EMERG.AFT HRS CALL 8776456373
CODE A09$20 CALL+TRANSACTION COSTS
A CANCEL FEE OF 15PCT ON TTL COST APPLIES. FOR TERMS/CONDITIONS/
AIRLINE LUGGAGE POLICIES AND OTHER SVCS.SEE WWW.TTA.TRAVEL
THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO
FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING
THIS SEE WWW.TZELL411.COM
THANK YOU. DEBBIE TUNSTILL 317 805 5762
-----------------------------------------------------------------------
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ian Reppert ' IN SUM OF$
$260.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1120 43-430.02 $260.00 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
MAY
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
$260.00
I
I 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