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Home My WebLink About232953 05/21/14 `ia �� CITY OF CARMEL, INDIANA VENDOR: 00352853 ® ��l• ONE CIVIC SQUARE JIM BLANCHARD CHECK AMOUNT: S•"•"*1,214.40• :9 ,_� CARMEL, INDIANA 46032 C/O DOCS CHECK NUMBER: 232953 "'��ior(�°' CARMEL IN 46032 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4343003 989.40 TRAVEL & LODGING 1192 4343004 225.00 TRAVEL PER DIEMS of QCAq�`c rQ�z��,�e CITY OF CARMEL Expense Report (required for all travel expenses) DIANA DEPARTURE DATE: 5/4/2014 TIME: 6;00 AM M RETURN DATE: 5/7/2014 TIME: 5:30 AM M DESTINATION CITY: Oklahoma, City5 Transportation Gas/Tolls/ Meals I Date Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem i .$0.0.0 5/4/14 $117.30 $117.30 5/5/14 $117.30 $117.30 5/6/14 $117.30 $117.30 5/4/14 $438.50 x$438.50 $0.00 5/7/14 $27.00 $27.00 $0.00 5/4/14 $36.00 $36.00 5/7/14 TAX 1 $36.00 36.00 $0.00 5/4/14 $25.00 $25.00 5/7/14 $25.00 $25.00 $0.00 5/4/14 $30.00 $30.0.0 5/5/14 $65.00 $65.00' 5/6/14 $65.00 $65.00' 5/7/14 $65.00 $65.00 $0.00. L0.00 =Total $438;50 $0.00' $122.00 ' $27:00 $351.90 $0.001. $0.00 $0.00 , $0.00 $225.00 $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. i Director Signature: Date: I I 1 City of Carmel Form#ER06 Revision Date 5/12/2014 Page 1 C40 C ROW N E PLAZA OKLAHOMA CITY 189 05-07-14 James Blanchard Folio No. 243646 Room No. 915 716 Hickory Dr. A/R Number Arrival 05-04-14 Carmel In Group Code Departure 05-07-14 Usa IN 46032 Company Government Conf. No. 62540464 United States Membership No. PC 274071852 Rate Code IMGOV Invoice No. Page No. 1 of 1 Date Description Charges Credits 05-04-14 Room Accommodations 103.00 05-04-14 State Tax 8.375% 8.63 05-04-14 Occupancy Tax 5.5% 5.67 05-05-14 Room Accommodations 103.00 05-05-14 State Tax 8.375% 8.63 05-05-14 Occupancy Tax 5.5% 5.67 05-06-14 Room Accommodations 103.00 05-06-14 State Tax 8.375% 8.63 05-06-14 Occupancy Tax 5.5% 5.67 05-07-14 351.90 Thank you for staying at The Crowne Plaza in Oklahoma City. Qualifying points for this stay Total 351.90 351.90 will automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www.priorityclub.com. We look forward to welcoming you back soon. Balance 0.00 Guest Signature: I have received the goods and/or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Crowne Plaza OKC Northwest 2945 Northwest Expressway Oklahoma City, OK 73112 Telephone: (405)848-4811 - Fax: (405) 843-4829 When Disaster Strikes Institute - Live Schedule - Education& Certification Page 1 of 2 Z, INTERNATIONAL __=: CODE COUNCIL People Helping People Build a Safer World- Store/Education&Certification/Live Schedule/When Disaster Strkes Institute When Disaster Strikes Institute Price:$550.00 t+ Member Price:$400.00 Member Savings:$150.00 REGISTRANTS(Required) CODE COUNCIL �— TRAINING Full Name(1) Add Another Registrant ADDITIONAL INFORMATION Special Needs Rollover Image to Zoom rSS MY TOTAL REGISTRANTS:0 Overview Details Date: 5/5/2014 Duration: 2 Days Location: Oklahoma City,OK CEUs: 1.2 Contact Hours: 12 The When Disaster Strikes Institute provides participants with critical knowledge and resources needed to assist their communities after a natural disaster.The institute is one of only two post-disaster assessment programs in the country that are nationally recognized by the National Incident Response System(NIMS). Throughout this interactive,two-day event,participants will receive expert training and valuable materials needed to become a valuable resource that every community needs. The Institute also helps to prepare participants to became an ICC certified Disaster Response Inspector (DRI).The DRI is the only nationally available certification program for code officials and design professionals who wish to assist with building assessment on behalf of and within affected communities.This certification is not available at the Institute but you can get more information through our Accreditation department. Participants will be better able to: • Understand the roles and responsibilities of an ICC Disaster Response Inspectors • Understand the role of the National Incident Management System in disaster response • Prepare for mobilization and working within disaster environments • Understand and conduct ATC compliant building evaluations • Understand pfacarding and posting Registration:7:30 a.m. Instruction:8:00 a.m. Lunch included Location;TBD-All participants will receive an email once the site location is determined. Registration Information: • To register online,enter registrant(s)information above and click"add to cart." • To register by email,fax or mail,download this form. Cancellation Policy: All cancellation requests must be received in writing in order to receive a refund.Refunds are subject to a processing fee of$75•.There will be NO REFUNDS for cancellations received less than two calendar weeks prior to the scheduled training event. http://shop.iccsafe.or'g/education-and-certification/live-schedule/when-disaster-strikes-ins... 11/14/2013 . _ . , VOUCHER NO. WARRANT NO. ALLOWED —20- Jim 0Jim Blanchard IN SUM OF$ c/o One Civic Square Carmel, IN 46032 $1,214.40 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 1192 43-430.03 $989.40 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1192 43-430.04 $225.00 materials or services itemized thereon for which charge is made were ordered and received except Tuesday, ay 2 , 2 f r Director 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)) 05/16/14 Travel Expenses for Disaster Training Oklahoma City,OK $989.40 05/16/14 Per Diems for Training $225.00 III 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