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HomeMy WebLinkAbout232907 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 00350084 j ® �l• ONE CIVIC SQUARE TOM SMALL CHECK AMOUNT: $***'***490.00* CARMEL, INDIANA 46032 201 COTTONWOOD DR CHECK NUMBER: 232907 ANDERSON IN 46012 CHECK DATE: 05121/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 440.00 EXTERNAL TRAINING TRA 1120 4355300 50.00 ORGANIZATION & MEMBER M CITY OF CARMEL Expense Report (required for all travel expenses) =�NDIAN�` EMPLOYEE NAME: ! ���. DEPARTURE DATE: �-��.-\�\ TIME: M DEPARTMENT: RETURN DATE: TIME: A PM REASON FORTRAVEL��1� DESTINATION CITY: EXPENSES ARE FOR (check all.that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car Rental Other Parking 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 $65.00 $90.00 $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 $100.00 $0.001 $0.001 $0.001 $0.001 $0.001 $0.001 $390.00 $0.00 = DIRECTOR'S STATEMENT: I her b affirm hat all ex enses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: MAY 19 2Q'� City of Carmel Form#ER06 Revision Date 5/16/2014 Page 1 n Fire-Rescue Med I { 2014�Dl ti April 30 2014 Crystal Gateway AMarriott Arlington, ° , REGISTRATION FORM 7 Complete one form per registrant. REGISTRATION • • s / l;,w r15 (it to E 1 -M5Ch;t` Name IAFC Member Number Tide Rank(Please dsow M.from the lift of options below.): a(a)Fire Chief x41 chief Officer J(c)Company Officer(Fire Officer) 7(d)Staff Officer t7 le)Firefighter O(f)FliefightedParamedic J(g)EMS Officer O IN Emergency Management O(j)Other r+ ! �ACrtR2 tli c �) �t' i tJ rC t•fG st' Or�anlndon Addh�s Usthisaddress:❑Hama ilepartmmt) q1, 2 / city state &p country 3►7-5V7.2c, ' �sr,+c: r(.1i rle r °ell p(wrre Fax E-mad(Please complete to mteive your(osfirmadon and con(etence updates) 2 111:31mr1m; rN 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.iafc.org/fm. PRE-CONEE'iTEi3CE RATES a°•° CONFERENCE RATES ° 8:OOam-5:00 pm PI(2 day) $200 $250 IAFCMEMBER $400 S475 8:00am-5:OOpin P2 $150 Sm N91i. WM9EA 7, 9450' $525 wed mday.Apw 30 6:00 am-5:00 pat P3 5150 5200 1:00 pm-5..D0 pm P4 $125 $'175 Gj-75. 1:00 pm-5:00 pm P5 $125 S175 8:00 am-12:OOpm P6 $125 Sir Total Registration Due(in U.S.Dollars):$ Thursday,May 1 8:00 am-5:00 pm P7 $150 SM (total sum of Sections A*8) 8:00 aln-5:00 pm I P8✓ $150 37b help us better serve you,please answer the following: i.fvoo of CR-'PirtrYren; 1 What i}yow,cit+th.i-any c�tipnaci'[,ilifyl O(a)volunteer 911(b)career Q(c)combination J(d) tribal 7(a)final derision maker D(b) research/specify CI(e) airport U(f) Industrial 0(g)military `I(h) other 0(c)recommend T(d) significant influence 2,iizL-o.`populd:i0o 5•,-I,dA.1•,1:.15 yuuz fvsT%ir::t•,l(tt''diny the,0.tf.•r,ntie' J(a)0-9,999 U(b)10,000.49,999 12/m 50,000.99,999 s7•(S)Yes Q(b)No.I have attended for the past years. ZI(d)100,000-199,999 O(e)200,000 and up 4 111=113111114171,RWIN • O Check Enclosed(Please make checks payable to'IAFC,in U.S.funds.) Purchase Order H (Copy of PO or form must be provided to process registration.) 0Credit Card 13 AMEX 0VISA aMasterCardQfyoij areregistering asa govemmentemployee.your credit card must twye expiration dite after 6/14 and youraleft card will be charged thine weeks prior to the conference) Card B(with CSV code) ExpiraVen Date(faun be aftertin,l) Name as it appears on card Signature as th Online.-www.iafc.org/FRM Mail:IAFC c/o Ex erient,Inc.,P.O.Box 4088,Frederick,MD 21705 AUTAFCes.ify ures a a accessible accommodans tions g p ® disabdlties,ifyov require special accammadatbro Fax:301-694-5124 Questions:866-229-2386 or email FRM@experient-ine.com orauxtnaryaalling 6.289fyusofyourneeds n ad+ance by calling 866.264.2366. �y Page 1 of 1 Transaction Search Choose Account(s) Optional Search Criteria Deposit Accounts O 4 28/2014 � 0 Start Check# � ❑ Bank At Work Savings- / From: © Community Hero Check- FTo: 5/13/2014_ End Check# Amount : 25.00 Select Transaction Type Loan Accounts ❑ Cons/Periodic/Secure- search Choose a format u Download Transaction History Check Transaction t NDescriptio Nickname Date n Debiumber T= _1— n �_ Community Hero Check- 9797 05/05/2014 Point of Sale UNITEDrOP626U74U99�800-932 x$25,.00 Debit F6 273249459-- Community Hero Check- 9797 05/02/2014 Point of Sale MARRIOTT 33783 F&B ARLINGTON $25.00 Debit VA 20 9459 Community Hero Check- 9797 04/29/2014 Point of Saler I,TED�01�626_ 071110 8.00=932=� (:$25.60 Debitx. 2732"945 1-3 of 3 Transactions TRUCK SERVICE INC. CLEVELAND SPRING INDIANAPOLIS SPRING E.A.B TRUCK SERVICE TRUCK SERVICE HORTON TRUCK SERVICE WARNER SPRING https://ebanking.oldnational.com/Accounts/AccountSearch.asp 5/13/2014 Welcome To Old National Online! Page 1 of 1 Deb . • r - - - MOLD NA, -X Add your poto Ir 110 UA ON Accounts Transfers Bill Pay eOptions Messages Services&Preferences Investment Services Mobile Bankin€ Summary Details Alerts eStatements Stop Payment Search/Download Check Reorder Transaction Search Choose Account(s) Optional Search Criteria { Deposit Accounts Start Check# $ • From: 4/28/20140 O �a a. ❑ Bank At Work Savings• i 2 End Check# y ® Community Hero Check � T0, 5/1 3/ 014 Amount : 50.00 Select Transaction Typeq:, Loan Accountsi ElCons/Periodic/Secure Search Choose a format v{ Download 9'' "I Transaction History Check Transaction ' Nickname Date Description Debit v I_I Number Type _ Community Hero Check- 9797 05/01/2014 Point of Sale INTL ASSOC OF FIRE CHIE FAIRFAX&t$50Q`01 Debit 9459 - 1-1 of 1 Transactions } g.1. a I'*:} t# r,? 1;_a 1. IV Privacy I Agreements&Disclosures I Patriot Act I ID Theft I Online Security Center Contact Us: 1-800-731-BANK I Equal Housing Lender I Member FDIC hos://ebanking.oldnational.com/frames/Signonsuccess.asp 5/13/2014 Snyder, Denise W From: Tunstill, Debbi -The Travel Agent <Debbie.TunstiII @thetravelagentinc.com> Sent: Thursday, March 20, 201416:51 To: Snyder, Denise W Subject: Confirmed Flight for Thomas Small SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: MAR 20 2014 ACCOUNT P47ZU PAGE:01 FOR: SMALL/THOMAS D 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 v ----------------------------------------------------------------------- 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 9A AIRLINE CONFIRMATION:UA-E6JWHQ ENTERPRISE 1 FULL SIZE2/4 DR DROP-04MAY CONFIRMED PICKUP-WASH/DULLES WASH DULLES INTL ARPT RATE- 337.48 WEEKLY GUARANTEED EXTRA HR 13.50-UN MILEAGE-UNL/FM CODE-EG5 EXTRA DAY 67.50-UN PHONE-703-661-8800 CONFIRMATION-791377133COUNT 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 16C AIRLINE CONFIRMATION:UA-E6JWHQ THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO ID AND CONF NUMBER AT CHECK IN. TICKET IS COMPLETELY NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES MAY APPLY. CONF UNITE E6JWHQ "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 1 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 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 UPTO621-I/158LCM MYTRIPANDMORE.COM/BAGGAGEDETAILSUA.BAGG UA WASIND OPC BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO62LI/158LCM BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM MYTRIPANDMORE.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 GUEST FOLIO , °CRYSTAL `GATEWAY MARRIOTT: P1'A R R I OTT 1205 ALVERSON/JON 184.00 05/04/14 12:00 9491 11133 Room Nanv Rete Depart erne ACCT# GROUP NDB 3 04/29/14 09:54 Anrive, Til" 75 - - Room Paymc t RWD#: XXXXX3678 Clerk Address ' DATE_ FtE�jRkNCE_ CHARGES CREDITS BALANCEDVE' 04/29 ROOM 1205, 1 184.00 04/29 STATETAX 1205, 1 23.52 0 4/2 9 -G0NGI-ERt ----B•f-- -6-.51- 04/30 6 51- 04/30 ROOM 1205, 1 184.00 04/30 STATETAX 1205, 1 23.52 05/01--UUN0R-V--- 58-.03- 05/01 ROOM 1215, 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 VS CARD $1101. 14 DAVMFNT_RFf`ETIdFn .pY� r�1RRENT BALANCE .00 THANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOUR CHECK-OUT, PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT. GET ALL YOUR HOTEL BILLS BY EMAIL BY UPDATING YOUR REWARDS PREFERENCES. OR, ASK THE FRONT DESK TO EMAIL YOUR BILL FOR THIS STAY. SEE "INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM Your Rewards . of nts/gni 1 es earned -on--your e l i gi-hYe-earni-rgs-=: -will be credited to your account. Check your Rewards Account Statement for updated act.ivity. CRYSTAL GATEWAY MARRIOTT 1700 JEFFERSON DAVIS ARLINGTON, VA 22202 703 920 3230 rStat•,rTrr:t.i;y(rur CL'yR.'CCipl.YUU fkt+r(.`:IIrCC'dil(1>)I JI c3S}1cX!ryd:I,fi+OeC(N't:cnJl C.hcnC4 Cr'oau[IKY.iLe JitC chdrfjCVa!ci,:u!tcwdfLvalfa <� I5 i4.w.Ti amount:t,;xr in the credt-ceNurm N..W"te.Jry"dt Cara ent-ry mtfr rt•(enat�cdurrtn earn-a n9L:Ue3ryer:V�ttie crcdn e,:rA nurs. .*zrt texth atrYe. (-tr - ltc.:rt}[txrp7rry vi.7b:1 inSM!uvksirtutvtr.`r lit to airy roa�tt=arti'1[c' deemfkirry Coes ruttn>;C[uy+nen;nett xrw••.t yew w• ewa usuch enxx nt. If yyJu, d rcpt.tx@e:d. the mrnl p.ryrt,cnl is rat ms k a+thm 25 d:ry'of ex(!,,c:out,you wA a ve us ntllest frurn fhr�c. t J:,tc on arry unpnr ar-tet.%,t at it.c ruts• of!.5V,r�"'nonthiMf^.AJAL RATE'15`ml,cv the m.�antknit r!krrxK2 try Cs c.�-`uti thnre+r —hle cosi ccr+ectrcm�Ivd�r' a[+n::fec S�azure X To secure your next stay,goto rnarriOtt.com VOUCHER NO. WARRANT NO. ALLOWED 20 Tom Small IN SUM OF$ $490.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-430.02 $440.00 1 hereby certify that the attached invoice(s), or 1120 43-553.00 $50.00 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 19 2014 )X4 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)) $440.00 $50.00 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