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Home My WebLink About232880 05/21/14 .CAq . �<i?' ""� CITY OF CARMEL, INDIANA VENDOR: 357618 ;; ® iI ONE CIVIC SQUARE THOMAS PAYNE CHECK AMOUNT: $ ..."'490.00` CARMEL, INDIANA 46032 6572 W CHARLESTON WAY CHECK NUMBER: 232880 �,,,�o�.�.= MCCORDSVILLE IN 46055 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 440.00 EXTERNAL TRAINING TRA 1120 4355300 50.00 ORGANIZATION & MEMBER CITY OF CARMEL Expense Report (required for all travel expenses) NOIAKP EMPLOYEE NAME: \21`�y��- DEPARTURE DATE: TIME: PM DEPARTMENT: RETURN DATE: 5 - -\y TIME: AM / REASON FOR TRAVEL: -t,��, �rc�5, C DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVAN TRAVEL REIMBURSEMENT T AVEL 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 1 $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 O o i $65.00 $90.00 G O O $0.00 O O O 0 u-) m $0.00 ,n N T;. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (y) CDC: $0.00 o $0.00 d7 o a $0.00 x E $0.00 N A i° 0.00 Ccz $0.001 $0,001 $0.00 $0.001 $0.001 $0.00 $390.00 $0.00 •e e e LNo t• nses listed conform to the City's travel policy and are within my department's appropriated budget. _ 0 MAY 9 ?Q14 LL. vDate: (TC O d. ° ~ Revision Date 5/19/2014 Page 1 Snyder, Denise W From: Tunstill, Debbie - The Travel Agent <Debbie.TunstiII@thetravelagentinc.com> Sent: Thursday, March 20, 2014 17:40 To: Snyder, Denise W Subject: Confirmed Flight for Thomas Payne SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: MAR 20 2014 ACCOUNT MPB4J0 PAGE: 01 FOR: PAYNE/THOMAS C 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 AIRLINE CONFIRMATION:UA-EB7WML RESERVED SEATS 19A 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 AIRLINE CONFIRMATION:UA-EB7WML RESERVED SEATS 21B 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 EB7WML "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 CREDIT CARD PAYMENT 426.50- 1 rt r REGISTRATION FORM ) Complete one form per registrant. •P 11,11 ff's1:11,721 I s Name IAFC Member Number !-rte Rank(?lease(hoose ON from the list of options belay.): Fire Chief U(b)Chief Officer 'J(c)Company Officer(Fire Officer) C1(d)Staff Officer U(e)Firefighter fj•({fFtretighter/P/arameLd�k 7/��, 7(g)EMS Officer /u(h)Emergency Management U(1)Other �yJ tv?F f Y7r� ()1V rT7 661''_ =594LG-ef Orgatdratiar Address(hthsatiftw J QNisinment) / /1 -;t-"-/ 414? �l Sl-t State 0P CD40� 217-57/-;2L s oCs f✓�M f Of 1041-M if�•r Jig 010✓ Phone Fay Email(Please complete to receive your(onfirmati and conference updates.) s 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.lefc.org/frm. PRECONFERENCE RATES CONFERENCE RATES 8:00am-5A0pin Pi(2day) $2csD IAFC MEMBER $400 4 75 &00 atrl-5W pal P2 31 SD WON-MEMBER' SAS* 5525 Wednesday.AoR 30 8:00 am.5,90 pin P3 $15O 8200 1:00 pm-5.90 pm P4 5125 5175 1:00 pm-5:W pm P5 $125 $175 8:00 am-12:80 pm P6 _ 5125 5175 Total Registration Due On US.Dollars):S tltursday.Maty 1 8:00 am-5.90 pm PT $150 $200 (Total sum of Sections A+B) 8:00 am-5:W pm PB $150 5200 To help us better serve you,please answer the following: 1.Type of department 3,What is,your purchasing responsibility? U(a)volunteer Sr'(b)career U(c)combination J(d)tribal J(a final decision maker O(b)research/specify C)(e)airport 7(f) 'industrial 0(g) military 9(h)other CJ'(c)recommend O(d)significant influence 2-Size of population served 4,is this your first time artendirty the conference? I(a)0-9,999 U(b)10,000.49.999 U(ci 50,000~99,999 -J(a)Yes 7(b)No,I have attended for the past years. J(d)100,000.199,999 0(e)200,000 and up 4 IT"71301,11 I Ia O Check Enclosed(Please make checks payable CO'IAFC,in U.S.funds.) Purchase Order 4 (Copy of PO or form mtm be pmvkied to prtxesa retlistratlon j 0Credit Card RAMEX C1VISA JMasterCardofyou&mregmwringasagcvwnmenternpwymyow a-edit card must have expiratlern date after 6/14 and your credh card aa11 be charged three week prior to the conference) Card!(with CSV code) bpratkin Date ttausi bearer sn4) Name as It appears on mrd Signature Online:www.iafc.org/FRM Mail:IAFC c/o Ex erient,Inc.,P.O.Box 4088,Frederick,MD 21705 cll UFCproga urestus are eespecialile actornto onswtth p ® dpsebnfdes,It you require special ttmmrrrodaUons Fax-301-694-5124 Questions:866-229-2386 or email FRM@experient-inc.com or advance y aids,ppeasenotdy us of your needs in advance try calling 8662842385 aN�Io Huntington THOMAS C. PAYNE 6572 W.CHARLESTON WAY MCCORDSVILLE IN 46055-9677 Debit Card/POS Activity (-) Account: ******* Date . Description Amount 04/08 05/01 NON-PIN PURCHASE METRO SMARTRPT 1750 SOUTH CLARK STARLINGTON VA 5175451770927039 10.00 05/01 NON-PIN PURCHASE INTL ASSOC OF F 4025 FAIR RIDGE DR FAIRFAX VA 5175451770927039 50.00 05/01 NON-PIN PURCHASE RITE AID STORE 1671 CRYSTAL SQUARE ARLINGTON VA 5175451770927039 11.59 05/02 05/05 NON-PIN PURCHASE WASH METRORAIL 1750 SOUTH CLARK ST ARLINGTON VA 5175451770927039 8.00 05/05 NON-PIN PURCHASE SINE IRISH PUB 1301 SJOYCE ST ARLINGTON VA 5175451770927039 55.30 05/05 NON-PIN PURCHASE THE OLIVE GARDO 600 SOUTHPARK BLVD COLONIAL HGTS VA 5175451770927039 18.90 Online Statement Period from 04/08/14 to 05/06/14 Page 3 of 5 oN��oHuntington Debit Card/POS Activity (-) Account: ******** Date Description Amount 05/05 In the Event of Errors or Questions Concerning Electronic Fund Transfers (electronic deposits, withdrawals, transfers, payments, or purchases), please call either 1-614A80-BANK or call toll free 1-800-480-BANK, or write to The Huntington National Bank Research - EA4W61, P.O. Box 1558, Columbus, Ohio 43216 as soon as you can, if you think your statement or receipt is wrong or if you need more information about an electronic fund transfer on the statement or receipt. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. 1. Tell us your name and account number (if any). 2. Describe the error or the transaction you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. 3. Tell us the dollar amount of the suspected error. We will investigate your complaint or question and will correct any error promptly. If we take more than 10 business days to do this, we will recredit your account for the amount you think is in error, so that you will have use of the money during the time it takes us to complete our investigation. This time period will be 20 business days (instead of 10 business days) if your complaint or question inwlves a transaction: () that was not initiated in any state, territory, or possession of the United States; or(i) that was a point of sale transaction (other than the purchase of postage stamps from a Huntington ATM); or(iii) that was a Check Card merchant transaction. Verification of Electronic Deposits If you have authorized someone to make regular electronic fund transfers of money to your account at least once every sixty days, you can call to find out whether or not the deposit has been received by us, call either 1-614-480-BANK or call toll free 1-800-480-BANK Balancing Your Statement-Foryour convenience, a balancing worksheet is available on our web site www.huntington.com under the Planning&Tools section,or at your local branch. Online Statement Period from 04/08/14 to 05/06/14 Page 4 of 5 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Tom Payne 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 MY aen f Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund