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238490 10/21/14
`y ��p'f CITY OF CARMEL, INDIANA VENDOR: 354405 Iq "�• ONE CIVIC SQUARE JASON REECER CHECK AMOUNT: $*******340.72* s. CARMEL, INDIANA 46032 13375 E 266TH STREET CHECK NUMBER: 238490 +.7;,.___; ?' ARCADIA IN 46030 CHECK DATE: 10/21/14 troN�°' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 47.23 GASOLINE 1120 4343003 293.49 TRAVEL & LODGING ,4`ir uF SMF ' i pQ'VITM'JjTgp� i CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME:O ��� \`-���� DEPARTURE DATE: �o -`� -\� TIME: AM PM DEPARTMENT: �v y� RETURN DATE: �Q - ��'a -\� TIME: PM REASON FOR TRAVELN� 'N � ���-������ESTINATION CITY: IS', ��`�� EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 10/8/14 $103.77 $75.75 $179.52 10/9/14 $103.77 . $103.77 10/10/14 $57.43 NFA $57.43 10111114 NFA $0.00 10/12/14 NFA $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 $0.001 $0.001 $0.001 $67.431 $207.541 $0,001 $0.001 $0.001 $0.001 $0.001 $75.75 1111111111111R,=I 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: Date: OCT 2 0 1014, City of Carmel Form#ER06 Revision Date 10/16/2014 Page 1 BAYMONT INN & SUITES 871 YORK RD ® GETTYSBURG, PA 17325 US BAYmONT Phone: (717) 337- 2400 Fax: (717) 337-0831 INN & SUIT-ES Email: gettysburgbaymontinnandsuites@gmail.com Printed: 10/10/2014 3:40:16 AM Folio (Detailed) Name: REECER,JASON Confirmation Number: 87396512 Account Number: 843-074565 Address: 13375 E 266TH ST ARCADIA,IN 46030 US Room: 217 Room Type: NQQ1, 2 QUEEN BEDS/NSMK/ Nights: 2 Guests: 1/0 Rate Plan: SGV Daily Rate: $93.49 + $10.28 Tax GTD: Arrival: 10/8/2014(Wed) Departure: 10/10/2014(Fri) )0=XXXX XXX; Room Rate: 10/8/2014(Wed)- 10/9/2014 (Thu) $93.49 + $10.28 Tax per night. Date Code Description Amount Balance 10/8/2014 RM ROOM CHARGE $93.49 $93.49 10/8/2014 TAXI STATE TAX-6% $5.61 $99.10 10/8/2014 TAX2 CITY TAX- 5% $4.67 $103.77 10/9/2014 RM ROOM CHARGE $93.49 $197.26 10/9/2014 TAXI STATE TAX-6% $5.61 $202.87 10/9/2014 TAX2 CITY TAX- 5% $4.67 $207.54 By signing below, I agree to these terms and conditions. Guest Signature: (1)Regardless of charge instructions,the undersigned acknowledges the above as personal indebtedness. (2)This property is privately owned and management reserves the right to refuse services to any one,and will not be responsible for injury or accidents to guests or loss of money,jewelry or any personal valuables of any kind. "We or our affiliates may contact you about goods and services unless you call 888-946-4283 or write to Opt/Privacy,Wyndham Hotel Group, LLC,22 Sylvan Way,Parsippany,NJ 07054 to opt out. View our website about privacy." Thank you for staying'at our Baymont Inn &Suites of Gettysburg, PA! Transaction Details Page 1 of 1 Transaction DetailsRUM-0 C R.. E, D ► T V tit 4. N 8/16/2014 Eff.8/15/2014 WITHDRAWAL Cad 7299 NATIONAL FALLEN FIRER NA TIONAL FALLEN FI EMMITSBURG NIDUS Trace#1238 0008 -$75.75 Hide Memo/Categorizations MEMO (No memo text) CATEGORIES Personal Care $75.75 Generated on 90/14/2014 9:42:34 AM ©2011 FORUM Credit Union.All rights reserved. https://www.forumcuonline.com/History/PrintTransaction 10/14/2014 Family Escort Application-2014 MW- RegOnline Page 1 of 2 I October ,,SAS-t-EN plFlC� Emmitsburg, MD IL Memorial Will Honor Firefighters For More Information Visit., Who Died in the tine of Duty °} �.`� 4 During 2013 and Previous Yews 14 `� �� Weekend.FireHero.org ti 2 14 Receipt Receipt Number: 1564271-69748885 Registration ID: 69748885 Registration Date: 6/2/2014 Receipt Date: 6/2/2014 Issued By: National Fallen Firefighters Foundation Event: Family Escort Application -2014 MW Date/Time: Friday, October 10, 2014 -Sunday, October 12, 2014 Registrants Name Registration Type ID Jason Reecer 69748885 General Application Billing Information Jason Reecer 13375 e. 266th st Arcadia, IN 46030 United States 3175198669 jreecer@carmel.in.gov Fees --- ----- — . — - - - - — -- i E G Fee Quantity Unit Price Amount Fee i All Meals 1 $75.75 $75.75 Subtotal: $75.75 https://www.regonline.com/register/invoice.aspx?Eventld=1564271&AttendeeId=ey 1 crjpcSNk+... 10/16/2014 Family Escort Application- 2014 MW-RegOnline Page 2 of 2 Fee Quantity Unit Price Amount Total: $75.75 t 4 - Transactions -- --- --- ----- - - -- ---- -— ---- i Transaction Type Date Amount Balance j Transaction Amount 8/14/2014 $75.75 $75.75 I Online Credit Card Payment(********' i Details 8/14/2014 ($75.75) $0.00 j Current Balance: $0.00 t i Payment Method — - ------ _ - - -- _ - ------ — -—— i Payment Method: Credit Card (I j The online credit card payment for this event will be listed on your credit card statement with the name NFFF- RegOnline. https://www.regonline.com/register/invoice.aspx?Eventld=1564271&Attendeeld=ey 1 crjpcSNk+... 10/16/2014 How Can I Be a Family Escort? -National Fallen Firefighters Foundation Page 1 of 3 National Fallen Firefighters Foundation HOW CAN I BE A FAMILY ESCORT? The family of each fallen firefighter is assigned a fire-service Escort to assist them while they are on-campus during the Memorial Weekend.The Memorial Weekend is a time for sharing and healing for the families of our fallen firefighters and it means a lot to them to have a member of the fire service accompany them throughout the events.Whether you are a member of the department of a fallen firefighter or a member of the extended fire service family,your involvement is very important. Escorts who have accompanied families to weekend events in the past describe it as an unforgettable experience. ✓.d" jk S' it 3f aft' 1. http://www.firehero.org/events/memorial-weekend/attending-memorial-weekend/fire-service/can... 10/16/2014 I How Can I Be a Family Escort? -National Fallen Firefighters Foundation Page 2 of 3 Registration • Apply to be a Family Escort at the 2014 Memorial Weekend (http://www.regonline.com/2014mw-escort) Lodging and Meals Family Escorts are responsible for all travel arrangements and expenses (airfare/rental car/parking/tolls/etc.) to/from Emmitsburg to participate in Weekend activities. If you are approved for on-campus housing a dorm room will be provided for you on Friday and Saturday nights at the National Fire Academy in Emmitsburg.Available dorm rooms are assigned to escorts on a first-come,first-served basis. Only those fire service members participating in the Weekend events as a Family Escort are eligible for on-campus housing. If family members or friends are attending the Weekend events,they will need to make reservations at a local area hotel (/fallen- firefighters/memorial-park/national-fallen-firefighters-memorial/lodging/). Due to budgetary constraints,the Foundation will not be able to cover costs of campus meals for escorts this year. Escorts who are selected to participate in 2014 will be responsible for purchasing a meal ticket to eat their Weekend meals in the dining hall. Onsite Registration and Orientation If you are selected to serve as a Family Escort,you must make travel plans that will permit you to arrive on campus for Weekend registration on Friday, October 10, 2014, between the hours of 4 p.m. and 11 p.m. Escorts who fail to check in on Friday evening will forfeit their ability to function and their room will be withdrawn for the weekend. Escort registration will take place on the Emmitsburg campus on Friday evening from 5 p.m. until 11 p.m. Each escort will receive a handbook prior to the Memorial Weekend to help them prepare for their role.A mandatory Escort orientation will be held on Saturday, October 11, 2014, starting at 7:30 a.m. Contact Us: For more information or to request an application to be a Fire Service Escort (mai Ito:Oto bia@firehero.orq?subject=More Information About Being an Family Escort) NATIQNAL FALLEN FIREFIGHTBRs FouNDATIoN _. ....... ........................ _........... ... ......_ _... http://www.firehero.org/events/memorial-weekend/attending-memorial-weekend/fire-service/can... 10/16/2014 Thursday Events -National Fallen Firefighters Foundation Page 1 of 3 National Fallen Firefighters Foundation THURSDAY EVENTS On Thursday, Returning Survivors begin to arrive and prepare to greet and support new families. Members of the fire service pay special tribute by placing a wreath at the Tomb of the Unknown Soldier at Arlington National Cemetery. In the evening, Returning survivors gather for special dinner just for them. More Photos: 2014 Memorial Weekend — Thursday Activities (https:Hfl ic.kr/s/a Hsk4sMeat) F. I I I I 3 a http://www.firehero.org/events/memorial-weekend/thursday-events/ 10/16/2014 •eeoo Verizon LTE -;=, 11:00 AM 69% � firehero.org 6213. Letters mailed via US Mail will not be accepted. All letters must be re- ceived no later than September 12, 2014. Arlington Wreath Laying Be a part of the continuing tradition to kick off the National Fallen Firefighters Foundation Memorial Weekend. All ire service personnel are invited to attend the placement of a Memorial Wreath at the Tomb of the Unknown Soldier at Ar- lington Cemetery on Thursday October 91 2014 at fpm. For further information, please contact Amy Beechler at Amy.- VAhonorguard@aol.com. Onsite Registration and Credentialing VOUCHER NO. WARRANT NO. ALLOWED 20 Jason Reecer IN SUM OF$ $340.72 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#5/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 42-314.00 $47.23 1 hereby certify that the attached invoice(s), or 1120 43-430.03 $293.49 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 (IrT 'A n nn4g, e 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) I 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)) $47.23 Family Escort Nat'l Fallen FF Memorial $293.49 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