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Home My WebLink About238607 10/28/14 1y o!.4:1q�f / ,• CITY OF CARMEL, INDIANA VENDOR: 363862 ONE CIVIC SQUARE JASON FORCE CHECK AMOUNT: $*******260.00* CARMEL, INDIANA 46032 21589 OVERDORF ROAD CHECK NUMBER: 238607 99'�TpN` ` NOBLESVILLE IN 46062 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 REIMB 260.00 EXTERNAL TRAINING TRA �tv°F mai CITY OF CARMEL Expense Report (required for all travel expenses) �aouN* EMPLOYEE NAME. DEPARTURE DATE: TIME: y AM PM DEPARTMENT: ��-�9 RETURN DATE: TIME: PM REASON FOR TRAVEL: DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIE ✓ Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 9/21/14 $32.50 $32.50 9/22/14 $65.00 $65.00 9/23/14 $65.00 $65.00 9/24/14 $65.00 $65.00 9/25/14 $32.50 $32.50 $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 1 $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 m-nni $0.001 $0.001 $260.00 $0.00 = DIRECTOR'S STATEMENT: h reb rm°t at ,n Ppted conform to the City's travel policy and are within my department's appropriated budget. Director Signature: AA� OCT Date: 7 zo1k City of Carmel Form#ER06 Revision Date 10/24/2014 Page 1 Account: 361459358 Comfort inn (01'1525) Date: 9/25/14 1800 Hill Road North Room: 203 eAR Comfol Pickerington,OH 43147 Arrival Date: 9/21/14 (614)575-9900 Departure Date: 9/25/14 a Y CHOICE HOTELS GM.OH525@choicehotels.com Check In Time: 9/21/14 7:35 PM VANVOORST,ROBERT Check Out Time: Rewards Program ID: 23402 MULEBRN RD You were checked out by: Sheridan,IN 46069 You were checked in by: bt Total Balance Due: 0.00 �F -_.>.__�.-:—..._,�-u._--.-�<-1.-.cc _:._e.3�,.x....-..i�c-ucu+ .•"•i=>ivzv::^_.v--.::_::--....::!_::iv�: 9/21/14 Room Charge #203 VANVOORST,ROBERT 94,99 9/21/14 State Tax 7.12 9/21/14 City/County Tax 7.12 9/22114 Room Charge #203 VANVOORST,ROBERT 94.99 9/22/14 State Tax 7.12 9/22114 City/County Tax 7.12 9/23/14 Room Change #203 VANVOORST,ROBERT 94.99 9/23114 State Tax 7.12 9/23114 City/County Tax 7.12 9124114 Room Charge #203 VANVOORST,ROBERT 94.99 9124/14 City/County Tax 712 9/24114 State Tax 9/25114 hent (436.92) XXXXXXXX)D •:.:::: rte:'--"'�.-�Tlui'^ _ - :2-':.>„ Q'IY-y_ bsri.: �+.rr`-•'-lig _ e:Y.`.. - -�l�K'*l: `. .%.:F. v.>.<r-.vc....m.e:.._u.s- .. ..._Vic. _..�.........�... •:a:.: ...._ ..r vN -_ - _ Room Charge 379.96 State Tax 2848 City/County Tax 28.48 This rate is eligible for partner rewards. If this rate is changed,you may no longer be entitled to partner rewards- If payment by credit card.I agree to pay the above total charge amount according to the carni issuer agreementard- x CHarCEprWileges- You Could be earning tree nights and other great rewards. Join Choice Privileges today,at www>Choicel�ileges-som- Thank you for your stay,Visit ChoiceHntels.comNeriftedReviews to post your comments about your recent experience(Click the Wile a Review'button) TUITION INFORMATION REGISTRATION CLOSES SEPTEMBER 12, 2014 Late registration rate will be required. $20 per day/class. FULL PACKAGE Includes the 5 day symposium, daily lunch, and the Wednesday night Banquet: $385.00 Daily Rate Any Class................................................ $130.00 The Wednesday Night Banquet- ADDITIONAL TICKETS ...................... $25.00 TOTAL ENCLOSED Late Registration 'after 9-12-14 Full Week.................. $100.00 Per Day/Class...................................... $20.00 TOTAL INCLUDING LATE REGISTRATION Send registration form along with full tuition or payment verification: (for example, purchase order number from your employer) Registration: Monday 7:30 AM Welcome & General Assembly: Monday 8:30 AM to 5:30 PM Class Times: Classes are Tuesday thru Thursday from 9 AM to 4 PM, with one hour for lunch and two 15 minute breaks. Friday 9 AM - 12 PM Lunch will be in the Ohio Fire Academy cafeteria. Meal tickets will be issued to each student. Some classes are limited in size due to hands-on training. Register early, classes will be filled on a first come, first served basis. Class registrations must be postmarked by September 12, 2014. Certificates of attendance will be awarded upon payment of all fees and verification of attendance. Students are responsible for providing suitable personal protective equipment, i.e., eye protection, hearing protection, as may be needed for the hands-on portion of any class. O.A.E.V.T. reserves the right to cancel or substitute classes due to conditions beyond our control. Reasonable efforts have been made to confirm the classes and instructors scheduled. Please call Pat Guhde (440) 476-8707 or E-mail at pguhde@AOL.com 4 ATTENDEE REGISTRATION FORM 2014 OHIO ASSOCIATION OF EMERGENCY VEHICLE TECHNICIANS EMERGENCY APPARATUS MAINTENANCE SYMPOSIUM NOTE: PLEASE PRINT or TYPE all information. This form must be filled out completely or it will be returned to you. DEADLINE for registration is September 12, 2014. All late registrations after 9-12-14 will be required to pay a fee of$20 per day/class or $100 total for the week. Full registration refund prior to 8-31-14. 50% refund prior to 9-5-14. No refund after 9-5-14. Name .JcipeCC Preferred/Address 215 95 9 DJ clz b oR JE AN City /y6 T3L ES])t t(_ F State Zi11 Zip L16 Cell Phone FT) &V - qZ 83 Work Phone (3)77) �E)-4 1 - 2& `D E-mail J- Fire De l Agency / Company e/ f r l e A-4eT - Address 7�Dv Cry+ c SCROA,>E le-./ Zip Do you plan to attend Wednesday night Banquet? ( ?C) Yes ( ) No How did you hear about this training symposium 4776W-66D «57 REGISTRATION Carefully fill out the registration form and send it along with full tuition or payment verification: (for example purchase order number from your employer) Ohio Association of Emergency Vehicle Technicians, Inc. P.O. Box 303 - Avon, Ohio 44011 Use class selection number— PLEASE indicate second choice! Monday Tuesday Wednesday Thursday Friday First Choice o (C) Second OS #* G Choice f 2 Form may be photocopied as needed. 3 i Ohio EVT Association Schedules Repair Symposium from Ohio Fire &EMS Expo Page 1 of 2 I 'I — FIREHOUSE MENU REINFOR WIN G�THE,FIREfNDC) CROMPION U}$TRY ° off • �. APPARATUS Ohio EVT Association Schedules Repair Symposium SOURCE:OHIO FIRE&EMS EXPO APR 6,2014 The Ohio Association of Emergency Vehicle technicians would like to announce the 22nd annual REQUEST MORE INFORMATION Emergency and Municipal Vehicle Maintenance and Repair Symposium to be held Monday September 22 thru Friday September 26 2014. The event is held at the Ohio Fire Academy in - , MPION Reynoldsburg,Ohio 8895 E.Main St 43068. INTERNATIONAL` Classes include-Legal Essentials for the EVT,Pump Repairs by Waterous,Basic to Advanced Electrical,Air Brake Repairs,A/C Systems,Diesel Engines,10 EVT BETTERBUILD A FIRE APPARATUS Prep Classes,Spartan Chassis,Sutphen Chassis and ( I Towers,KME Chassis and Aerial Classes,Kussmaul STAINLESS STEELS Electronics Troubleshooting and Repairs,Alternator and Electrical Maintenance,International Chassis, Nozzles and Valve maintenance and repair,Stemco Seal and Kingpin Clinic. Multiplex system troubleshooting,Roll Up&Shutter door repair and maintenance,Horton Ambulance,Fire Research Products,Class One Products,Oil&Fuel Classes,Tire and Wheel Maintenance&Inspection classes,and Hydraulic Rescue tool classes. EVTCC test site Thursday September 25 2014 @ 4 pm @ OFA Note:This is a tentative schedule. For more information and for a full calendar schedule,go to www.oaevt.org. Class tuition-$385.00 and includes lunch all week and the Wednesday Banquet dinner. New for 2014 The Host Hotel has been changed to the Best Western Executive Suites 1899 Winderly Lane, Pickerington,OH 43147 Confirmation#1385,with a special rate of$59.00 per night for all style rooms, which includes a full breakfast bar. Target Participants Maintenance Chief/Officers,Fire Fighters,Fire Mechanics,Technicians,Fleet Foreman, Fleet Managers,Municipal Technicians,Service Technicians and any other parties interested and responsible for vehicle and fleet maintenance and repairs at Fire and Public Works Departments for Cities, County,Township,and Village organizations.O.A.E.V.T:Safety through Education and Training. Post a new comment http://vrww.firehouse.com/press–release/l 1382040/ohio-evt-association-schedules-repair-sympos... 10/24/2014 VOUCHER NO. WARRANT NO. ALLOWED 20 Jason Force IN SUM OF $ $260.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE 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 CIM 2 7 0� Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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 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