244891 05/05/15 �`' ��p'' CITY OF CARMEL, INDIANA VENDOR: 027290
ONE CIVIC SQUARE ORBIE BOWLES CHECK AMOUNT: $*****1,423.72*
�� CARMEL, INDIANA 46032 7615 MARY LANE CHECK NUMBER: 244891
-9'M;f TUN.9t- INDIANAPOLIS IN 46217 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 623.72 EXTERNAL TRAINING TRA
1120 4357004 800.00 EXTERNAL INSTRUCT FEE
\1.�oecgq�
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Alto
CITY OF CARMEL Expense Report (required for all travel expenses)
-�NDIl1NP:
EMPLOYEE NAME: Orbie Bowles DEPARTURE DATE: -\3 -\S TIME: "N---�--ozLAM/ M
DEPARTMENT: FIRE RETURN DATE: TIME: AM/ M
REASON FOR TRAVEL: OSHA 501 Trainer Course DESTINATION CITY: Jasper, IN
EXPENSES ARE FOR ( apply):check all that TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
t/
Transportation Gas/Tolls/ Meals
Date _ Parkin Lodging f Misc. Total
Air-fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
$0.00
4/13/15 $25.00 $25.00
4/14/15 $50.00 $50.00
4/15/15 $50.00 $50.00
4/16/15 $50.00 $50.00
4/17/15 $800.00 $398.72 $50.00 $1,248.72
$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
1.
0.00
Total $0.00 $0.00 $800.00 $0.00 $398.72 $0.00 $0.00�g��� $0.00 X�9$0.00 $225.00 $0.00
DIRECTOR'S STATEMENT: 4eby m that all exp e' ses listed conform to the City's travel policy and are wlfPiliYmy d�p�ttt►1�nt's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 4/28/2015 Page 1
04-17-15
Matthew Hoffman Folio No. Room No. 133
5808 Sedgegrass Xing A/R Number Arrival 04-13-15
Carmel IN 46033-8630 Group Code Departure 04-17-15
United States Company LEISURE Conf. No. 65896029
Membership No. PC 230257335 Rate Code : IMGOV
Invoice No. Page No. 1 of 1
Date Description Charges Credits
I
04-13-15 *Accommodation 89.00
04-13-15 State Tax-Room 7% 6.23
04-13-15 Bed/Occupancy Room 5% 4.45
04-14-15 *Accommodation 89.00
04-14-15 State Tax-Room 7% 6.23
04-14-15 Bed/Occupancy Room 5% 4.45
04-15-15 *Accommodation 89.00
04-15-15 State Tax-Room 7% 6.23
04-15-15 Bed/Occupancy Room 5% 4.45
04-16-15 *Accommodation 89.00
04-16-15 State Tax-Room 7% 6.23
04-16-15 Bed/Occupancy Room 5% 4.45
04-17-15 398.72
Thank you for staying with us! Qualifying points for this stay will automatically be credited to Total 398.72 398.72
your account. Please tell us about your stay by writing a review here-www.ing.com/reviews.
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.
(Owned by K5 investment,LLC and operated by IPD Hospitality Management Inc.)
Holiday Inn Express Hotel&Suites Jasper
2000 Hospitality Drive
Jasper, In.47546
Telephone:(812)482-3344 Fax: (812)482-3346
From: Mid-America OSHA Education Center <trudy(aD_midamericaosha.org>
Date: March 30, 2015, 7:43:41 AM CDT
To: o.man _comcast.net
Subject: You have registered for OSHA 501 Trainer Course in OSHA Stds. for
Gen. Ind. - Jasper, IN!
Reply-To: Mid-America OSHA Education Center <trudy(cD_midamericaosha.o[g>
011sm Mid-America OSHA Education Center-
33i Greenwood Ln
Springbore,
TH.51ti114: 1t57iR;lli CENTO�_i 866-444-4412
www.midamerir-ausho.org
Orbie Bowles,
You have registered for OSHA 501 Trainer Course in OSHA Stds. for Gen. Ind. -
Jasper, IN beginning 04-14-2015 at 08:00 AM - 05:00 PM EDT which is held at Jasper,
IN - Hampton Inn.
The location address is: 55 3rd Ave
Jasper , Indiana 47546
United States
Your info is:
Carmel, Indiana 46032
United States
City of Carmel Fire Department
Phone: 3175712600
Email: o.man D-comcast.net
There are 1 people in your group:
Your registration price total is $ 800.00. You have paid $ 800.00, which leaves an
amount due of$ 0.00. You paid via PayPal.
Your selected login info is:
Username: 030119676671
You registered on 03-30-2015 and your status is Active with a payment status of Paid.
Confirmation #: OSHA-2142
We are looking forward to seeing you in class!
Trudy
AMERICAN
— ---- p.3/5
EXPRESS ORBIE H BOWLES
® Closing Date 04/19/15 --
Payments and Credits
Summary
Total
Payments $0.00_
Credits
Total Payments and Credits
Detail "Indicates posting date
Credits Amount
03/29/15*
New Charges
Summary
Total
Total New Charges
Detail
0 ® ORBIE H BOWLES
Card Ending 5-91000
Amount
03/30/15 PAYPAL*OHIOVALLEYC 4029357733 CA $800.00
402-935-7733
Description
PROFESSIONAL SERVIC
04/17/15 HOLIDAY INN EXPRESS JASPER IN $398.72
Arrival Date Departure Date
04/13/15 04/17/15
00000000
LODGING
Fees
Amount
Total Fees for this Period $0.00
LInterest Charged
Amount
Total Interest Charged for this Period $0.00
About Trailing Interest
You may see Interest on your next statement even if you pay the new balance in full and on time and make no new charges.This is called"trailing
interest."Trailing Interest is the interest charged when,for example,you didn't pay your previous balance In full.When that happens we charge
Interest from the first day of the billing period until we receive your payment in full,You can avoid paying interest on purchases by paying your
balance in full and on time each month.Please see the"When we charge interest"sub-section in your Cardmember Agreement for details.
Continued on reverse
OSHA 501 - OSHA Trainer for General Industry Page 1 of 2
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Trainer Course for General Industry-OSHA 501
OSHA 501 -Trainer Course for General Industry
lh
Course Description:
This course is designed for those who are interested in teaching the 10-hour and 30-hour General Industry safety and health outreach Gasses
to employees and other interested groups.Special emphasis is placed on those topics that are required in the 10-hour and 30-hour classes as
well as on those that are the most hazardous in non-construction industries.Course participants learn effective instructional approaches and the successful use of visual aids
and handouts.This course authorizes the student to become a trainer in the Outreach Program and to conduct both 10-hour and 30-hour general industry safety and health
courses,and to issue cards to participants verifying course completion.
Prerequisites:OSHA#511 OSHA Standards for General Industry and five years of general industry safety experience.A college degree in occupational safety and health,a
Certified Safety Professional(CSP),Certified Industrial Hygienist(CIH)designation may be substituted for two(2)years of experience.
OSHA#501 Prerequisite Eligibility Form
Additional Information
A completed prerequisite eligibility form and a copy of your OSHA#511 course certificate must be submitted prior to the Gass start date.Prior training experience is
recommended before taking this Gass.Students in OSHA#501 must prepare a presentation on an assigned OSHA general industry outreach topic and successfully pass a
written exam at the end of the course to become an authorized Outreach Trainer.It is highly recommended that you bring a laptop to Gass to work on developing your
presentations.
Continuing Education Units:
♦+CSP, I =OHST' �WCHST' �V&STB• --
;+
CET AB�I'I QC,U
BCSP COC Points-3.0 I
ABIH CM Points-4.34 Safety
OTC CEUs-3.0
Registration:
1.Register online and pay by credit card,check or purchase order.
2.Register by mail-Download class registration form.
3.Groups of 6 or more?Call 1-866-936-6742 for a group discount.
4.This class can be taught at your facility.Request an on-site quote.
Our Contact Information In the News
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Dublin,CA 94568 OSHA Training Center Gears Uo for National Safety Stand-Down
Phone:(866)936-6742 Lockout/Tagout Controls Hazardous Energy and Safeguards Workers
Fax:(925)249-9367
OSHA Training Center Offers Discounts)
http://osha4you.com/courses/osha-train-the-trainer/osha-trainer-course-for-general-industry-osha-... 4/28/2015
VOUCHER NO. WARRANT NO.
ALLOWED 20
Orbie Bowles
IN SUM OF $
$1,423.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-570.04 $800.00 1 hereby certify that the attached invoice(s), or
1120 43-430.02 $623.72 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 - 1A 2015
I
Ali
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))
$800.00
$623.72
I
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