245949 06/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 357618
ONE CIVIC SQUARE THOMAS PAYNE CHECK AMOUNT: $*******260.00*
CARMEL, INDIANA 46032 6572 W CHARLESTON WAY CHECK NUMBER: 245949
MCCORDSVILLE IN 46055 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 260.00 EXTERNAL TRAINING TRA
KQ �
CITY OF CARMEL Expense Report (required for all travel expenses)
SHO I�N P
EMPLOYEE NAME: Tom Payne DEPARTURE DATE: - - \S TIME: / PM
DEPARTMENT: FIRE RETURN DATE: TIME: AM
REASON FOR TRAVEL: KTA Symposium DESTINATION CITY: Lewisville, TX
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Meals
Date Gas/Tolls/ Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
5/6/15 $65.00 $65.00
5/7/15 $65.00 $65.00
5/8/15 $65.00 $65.00
5/9/15 $65.00 $65.00
$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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $260.00 $0.00 .
DIRECTOR'S STATEMENT: I hft affirm thatall expens s listed conform to the City's travel policy and are with°��' m' department's appropriated budget.
- 1 2015
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 6/1/2015 Page 1
Hilton 785 S.H.121
Garden Inn® LEW- E,TX 75067
OTELEPHONE(972)459-46004600 • FAX(972)459-4633
RESERVATIONS
NAME&ADDRESS www.hilton.com or 1 800 HILTONS
REPPERT,IAN ROOM 234/Q2
123058 CALBISTON DRV ARRIVAL DATE 5/6/2015 11:48:OOAM
FISHERS,IN 46037
US DEPARTURE DATE 5/9/2015 3:03:OOPM
ADULT/CHILD 2/0
ROOM RATE
$110.00
RATE PLAN C-KEEP1
Hhonors#
AL:
CONFIRMATION NUMBER: 3168690431
5/19/2015 PAGE 1
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
5/2/2015 CHECK[XFR FR H958- DWLOFTIS 1196617 $445.78
KTA-PADDOCK,VOSKUHL,:RCPTA]
(NUMBER 242294)
5/6/2015 GUEST ROOM CMAUZY 1198697 $110.00
5/6/2015 STATE OCCUPANCY TAX CMAUZY 1198697 $6.60
5/6/2015 CITY OCCUPANCY TAX CMAUZY 1198697 $7.70
5/7/2015 GUEST ROOM CMAUZY 1199228 $110.00
5/7/2015 STATE OCCUPANCY TAX CMAUZY 1199228 $6.60
5/7/2015 CITY OCCUPANCY TAX CMAUZY 1199228 $7.70
5/8/2015 GUEST ROOM SANDY 1199685 $110.00
5/8/2015 STATE OCCUPANCY TAX SANDY 1199685 $6.60
5/8/2015 CITY OCCUPANCY TAX SANDY 1199685 $7.70
5/11/2015 REFUND PAYABLE OPALMER 1200645 $72.88 0
BALANCE $0.00
L
ACCOUNT NO DATE OF CHARGE FOLIO
245317 A
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&MISC
TOTAL AMOUNT O
MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PAYMENT DUE UPON RECEIPT
Snyder, Denise W
From: Snyder, Denise W
Sent: Friday, February 13, 2015 13:40
To: Payne,Thomas C
Subject: FW: Confirmed Flight for Thomas Payne
Tracking: Recipient Read
Payne,Thomas C Read:2/13/2015 14:36
-----Original Message-----
From:Tunstill, Debbie-The Travel Agent [mailto:Debbie.Tunstill@thetravelagentinc.com]
Sent:Thursday, February 12, 2015 23:25
To:Snyder, Denise W
Subject: Confirmed Flight for Thomas Payne
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: FEB 12 2015
ACCOUNT Z1RS4Q 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
-----------------------------------------------------------------------
06 MAY 15-WEDNESDAY MILES- 432 ELAPSED TIME-1:30
AIR LV INDIANAPOLIS 1000A DELTA FLT: 796 ECONOMY CONFIRMED
AR ATLANTA 1130A NONSTOP
,RESERVED SEATS 22B
AIRLINE CONFIRMATION:DL-HZ6PGN
MILES- 732 ELAPSED TIME-2:24
AIR LV ATLANTA 1230P DELTA FLT:1171 ECONOMY CONFIRMED
AR DALLAS/FT WOR 154P NONSTOP
RESERVED SEATS 18C
AIRLINE CONFIRMATION:DL-HZ6PGN
09 MAY 15-SATURDAY MILES- 732 ELAPSED TIME-2:03
AIR LV DALLAS/FT WOR 1200N DELTA FLT:1710 ECONOMY CLA CONFIRMED
AR ATLANTA 303P NONSTOP
RESERVED SEATS 28D
AIRLINE CONFIRMATION:DL-HZ6PGN
MILES- 432 ELAPSED TIME- 1:35
AIR LV ATLANTA 505P DELTA FLT:2281 ECONOMY CLA CONFIRMED
1
AR INDIANAPOLIS 640P NONSTOP
RESERVED SEATS 22C
AIRLINE CONFIRMATION:DL-HZ6PGN
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.
DELTA CONF HZ6PGN
"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.TZELL41I.COM
THANK YOU. DEBBIE TUNSTILL 317 805 5762
------------------------------------------------------------------------------------------------
AIR TRANSPORTATION 248.37 TAX 63.83 TTL 312.20
PROCESSING FEE. 35.00
SUB TOTAL 347.20
CREDIT CARD PAYMENT 347.20-
TOTAL AMOUNT 0.00
BAGGAGE ALLOWANCE
ADT
DL INDDFW OPC
BAG I- 25.00 USD UPTO50LB/23KG AND UPTO62LI/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
MYTRIPAN DMORE.COM/BAGGAG EDETAI LSDL.BAGG
DL DFWIND OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
MYTRIPAN DMO RE.COM/BAGGAGEDETAILSDL.BAGG
CARRY ON ALLOWANCE
DL INDATL IPC
BAG 1- NO FEE PERSONAL ITEM
DL ATLDFW IPC
BAG 1- NO FEE PERSONAL ITEM
DL DFWATL 1PC
BAG 1- NO FEE PERSONAL ITEM
DL ATLIND IPC
2
Lewisville fire Uepartment tripes & lirums &I A -u 1:) i at;v 1 "1 -L-
A
yQi
2015 Keeping Tradition dive Honor Guard,
Pipes & Drums Symposium
May 7-8, 2015
PIPES and DRUMS ARE FULL!
We have about 2S Honor Guard Snots available.
If you are traveling from out of town do not makg travel
arrangements until you confirm re istrat!on with me. Once full
we will not be able make concessions. Space is at a premium.
In order to nnake this a positive experience we have to hold
true to our numbers! I apolooi:e in advance.
2015 Keeping Tradition Alive Symposium is May 7-8, 2015 in
Lewisville, TX. Last year we were filled to capacity and we expect the
same this year. The event will be the same format as last year.
Thursday will be opening ceremonies followed by a full day of
instruction. Friday will be instruction all day followed by the Old Town
Concert at City Hall.
We are planning on bringing back The Killdares and expanding the
food service. Last year was a huge success so plans are under way to
make sure this year is as successful as 2014.
The process of registration will be the same as years past. 2015 KTA
Registration Form is found here. It is a FDF and should be
downloaded, printed and mailed to address listed. EACH
PARTICIPANT needs a form filled out and payment must be received
http://Ifdpipesanddrums.com/index.html 5/11/2015
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tom Payne
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
JUN
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescdbed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, 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