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HomeMy WebLinkAbout246339 06/17/15 "- CITY OF CARMEL, INDIANA VENDOR: 00352934 b ONE CIVIC SQUARE ADAM HARRINGTON CHECK AMOUNT: $*******601.37 CARMEL, INDIANA 46032 19546 TRADEWINDS DRIVE CHECK NUMBER: 246339 a NOBLESVILLE IN 46062 CHECK DATE: 06/17/15 ',roN co DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 601.37 EXTERNAL TRAINING TRA OF 4`Tf FT G4,9,, N1ip CITY OF CARMEL Expense Report (required for all travel expenses) N01 AN P EMPLOYEE NAME: Adam Harrington DEPARTURE DATE: TIME: M M DEPARTMENT: FIRE RETURN DATE: TIME: \q AM/ PM REASON FOR TRAVEL: Sports & Special Events Incident Management DESTINATION CITY: Ft. Myers, FL 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 6/2/15 $45.00 $65.00 $110.00 6/3/15 $65.00 $65.00 6/4/15 $296.37 $65.00 $361.37 6/5/15 $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 $45.00 $296.37 $0.00 $0.00 $0.00 $0.00 $260.00 $0.006 •o DIRECTOR'S STATE : I h re affir t II exp es listed conform to the City's travel policy and are within my department. appropriated budget. UN Director Signature: Date: JJ 5 City of Carmel Form#ER06 Revision Date 6/15/2015 Page 1 I Snyder, Denise W From: Tunstill, Debbie - The Travel Agent <Debbie.Tunstill@thetravelagentinc.com> Sent: Tuesday, May 12, 2015 13:54 To: Snyder, Denise W Subject: Flight reservation (8C53DY) 02JUN15 IND-RSW Harrington/Adam C Hi Denise, Below is the Southwest confirmation. Have a nice day, Debbie Tunstill Personal Travel Advisor An Independent Affilate of THE TRAVEL AGENT Member of the Tzell Travel Group 630 West Carmel Dr. Suite 150 Carmel, Indiana 46032 317.805.5762 317.846.9619 800.347.2512 toll-free 317.805-5763fax Office Hours M, W,F 11 am-6pm Tuesday 9:00am- 6pm Saturday Ipm-4pm(By Appointment Only) debbie(d,thetravelazentinc.com "Virtuoso" Agency r SUPER 4 . SERVICE AWARD, ,•.pan c. From: Southwest Airlines [mailto:SouthwestAirlines@luv.southwest.com] Sent:Tuesday, May 12, 2015 1:26 PM To:Tunstill, Debbie-The Travel Agent Subject: Flight reservation (8C53DY) 102JUN15 I IND-RSW Harrington/Adam C You're all set for your trip! 1 X My Account I View My Itinerary Online FlightCheck In Check Change Hotel Online I Flight I Offers I Offers 1 Offers Ready for takeoff! [] Thanks for choosing Southwest®for your trip! You'll find everything you need to know _—` about your reservation below. Happy travels! — -- AIR Confirmation: 8C53DY Confirmation Date: 05/12/2015 Passenger(s) Rapid Rewards# Ticket# Expiration Est. Points Earned HARRINGTON/ADAM Join or Add# 5262107812212 May 11, 2016 1612 C I x I -------__ _ --— Rapid Rewards points earned are only estimates.Not a member-visit htto/Iwww.southwest.com/rapid rewards and !J sign up today! Date Flight Departure/Arrival Tue Jun 2 1097 Depart INDIANAPOLIS, IN(IND)on Southwest Airlines at 07:30 AM Arrive in FT.MYERS, FL(RSW)at 09:55 AM Travel Time 2 hrs 25 mins Wanna Get Away Sat Jun 6 3570 Depart FT. MYERS, FL(RSW)on Southwest Airlines at 7:00 PM x Arrive in INDIANAPOLIS, IN(IND)at 9:30 PM Travel Time 2 hrs 30 mins Wanna Get Away What you need to know to travel: • Don't forget to check in for your flight(s)24 hours before your trip on southwest.com or your mobile device.This will secure your boarding position on your flights. • Southwest Airlines does not have assigned seats,so you can choose your seat when you board the plane.You will be assigned a boarding position based on your checkin time.The earlier you check in,within 24 hours of your flight,the earlier you get to board. • WiFi,TV,and related services and amenities may vary and are subject to change based on assigned aircraft.Learn more. F-1 Remember to be in the gate area on time and ready to board: • 30 minutes prior to scheduled departure time:We may begin boarding as early as 30 minutes prior to your flight's scheduled departure time.We encourage all passengers to plan to arrive in the gate area no later than this time. • 10 minutes prior to scheduled departure time:All passengers must obtain their boarding passes and be in the gate area available for boarding at least 10 minutes prior to your flight's scheduled departure time.If not,Southwest may cancel your reserved space and you will not be eligible for denied boarding compensation. • If you do not plan to travel on your flight: In accordance with Southwest's No Show Policy,you must notify Southwest at least 10 minutes prior to your flight's scheduled departure if you do not plan to travel on the flight.If not,Southwest will cancel your reservation and all funds will be 2 forfeited. x Air Cost: 317.00 Carryon Items: 1 Bag+small personal item are free. See full details. Checked Items: First and second bags fly free.Weight and size limits apply. Fare Rule(s): 5262107812212: NON REF/NONTRANSFERABLE/STANDBY REQ UPGRADE TO Y. Valid only on Southwest Airlines.All travel involving funds from this Confirmation Number must be completed by the expiration date. Unused travel funds may only be applied toward the purchase of future travel for the individual named on the ticket.Any changes to this itinerary may result in a fare increase. Failure to cancel reservations for a Wanna Get Away fare segment at least 10 minutes prior to travel will result in the forfeiture of all remaining unused funds. IND WN FMY120.84MLNVVNR WN IND147.81RLNUPNR 268.65 END ZPINDRSW XFIND4.5RSW4.5 AY11.20$IND5.60 RSW5.60 J _ Learn About Our Get EarlyBird Boarding Processcp Check-InO Detailsq Cost and Payment Summary AIR-8C53DY Base Fare $ 268.65 Payment Information Excise Taxes $ 20.15 Payment Type: Univ Air Travel Segment Fee $ 8.00 Passenger Facility Charge $ 9.00 Date: May 12, 2015 September 11th Security Fee $ 11.20 Payment Amount: $317.00 Total Air Cost $ 317.00 3 Useful Tools Know Before You Go Special Travel Needs Check In Online In the Airport Traveling with Children Early Bird Check-In Baggage Policies Traveling with Pets View/Share Itinerary Suggested Airport Arrival Times Unaccompanied Minors Change Air Reservation Security Procedures Baby on Board Cancel Air Reservation Customers of Size Customers with Disabilities Check Flight Status In the Air Flight Status Notification Purchasing and Refunds Book a Car Book a Hotel Legal Policies& Helpful Information Privacy Policy Customer Service Commitment Contact Us Notice of Incorporated Terms FAQs Book Air!Book Hotel i Book Car I Book Vacation Packages:See Special Offers(Manage My Account This is a post-only mailing from Southwest Airlines.Please do not attempt to respond to this message Your privacy is important to us,Please read our Privacy Policy. All travel involving funds from this Confirmation Number must be completed by the expiration date. `Security Fee is the government-imposed September 11th Security Fee. See Southwest Airlines Co. Notice of Incorporation See Southwest Airlines Limit of Liability Southwest Airlines P.O.Box 36647-1CR Dallas,TX 75235 Contact Us Copyright 2015 Southwest Airlines Co.All Rights Reserved. I 4 ♦j + Lighthouse Resort Inn & Suites Guest Registration Form 1051 5th Street Fort Myers Beach, FL 33931 Reservation # 4919201 Phone : +i 239Folio Name : Guest Folio Fax : +1 239-765-5297 [IGI�'HOuSIi Ism Email : info@lighthouseislandresort.com 0���) Website : http://www.lighthouseislandresort.com/ Illll R116 Guest Name :Adam Harrington Property Lighthouse Resort Inn &Suit Company Room Deluxe Junior Suite : 302 - 3rd FL Address 19546 Tradewinds DR WtrFll Pool Noblesville, IN 46062 Arrival Tue Jun 02, 2015 -4 Night(s) Phone : +1 317-442-3166 Departure Sat Jun 06, 2015 Alt # Guests 1 Adults/ 0 Children Fax Email : Usapilgrim@gmail.com Rate Information Date Category Description, , Room Amount 4/28/15 Name: Adam Harrington Deluxe Junior Suite : $ 115.00 Account #: 302 - 3rd FL WtrFll Exp. Date: 10/16 Pool 6/2/15 Room Charge Manual Override Deluxe Junior Suite : $ 115.00 302 - 3rd FL WtrFll Pool 6/2/15 Room Discount Room Discount Deluxe Junior Suite : $ -47.70 302 - 3rd FL WtrFll Pool 6/2/15 Name: Adam Harrington Deluxe Junior Suite : $ 361.52 Account #: 302 - 3rd FL WtrFll Exp. Date: 10/16 Pool 6/3/15 Room Charge Manual Override Deluxe Junior Suite : $ 115.00 302 - 3rd FL WtrFll Pool 6/4/15 Room Charge Manual Override Deluxe Junior Suite : $ 115.00 302 - 3rd FL WtrFll Pool 6/5/15 Room Charge Room Charge - Deluxe Junior Suite : $ 132.00 302 - 3rd FL WtrFll Pool Room Charges $ 429.30 Incidentals $ 0.00 Taxes &Service Charges $ 47.22 , Total $ 476.52 Payments $ 476.52 Balance $ 0.00 Payment Authorization I agree to pay indicated total amount below according to card issuer agreement. Amount $ 115.00 Payer Adam Harrington Signature Account # Date I agree to pay indicated total amount below according to card issuer agreement. Amount $ 361.52 Booked on:Tue Apr 28,2015 08:36PM By :AGaddls Printed on : Mon Jun 08,2015 11:33AM _ '} CE'IeC Lighthouse Resort Inn & Suitesw Guest Registration Form 1051 5th Street 0 Reservation # : 4919201 Fort Myers Beach, FL 33931 Phone : +1 239-463-9392 ; Folio Name : Guest Folio Fax : +1 239-765-5297 1,16THOHS� 50PT Email : info@lighthouseislandresort.com Website : http://www.lighthouseislandresort.com/ Inn ;`Ill�bl Payer Adam Harrington llll UIIJ Signature Account # Date Notes Subject DetailActon, < Policy Information Check-In time is after 3:OOpm Check-out time is before 11:00am Must be 23 or over to register into the hotel. All rooms are non-smoking,$250.00 fee charged to any room smoked in. Children under 17 stay free with paying adult.Extra person fees are charged at$15.00 per person. Early departures are subject to a$25.00 cancellation fee. Late check-out may be available based upon availability on the date of departure. Late check-out fee is half the posted rate for the specific room. You may stay up to UOpm if available. Free self parking is available for one(1)vehicle per room.Additional paid parking is available adjacent to the hotel. Small pets 15lbs or less are welcome.There us a fee of$25 per day added per pet. Housekeeping will not service your room if there is a pet left in the room unattended. We ask if you leave your pet in the room unattended,that the pet is kept in a cage. Pets making too much of a disturbance may result in a request to remove the pet or check-out of the hotel Deposit Policy:One(1)deposit required for all advance reservations. Cancellation Policy:$25.00 fee for all reservations cancelled more than three(3)days prior to arnval. Cancellations inside three(3)days prior to arrival will forfeit the entire deposit. Booked on :Tue Apr 28,2015 08:36PM By: AGaddis Printed on : Mon Jun 08,2015 11:33ANI i fn'tJ.Centef Fr„vcred P" HOTEL ROOM CALCULATIONS FT. MYERS, - HARRINGTON EVENT INCIDENT MANAGEMENT CLASS HARRINGTON TOTAL ROOM PER NIGHT ADDT'L FEES- DATES RATE TAX RATE TAX AMOUNT W/TAX RESORT TOTAL 6/2/2015 $89.00 11.000% $ 9.790 $98.75 6/3/2015 $89.00 11.000% $ 9.790 $98.75 6/4/2015 $89.00 11.000% $ 9.790 $98,79 6/5/2015 PERSONAL PERSONAL TOTAL STAY-NUMBERS WERE ROUNDED IN FORMULAS $296.3700 Employee is choosing to upgrade room at his expense. Department paying the$89 a night rate. Snyder, Denise W From: Adam Harrington <usapilgrim@gmail.com> Sent: Tuesday, May 05, 2015 23:57 To: Snyder, Denise W Subject: Re: Lighthouse Resort Inn & Suites Reservation Confirmation They had a studio that she said was in the old part of the resort & very small for$89 a night. I don't have a problem paying the difference. Sent from my iPhone On May 5, 2015; at 12:31. Snyder, Denise W <DSnyder(c—Dcarmel.in.gov> wrote: This is a deluxe junior suite. Is that what they consider their normal room? I tried looking on the website, but am not finding a whole lot of information. From: Adam Harrington [mailto:usapilgrim gmail.coml Sent: Tuesday, May 05, 2015 12:24 To: Snyder, Denise W Subject: Fwd: Lighthouse Resort Inn & Suites Reservation Confirmation Sent from my iPhone Begin forwarded message: From: "reservations&,lighthouseislandresort.com" <reservationsCc-lig hthouseislandresort.com> Date: April 28, 2015 at 20:01:29 CDT To: "usapilgrimAmmail.com" <usapilgrimCa)_gmail.com> Cc: reservationsa_Jig hthouseislandresort.com Subject: Lighthouse Resort Inn & Suites Reservation Confirmation Confirmation Number: 241134380 Welcome -- - Dear Adam Harrington: Thank you for choosing the Lighthouse Resort Inn & Suites for your upcoming trip to Fort Myers Beach. Please look over your reservation information carefully and contact us immediately of any discrepancies. Please do not hesitate to call us if you have any questions or concerns regarding your upcoming stay at our resort. We look forward to welcoming you and wish you a most enjoyable stay. Sincerely, Lighthouse Resort Inn & Suites 239-463-9392 LighthouseresortAvahoo.com Www.lighthouseislandresort.com Guest Info Credit Card Info Adam Harrington Card Type: Phone:3174423166 Expiration Date:xx/xx 19546 Tradewinds Dr Card Holder:Adam C Harrington Noblesville,Indiana 46062 UNITED STATES 2 Reservation Info Chargef Confirmation Number:241134380 USD 429.30 Book Date:April 28,2015 Number of Rooms: 1 Number of Adults: 1 Number of Children:0 Number of Infants:0 Check In:June 2,2015 Check Out:June 6,2015 Total Stay:4 night(s) WEB Room Type:Deluxe Junior Suite Deluxe Junior Suite... Built in 2001,The Deluxe Junior Suites Offers Two Queen Beds.A Sofa Sleeper, Fully Equipped Kitchen,And Dining Area For 4.This Is All In One Big Room.The Junior Suite Also Offers A Spectacular View Of The Swimming Pool. The Kitchen Has A Full Size Refrigerator,Two Burner Stove Top,Microwave,Toaster,and Coffee Maker.We Also Supply Plates,Cups,Glasses,Pots&Pans,And Utensils For Your Convenience. The Deluxe Junior Suite Will Accommodate Up To 6 People. Rates Are Based Upon 4 People, $15.00 Per Person Extra Fee For Up To 6 People. Room Amenities: • Air Conditioned • Alarm Clock • Balcony • Bathtub • Coffeemaker • Efficiency • Fire Alarm with Light • Grab Bars in Bathrooms • Hairdryer In Room • Iron • Ironing Board • Kitchenette • Kitchen • Knock Light(Hearing Impaired) • Modem in Room • Microwave • Modem Jack • Pool View • Queen Bed • Refrigerator • Shower • Sitting Area • Smoke Detectors • Sofa Bed • Telephone • Terrace • Temperature Control • Toilet • TV • Cable TV • TV Remote Control Daily Rate:Manager's Online Special • 06/02/2015----USD 103.50 3 i 0 06/03/2015 --USD 103.50 • 06/04/2015 -—USD 103.50 0 06/05/2015 --USD 118.80 Check in time after 3:00 PM Check out time before 11:00 AM Rates subject to change. All rooms are non smoking.Guests found smoking in room will be charged$250.00 Children under 17 years of age stay free with an accompanied adult. Extra adult is available at a charge of$15 per adult. (See room descriptions for more detailed information.) Early departures will result in a$25 cancellation fee. Late checkout is available at a charge. Late checkouts are arranged only on the day of departure. If available,the charge is 1/2 the posted rate for that room.Checkout time is extended to 6pm. Free self parking for ONE vehicle per room permitted. Additional outdoor parking is available at a charge. Standard food and beverage gratuity tax is 15-18%. Must be 23 or older to register into the hotel. Small pets allowed,additional fees required. (15lbs Or Less,$25.00 Per Day Fee Per Pet.) Cancellation Policy:USD 25 Cancellation fee for all reservations cancelled more than three days prior to arrival.Cancellations inside 3 days prior to arrival will forfeit the entire deposit. Deposit Policy:All reservations require a one night credit card deposit at the time of booking. Enhancements: USD 0.00 NIA t\'�a Tax USD 47.22 Total Charge USD 476.52 Service Requests Comments or Special Request N/A Hotel Info Hotel Description Lighthouse Resort Inn $ Suites Rating:3 Star Over 200 Palm trees are located upon this tropical island resort.Lush 1051 5th Street landscaping and crushed shell walkways and picnic areas with charcoal Fort Myers Beach,Florida 33931 grills will take you away from the typical motel experience and allow you United States to truly forget you are still in Florida.Two swimming pools;one next to Phone: 1-239-463-9392 our world famous Tiki bar,which serves breakfast lunch and dinner,with Fax: 1-239-765-5297 a full liquor bar and live nightly entertainment.And the other pool Checkin Time:3 PM features a relaxing 10ft waterfall and lush tropical landscaping. Checkout Time: 11 AM Airport Direction • RSW Fort Myers,Florida 20.0 Mites West • TPA Tampa,Florida 150.0 Miles South 4 • MIA Miami, Florida 150.0 Miles West Ref:241134380/302004043' i F�"� ecµuuup Fepstri.x+gr.c.w.sarive:..R1•�'ij:x' *TLCtiSpsNaMf�w+ia.� t Q Q�' TEXAS A&M ENGINEERING CK(I Ntil11N 5(RVI;"i („qry• E'bf�• Servxe+• fle_+aucea• /.DUA tlP• Laxav}1.•f EUO.- Sports And Special Events Incident Management C:`mots MGT404.16.60 Hours Schedule B Oaraaa 3431F1Dt3.a1d0(S DK3R=Mf1 FP MaraOa M •DIAp MA7016•MA MS HpgW Nl FP mcr4d 86 •DeU f MY2O1S•S'Q7M'1S Uom 3C FP ktGTaOa 7} a QC4. 6{107016.6^d2D1} F-W6 A FP WW406 82 ®oers 6Ww15-Gw.?(6 FOR WyM FL FP N{.T4485 Address tr1sovctor .G6 CA Cmng,m owaam Robin 11a610 261}Ow— Stan TDM roe11af—-4=qw 6 oo Amwwn[6Gay.J1+M 3.2015 OapP Bomb M12015•01101M(3 8O> MA FP NG7aM 83 IF De 6x16701}•H17I1D1! MIFgb6TX FP MUT44 60 _( C CMU1upd..H'1'M rage 1 of Z instructor Facility Contract Contact Sponsor CEU Options Sessions Course Feedback I--, Runt Update Class Information ('denotes a required field) Class Code FP - MGT404 - 85 Class Information - Class Fields Class Session Name Sports and Special Events Incident Manage Class Certificate Name Sports and Special Events Incident Management Class Start Date* Class End Date* Session Hours* 0610312015 06/04/2015 16 Min Students Max Students * Enrollment Status* 40 40I open [-- Approval Number Class Start Time* (military projected Enroll HHMM) aoo C� CertificateEE,,1lxpiration Date Held Status Class Component 00/0010000 In Progress v L 1 General Information Class Information - Financial Fields Project* Task* Cost Code* 4-02526 Select Proi 13024 Select Task 0250 MGT404 SSEIM MGT404 15.06.04 FT MYERS,FL Fee Per Student Class Fee Class Cost o.00 0.00 0.00 Class Information - Web Fields Display on Web Start Date (Date class will be added to the Display on Web End Dr web) web) 1210112014 � O6104f2015 Accept OLR Registrations? OLR Registration End Date OLR Regis CutOff Timf (HHMMSS) smYes 06/02/2015 800 Group Discount Price # Students for GroupDiscount o.00 oC-] https://shb-smsl.teex.tamus.edu/express30/sitefT'EEXAPPS 3/23/2015 i t-1 ,1v1k-Iupa.H I M rage z oz Class Note (this field will appear on the web) Class Note Area Two Linked Class YIN Linked Class OLR Note YIN OLR Note (this field will appear on the first OL.R page) <p align="left">Students participating In FEMA provided training are required to provide the Student Identification(SID)number starting]anuary 1,2013. Your FEMA SID uniquely idea Yes you throughout the FEMA organization and all of Its agencies. It serves as your personal identification number and combines all of your FEMA training records under one account to s tracking of all your FEMA training accomplishments.c/p> OLR Confirmation Note YIN OLR Confirmation Note (this field will appear on the O No "v OLR URL https://teexweb.tamu.edu/olr.asp? &CTCD=FP&A9CD=MGT404&AONB=85&WS PARM LIST=CTCD&A9CD&AONB Facility Facility Name 5348 - Lee County Emergency Operation Address Line 1 2675 Ortiz Avenue City/State/Zip Fort Myers FL 33905 County Lee Country USA Phone Number 239-229-1284 Instructors Instructor Code - Name Lead Instructor 5911 - Robert Mathis Yes 9725 - Mike Caruso No update Rewm Last Updated: WebUser 03/15/2015 10:18:14 OLRVALTIGR file: CCMClupd.HTM https:Hshb-smsI.teex.tamus.edu/express30/site/TEEXAPPS 3/23/2015 �.� ivt.3 i L vr.1-i ivi rugc i ut 1 History Student Code 1302357 (-denotes a required field) Update Student First Name* Middle Name Last Name* Suffix Birt Adam —� Harrington l I I 00/00J Affiliation Information Affiliation* Carmel Fire Department Select Affiliation Affiliation Address 1 2642 Flying Cloud Ct. Affiliation Address 2 Affiliation Citi/ Affiliation State Affiliation Zip Code Affiliation Cow Anderson IN 46011 USA Student Address Address Line 1 19546TradewindsOr Insert Affiliation Address Address Line 2 City* State* Country* Zip Code Noblesville IN USA 46062 Other (Education Level Handicap Status US Citizen? Veteran Status Unknown No —� Yes Pvl INO Release Info Race Sex Job Title No I v select I Planning Sedion Chief Non USA Stdid TCOLE PID# DHS/FEMA SID# TCFP FIDO# c:----= 10000524393 1 1 -- Contact Information Phone i Number Phone 2 Number Fax Number E-Mail Address 3175712600 3174423166 1 13175712615 lahardngton@carmet.in.gov Update Ren m Select To Registration Batch Last WebUser OLRValTIGR 03/15/2015 10:18:14 Updated: file: CCMSTDUP.HTM https:Hshb-smsl.teex.tamus.edu/express30/site/TEEXAPPS 3/2312015 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)) $601.37 1 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 Adam Harrington IN SUM OF $ $601.37 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 43-430.02 $601.37 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 JUN95 2015 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund