246687 06/30/15 +or,Cqq*
�•/ �F. CITY OF CARMEL, INDIANA VENDOR: 368088
�{ ONE CIVIC SQUARE CORY ANDERSON CHECK AMOUNT: $*******342.50*
9, =q; CARMEL, INDIANA 46032 C/O CFD CHECK NUMBER: 246687
+,,,ioN�. CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 HAZ MAT CONF 342.50 EXTERNAL TRAINING TRA
c`
OF
, IN
CITY OF CARMEL Expense Report (required for all travel expenses)
�NOI�NP
EMPLOYEE NAME: Cory Anderson DEPARTURE DATE: TIME: A PM
DEPARTMENT: FIRE RETURN DATE: --ts \' TIME: `,Q Qsgg PM
REASON FOR TRAVEL: Hazardous Materials Conference DESTINATION CITY: Baltimore, MD
EXPENSES ARE FOR(check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM ✓
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
5/27/15 $25.00 $65.00 $90.00
5/28/15 $65.00 $65.00
5/29/15 $65.00 $65.00
5/30/15 $65.00 $65.00
5/31/15 $25.00 $32.50 $57.50
$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
Totall $50.001 1 $0.001 $0.00 $0.00 $0.00 1 $0.001 $0.001 $0.001 $0.001 $292.50 $0.00
DIRECTOR'S STATEMEN a i tha "enseted conform to the City's travel policy and are within my department's appropriated budget.
JUN 2 9 2015
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 6/24/2015 Page 1
HILTON BALTIMORE
401 WEST PRATT STREET
BALTIMORE,MD 21201
Hi I Ate► United States of America
TELEPHONE 443-573-8700 •FAX 443-683-8841
HOTELS a RESURTS Reservations
www.hilton.com or 1 800 HILTONS
ANDERSON,DONOVAN Room No: 1427/132RO
Arrival Date: 5/27/2015 4:44:00 PM
24315 TOLL GATE RD,,, Departure Date: 5/31/2015 5:07:00 PM
Adult/Child: 1/0
CICERO IN 46034 Cashier ID: AGKA11AGNIESZKA
UNITED STATES OF AMERICA Room Rate: 150.00
AL:
HH#
VAT#
Folio No/Che 736454 A
Confirmation Number:3167568462
HILTON BALTIMORE 5/31/2015 5:06:00 PM
DATE IDESCRIPTION ID I REF NO I CHARGES I CREDIT I BALANCE
3/16/2015 Advance Deposit CHECK-(number 242972) KLUBESKI 3059702 ($679.14)
5/27/2015 GUEST ROOM YAZCHIN 3150062 $150.00
5/27/2015 CITY TAX(R) YAZCHIN 3150062 $14.25
5/27/2015 STATE TAX(R) YAZCHIN 3150062 $9.00
5/28/2015 GUEST ROOM LAJOAI 3151207 $150.00
5/28/2015 CITY TAX(R) LAJOAI 3151207 $14.25
5/28/2015 STATE TAX(R) LAJOAI 3151207 $9.00
5/29/2015 GUEST ROOM LAJOAI 3152597 $150.00
5/29/2015 CITY TAX(R) LAJOAI 3152597 $14.25
5/29/2015 STATE TAX(R) LAJOAI 3152597 $9.00
5/30/2015 GUEST ROOM LAJOAI 3153896 $150.00
5/30/2015 CITY TAX(R) LAJOAI 3153896 $14.25
5/30/2015 STATE TAX(R) LAJOAI 3153896 $9.00
5/31/2015 AGKA1 3155278 ($13.86)
—BALANCE** $0.00
Page:1
Snyder, Denise W
From: Tunstill, Debbie -The Travel Agent <Debbie.Tunstill@thetravelagentinc.com>
Sent: Thursday, March 05, 2015 18:51
To: Snyder, Denise W
Subject: Confirmed Flight for Donovan Anderson
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: MAR 05 2015
ACCOUNT P9PFLW PAGE:01
FOR:
ANDERSON/DONOVAN 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
-----------------------------------------------------------------------
27 MAY 15-WEDNESDAY MILES- 429 ELAPSED TIME- 1:44
AIR LV INDIANAPOLIS 1025A US AIRWAYS FLT:4472 ECONOMY CONFIRMED
AR CHARLOTTE 1209P NONSTOP
RESERVED SEATS 21A
AIRLINE CONFIRMATION:US-D2FL1X
MILES- 362 ELAPSED TIME- 1:25
AIR LV CHARLOTTE 105P US AIRWAYS FLT:1970 ECONOMY CONFIRMED
AR BALTIMORE 230P NONSTOP
RESERVED SEATS 26A
AIRLINE CONFIRMATION:US-D2FL1X
31 MAY 15-SUNDAY MILES- 362 ELAPSED TIME- 1:23
AIR LV BALTIMORE 515A US AIRWAYS FLT:488 ECONOMY CONFIRMED
AR CHARLOTTE 638A NONSTOP
RESERVED SEATS 22A
AIRLINE CONFIRMATIOWUS-D2FL1X
MILES- 429 ELAPSED TIME- 1:43
AIR LV CHARLOTTE 754A US AIRWAYS FLT:4519 ECONOMY CONFIRMED
AR INDIANAPOLIS 937A NONSTOP
RESERVED SEATS 21A
AIRLINE CONFIRMATION:US-D2FL1X
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.
US AIRWAYS CONF D2FL1X
i
"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.TZELL411.COM
THANK YOU. DEBBIE TUNSTILL 317 805 5762
AIR TRANSPORTATION 225.12 TAX 59.08 TTL 284.20
PROCESSING FEE 35.00
SUBTOTAL 319.20
CREDIT CARD PAYMENT 319.20-
TOTAL AMOUNT 0.00
BAGGAGE ALLOWANCE
ADT
US INDBWI OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
MYTRI PAN DMO RE.COM/BAGGAG EDETAI LSUS.BAGG
US BWIIND 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/BAGGAG EDETAILSUS.BAGG
CARRY ON ALLOWANCE
US INDCLT 213C
BAG 1- NO FEE UPTO45LI/115LCM
BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE
US CLTBWI 2PC
BAG 1- NO FEE UPTO45LI/115LCM
BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE
US BWICLT 213C
BAG 1- NO FEE UPTO451-I/115LCM
BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE
US CLTIND 2PC
BAG 1- NO FEE UPTO451-I/115LCM
BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE
BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/
ONLINE CHECKIN/FORM OF PAYMENT/MILITARY/ETC.
2
Gmail- Your Receipt Page 1 of 3
Cory Anderson <canderson680@gmail.com>
Your Receipt
US Airways Web Check In <reservations@email-usairways.com> Sat, May 30, 2015 at 7:02 AM
To: canderson680@gmail.com
AIRWAYS
Here's your receipt
Thanks for saving time and checking in online.
Please print this receipt or save the email for your records.
Scan at any US Airways kiosk to check in
Next stop:the airport. See terminal information and find your way.
Confirmation code: 1321FL1X
Donovanc Anderson i
$48.00 USD
Bags 1st bag 2nd bag
Baltimore, MD to Indianapolis, IN 1 x$25.00 $25.00
Bags total $25.00 USD
Donovanc Anderson $26.00
Charged to Donovan C Anderson You paid i
l
i
https://mail.google.com/mail/u/0/?ui=2&ik=abaa84e 8e6&view=pt&search=inbox&msg=14... 6/3/2015
Gmail- Your Receipt Page 1 of 2
Cory Anderson <canderson680@gmail.com>
by; 003
Your Receipt
US Airways Web Check In <reservations@email-usairways.com> Tue, May 26, 2015 at 12:28 PM
To: canderson680@gmail.com
flook3ravelTravel tools � A��itantaf�e USAinnoysV6ca ans
Here's your receipt
Thanks for saving time and checking in online.
Please print this receipt or save the email for your records.
Scan at any US Airways kiosk to check in
Next stop:the airport. See terminal information and find your way.
Confirmation code: D2FL1X
Bags 1st bag 2nd bag
f
Indianapolis, IN to Baltimore, MD 1 x$25.00 $25.00
Bags total $25.00 USD
Donovanc Anderson
I
L-►. Charged to Donovan C Anderson You paid
Your flight
Depart: Indianapolis,IN (IND) Baltimore,MD (BWI)
Date:Wednesday,May 27,2015
https://mail.google.com/mail/u/0/?ui=2&ik=abaa84e8e6&view--pt&search=inbox&msg=14... 6/3/2015
•
Sn der Denise W
Y
Event Customer Service <email confirm confmail.ex erient-inc.com>
From: _ @
P
Sent: Tuesday, March 31, 2015 09:59
To: Anderson, Cory D
Cc: Snyder, Denise W
Subject: International Hazardous Materials Response Teams Conference 2015 Confirmation
(HAZ151:1209}
HAZARDOUS
. r
2615MATERIALS • BaltimorePAD
Response Teams OQnference
Please do not reply to this e-mail. It was sent from an automated system. ***
Confirmation
Dear Cory Anderson:
Thank you for registering for the International Hazardous Materials Response Teams Conference. The conference will be
held Thursday, May 28 through Sunday, June 1, 2015, in Baltimore, Maryland.
Your badge, as well as other pertinent information, can be retrieved at the conference registration desk at the Hilton
Baltimore beginning on Wednesday, May 27th.
Hotel Accommodations:
The conference hotel is the Hilton Baltimore (401 W. Pratt Street, Baltimore, MD 21201). We encourage you to book your
hotel room now to ensure availability at the conference rate.
To book your hotel room on-line please visit the customized -group reservation link
Profile
Confirmation ID: 1209
Cory Anderson
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
In the event you do not receive your badge prior to the show, bring this confirmation to an onsite
registration location. Just scan the barcode at any Express registration counter and your badge
1289 will be printed and waiting for you at badge pick-up. Valid photo ID will be required.
Registration Detail
1
Cory Anderson
Registration Type: Conference, On or Before 4/28/15
Description Date-Time Item Total
Registration (Qty: 1) $395.00
May 28
PC12: MC-307 & DOT-407 Cargo Tank Emergency Response-Tank Truck 101 (Qty: 1) 2015 $0.00
8:OOAM
May 28
PC19: Energy Releasing Materials-The Things That Can Kill You (Qty: 1) 2015 $0.00
1:OOPM
May 29 _
General Session: The Hazmat Team Leader: Who's Laughing Now? (Qty: 1) 2015 $0.00
9:OOAM
May 29
102: HMEIQ Part 1 of (Qty: 1) 2015 $0.00
12:30PM
May 29
102: HMEIQ Part 2 of 2 (Qty: 1) 2015 $0.00
2:10PM
May,30
313: Tricks of the Trade (Qty: 1) 2015 $0.00
8:OOAM
May 30
412: Shock and Awe for your Hazmat Training Program (Qty: 1) 2015 $0.00
9:30AM
May 30
511: The Role of the Hazmat specialist in Urban Search and Rescue (Qty: 1) 2015 $0.00
12:30PM
602:Working with the FBI Technical Hazards Response Unit at Terrorism/Criminal Incidents May 30
(Qty: 1) 2015 $0.00
2:10PM
614: Hospital First Receiver Operations for Fire Departments and Hazmat Responders Part 2 ofMay 20 530 $0.00
2 (Qty: 1) 3:50PM
Total Registration Fees: $395.00
Total Registration Paid: _ �_ _ ($395.00)
Current Balance: $0.00
Financial Summary
Total of All Fees: $395.00
Total Amount Applied to All Fees: ($395.00)
Total Balance Due: $0.00
2
Payment History
Payment#103/26/2015 -$395.00 [ Payment]
City of Carmel Indiana/Company Check/242987
Payment Allocation
03/26/2015 Applied: Cory Anderson's Registration $395.00
Total Amount Applied: $395.00
Total Amount Not Used: $0.00
Payment Totals
Total Payments:-$395.00
Total Refunds: $0.00
Total Net Paid: $395.00
Cancellation Policy
All cancellations will be subject to a$75 administrative fee. Cancellations must be sent in writing to the Hazmat
Registration Center via fax or email. Telephone cancellations will not be accepted.
All Cancellations must be received in writing by April 27, 2015. No refunds will be issued after this date.
After April 27, 2015, substitutions will be allowed in the event the registrant is unable to attend, but no refunds will be
issued. Telephone substitutions will be permitted.
You may also make changes via e-mail to customer service or by calling (866) 229-2386 0 '-
`-or(301) 694-5243.
For more Show Information, please visit www.iafc.org/hazmat
Regards,
International Association of Fire Chiefs
3
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cory Anderson
IN SUM OF$ �
i
$342.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1120 43-430.02 $342.50 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 2 g 2015
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))
$342.50
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