Loading...
248650 08/25/15 t CITY OF CARMEL, INDIANA VENDOR: 00352672 ® @t• ONE CIVIC SQUARE ADAM SCHRINER CHECK AMOUNT: $•««r«««882 28r ?a CARMEL, INDIANA 46032 Ci0 DOCS CHECK NUMBER: 248650 C!0 DOCS CHECK DATE: 08/25/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 43430.01 459.78 TRAVEL FEES & EXPENSE 1192 4343004 422.50 TRAVEL PER DIEMS - CITY OF CARMEL Expense Report (required for all travel expenses) �NDIAN� EMPLOYEE NAME: Adam Schriner DEPARTURE DATE: 8/2/2015 TIME: 10:00 AM DEPARTMENT: DOCS RETURN DATE: 8/8/2015 TIME: 12:05 PM REASON FOR TRAVEL: Training DESTINATION CITY: Myrtle Beach EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM_X_ Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem ­97757 $409.78----V500 5. $499.79 8/3/15 $65.00 $65.00 8/4/15 $65.00 65.00 8/5/15 $65.00 $65.00 8/6/15 $65.00 65.00 8/7/15 65.00 $65.00 8/8/15 $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 Total $0.001 $409.78 $50.00 $0.001 $0.001 $0.00 $0.00 $0.001 $0.00 $422.501 $0.00 DIRECTOR'S STATEMENT:. I hereby affirm that all,expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 8/10/2015 Page 1 Print Order# 100276473 Page 1 of 1 7 V INTERNATIONAL OD aS OUNOIL Order #100276473 Order Date:July 2, 2015 Billing Address Adam Schriner 1 Civic Sq Carmel, Indiana,46032-2584 United States T: (317)571-2435 Payment Method Bill Member Account -Items Ordered Product Name Price Qty Subtotal Plan Review Institute (Based on the 2012 I-Codes) $780.00 Ordered: 1 i $780.00 I I [ CS901 I Item#:2494SM152-names-needs j Registrants I Adam Schriner Special Needs Fan in the room. Subtotal: $780.00 i Grand Total: $780.00 https:Hshop.icesafe.org/sales/order/Print/order—id/295273/ 8/10/2015 f).0cean Creek RESORT 10600,North Kings Hwy, Myrtle Beach, South Carolina, 29572, USA, Tel:843-272-7724 Fax:843-272-9627 E-mail: info@oceancreek.com GUEST FOLIO Adam Schriner Plan Review Institute 17017 Lakeville Crossing ACCOUNT NA\IE Schriner,Adam WESTFIELD, IN ACCOUNTNO. IN 410913 _ARRIVAL 08/02/15 46074 FOLIO TiTE Current DEP.kRTURE 08/08/15 USA NO. GUESTS 2 ROO\-I NO. 2421 Prop. Seq. Date Transaction Description Ref/Comments Room No. O Amount 7K S/F 1 07/03/15 Aut#:003214/XXXX XXXX XXX 1 (134.31) I A 2 08/02/15 Checks Personal/Compani 2421 1 (671.55j I A TOTAL (805.86 I REGISTER FOR ICC TRAINING EVENT ■���► : INTERNATIONAL :i►1 Complete one registration form per registrant _ CODE COUNCIL REGISTRANT Full Name (First, Ml, Last): Adam Jm Schriner entail: Title: Building Inspector/Plans Examiner_ Jurisdiction/Organization: ,City of Carme_I Street Address: One Civic Square City: ,Carmel State / ZIP: ,Indiana Phone (daytime): 1,317-571-2435 Phone (evening): ,317405-7285 _ FAX: 317-571-2499 EVENT SELECTION Title: I.Pian review institute Date: 08/03/2015-08/07/2015 Location: ,Myrtle Beach Cost: $780.00 ICC Member? E) YES © NO ICC Member Number: 15066197 _ PAYMENT OPTIONS E) Bill Me(ICC Members only) I� Payment Enclosed (Checks payable to ICC) -Credit Card (select one): ® Visa 0 MasterCard 0 American Express 0 Discover Credit Card Number: CVV Number: Expiration Date: SUBMIT REGISTRATION eMail: icctraining(cpiccsafe.org Register Online www.iccsafe.org/training Mail: Attn: Seminar Registrar International Code Council More Info 4051 West Flossmoor Road 888-ICC-SAFE (888-422-7233), ext. 33818 Country Club Hills, IL 60478 icctraininq(a)iccsafe.orq FAX: (708)799-2651 Submit by-M- I Pnnt Form a PLEASE NOTE Registration fees include all instruction materials.All other meals,lodging and transportation are the participant's responsibility. Cancellation Policy:All cancellation requests must be received in writing in order to receive a refund.Refunds are subject to a processing fee of$75. There will be NO REFUNDS for cancellations received less than two calendar weeks prior to the scheduled training event. International Code Council reserves the right to cancel any training event having insufficient registrations.If that occurs,all prepaid fees will be refunded in full. International Code Council cannot be responsible for any losses resulting from the cancellation of a training event ICC reserves the right to photograph or videotape institutes and seminars for promotional purposes.Your registration serves as permission for ICC to copyright,publish and use your likeness in print,online or in other media.If you do not wish to be photographed or videotaped,please tell the camera operator. f).0cean RE 10600 North Kings Hwy, Myrtle Beach, South Carolina, 29572, USA, Tel:843-272-7724 Fax:843-272-9627 E-mail: info@oceancreek.com GUEST FOLIO Adam Schriner Plan Review Institute 17017 Lakeville Crossing ACCOUNT-NA-IE Schriner,Adam WESTFIELD,IN ACCOUNT NO. IN 410913 ARRIVAL 08/02/15 USA FOLIO TYPE Current DEPARTURE 08/08/15 USA NO.GUESTS 2 ROO2Nd NO. 2421 Prop. Seq. Date Transaction Description Ref/Comments Room No. ` Amount T�, S/F 1 07/03/15 Aut#:003214/XXXX XXXX X= 1 (134.31,1 I A 2 08/02/15 Checks Personal/Compan3 2421 1 (671.55 I A TOTAL (805.86 Schriner, Adam J From: Tunstill, Debbie -The Travel Agent <Debbie.TunstiII@thetravelagentinc.com> Sent: Tuesday,July 7, 2015 10:59 AM To: Schriner, Adam J Subject: Flight Confirmation for Myrtle Beach SALES PERSON:DT2 ITINERARY/INVOICE NO.ITIN DATE:JUL 07 2015 'ACCOUNT NHX7QP PAGE:01 FOR: SCHRINER/ADAM J TO:CITY OF CARMEL CITY OF CARMEL-COMMUNITY SERVICE ONE CIVIC SQUARE-3RD FLOOR ATT:LISA STEWART CARMEL IN 46032 ONE CMC SQUARE CARMEL IN 46032 ----------------------------------------------------------------------- 02 AUG 15-SUNDAY MILES- 429 ELAPSED TIME- 1:41 AIR LV INDIANAPOLIS 1205P US AIRWAYS FLT:4562 COACH CLASS CONFIRMED AR CHARLOTTE 146P NONSTOP RESERVED SEATS 12D OPERATED BY-US AIRWAYS EXPRESS-REPUBLIC AIRLINES AIRLINE CONFIRMATION:US-FD3N3L MILES- 159 ELAPSED TIME- :58 AIR LV CHARLOTTE 240P US AIRWAYS FLT:5313 COACH CLASS CONFIRMED AR MYRTLE BEACH 338P NONSTOP RESERVED SEATS 15C OPERATED BY-US AIRWAYS EXPRESS-PSA AIRLINES AIRLINE CONFIRMATION:US-FD3N3L ENTERPRISE 1 INTERMED 2/4 DR DROP-08AUG CONFIRMED PICKUP-MYRTLE BEACH 1100 JETPORT ROAD RATE- 164.47 WEEKLY GUARANTEED EXTRA HR 18.28-UN MILEAGE-UNL/FM CODE-EW5M EXTRA DAY 36.55-UN PHONE-843-916-0929 08 AUG 15-SATURDAY MILES- 159 ELAPSED TIME- 1:02 AIR.LV MYRTLE BEACH 705A US AIRWAYS FLT:5116 COACH CLASS CONFIRMED AR CHARLOTTE 807A NONSTOP RESERVED SEATS 20D OPERATED BY-US AIRWAYS EXPRESS-PSA AIRLINES AIRLINE CONFIRMATION:US-FD3N3L 08 AUG 15-SATURDAY MILES- 429 ELAPSED TIME- 1:44 AIR LV CHARLOTTE 940A US AIRWAYS FLT:4492 COACH CLASS CONFIRMED AR INDIANAPOLIS 1124A NONSTOP RESERVED SEATS 11 C OPERATED BY-US AIRWAYS EXPRESS-REPUBLIC AIRLINES AIRLINE CONFIRMATION:US-FD3N3L 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. 1 US AIRWAYS ONF FD3N3L THANK YOU.DEBBIE TUNSTILL 317 805 5762 "VERIFY ALL INFO IS CORRECT.FEES APPLY FOR REISSUES-REFUNDS-CHANGES EMERG.AFTR HRS 877-645-6373 CODE A09$20 PER TRANSACTION A 15PCT FEE OF TOTAL COST APPLIES FOR CANCELLATIONS FOR TERMS AND CONDITIONS SEE WWW.TTA.TRAVEL THIS ITIN MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIPR TP FLIGHT OR WHILE ON THE AIRCRAFT.FOR REQUIRING COUNTRIES SEE WWW.TZELL41I.COM LIKE US ON FACEBOOK HTTP:!/WWW.FACEBOOK.COM/THETRAVELAGENTINC AIR TRANSPORTATION 483.71 TAX 78.49 TTL 562.20 PROCESSING FEE 35.00 SUB TOTAL 597.20 CREDIT CARD PAYMENT 597.20- TOTAL AMOUNT 0.00 BAGGAGE ALLOWANCE ADT US INDMYR OPC BAG 1 - 25.00 USD UPT050LB/23KG AND UPTO62LI/158LCM BAG 2- 35.00 USD UPT050LB/23KG AND UPTO62LU158LCM MYTRIPANDMORE.COM/BAGGAGEDETAILSUS.BAGG US MYRIND OPC BAG 1 - 25.00 USD UPT050LB/23KG AND UPT062LI/I58LCM BAG 2- 35.00 USD UPT050LB/23KG AND UPTO62LI/158LCM MYTRIPANDMORE.COM/BAGGAGEDETAILSUS.BAGG CARRY ON ALLOWANCE US INDCLT 2PC BAG 1 - NO FEE UPTO45LI/I 15LCM BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE US CLTMYR 2PC BAG 1 - NO FEE UPTO45LI/I 15LCM BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE US MYRCLT 2PC BAG 1 - NO FEE UPT0451,1/115LCM BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE US CLTIND 2PC BAG 1 - NO FEE UPTO45LI/I 15LCM BAG 2- NO FEE CARRYON HAND BAGGAGE ALLOWANCE BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/ ONLINE CHECKIN/FORM OF PAYMENT/MELITARY/ETC. 2 REGISTER FOR ICC TRAINING EVENT h ., INTERNATIONAL Complete one registration form per registrant CODE C O U N C I L REGISTRANT Full Name(First, Ml, Last): ,Adam_Jm Schriner eMail: Title: Building Inspector/Plans Examiner Jurisdiction/Organization: Jq1ty-of Carmel_ Street Address: lone Civic Square City: Carmel State / ZIP: 'Indiana Phone(daytime): 317-5-71-2435 Phone(evening): 317-405-7285 _ FAX: 317771-2499 EVENT SELECTION Title: JRlan review_institute Date: 08/0312015-0810712015 Logic", Myrtle Beach r: 066197 $780,00 1 �n "'/CC) 'L �",)'Visa 0 MasterCard ® American Express Q Discover CW Number: Expiration Date: SUBMIT REGISTRATION entail: icctraining(a,iccsafe.org Register Online www.iccsafe.org/trainin-q Mail: Attn: Seminar Registrar International Code Council More Info 4051 West Flossmoor Road 888-ICC-SAFE(888-422-7233), ext. 33818 Country Club Hills, IL 60478 icctrainingt7a iccsafe.org FAX: (708) 799-2651 Submit by entail Print Form PLEASE NOTE Registration fees include all instruction materials.All other meals,lodging and transportation are the participant's responsibility. Cancellation Policy:All cancellation requests must be received in writing in order to receive a refund.Refunds are subject to a processing fee of$75. There will be NO REFUNDS for cancellations received less than two calendar weeks prior to the scheduled training event. International Code Council reserves the right to cancel any training event having insufficient registrations.If that occurs,all prepaid fees will be refunded in full. International Code Council cannot be responsible for any losses resulting from the cancellation of a training event ICC reserves the right to photograph or videotape institutes and seminars for promotional purposes.Your registration serves as permission for ICC to copyright,publish and use your likeness in print,online or in other media.If you do not wish to be photographed or videotaped,please tell the camera operator. ,: . . , :, r Print Order# 100276473 Page 1 of 1 INTERNATIONAL. ■ &161 CODE COUNCIL! Order ##100276473 Order Date: July 2, 2015 Billing Address Adam Schriner 1 Civic Sq Carmel, Indiana, 46032-2584 United States T: (317)571-2435 Payment Method Bill Member Account Items Ordered Product Name Price Qty Subtotal I I 6_4 j Plan Review Institute (Based on the 2012 I-Codes) I $780.00 Ordered: 1 $780.00 Item#:2494SM152-names-needs I Registrants Adam Schriner i Special Needs Fan in the room. I Subtotal: $780.00 i i Grand Total: $780.00 f https://shop.icesafe.org/sales/order/Print/order—id/295273/ 8/10/2015 For advance payments, claim form must be submitted ten (10) business days in advance of travel. Claim will not be processed without the following documentation: 1) Conference or course registration form, if applicable 2) Travel itinerary or car rental agreement, if applicable 3) Original itemized receipts for all expenses (or affidavits if appropriate), except for meal per diems (which require hotel receipt) Prorated meal allowance: For travel that commences before 1:00 p.m. (flight departure time, if traveling by air), $50 for in-state travel and $65 for out-of-state travel For travel that commences after 1:00 p.m. (flight departure time, if traveling by air), $25 for in-state travel and $30 for out-of-state travel For travel that ends before 1:00 p.m. (flight arrival time, if traveling by air), $25 for in-state travel and $30 for out-of-state travel For travel that ends after 1:00 p.m. (flight arrival time, if traveling by air), $50 for in-state travel and $65 for out-of-state travel EMPLOYEE ACKNOWLEDGEMENT OF MEAL ADVANCE AND OBLIGATION TO DOCUMENT EXPENDITURES: I hereby acknowledge receipt of$_130 ' , such funds being advanced to me by the City of Carmel solely for the purpose of purchasing meals while traveling to participate in official business for the City. I accept responsibility for these funds and agree to repay them if lost or stolen. I understand that within ten (10) business days of my return (as stated on opposite side), I am responsible to: 1) Submit original itemized receipts to the office of the Clerk-Treasurer documenting all meal expenditures; and 2) Return all unused funds to the office of the Clerk-Treasurer I further understand that fail re to provide th required documentation shall result in the total amount of the advance being deducted from the first paycheck issued more tha 0 days after a date of my return. Failure to return unused funds will result in the amount of the unused funds (total advance minus document a enditureo b ing deducted from the first pa c eck issued more than 30 days after the date of my return. Employee Signature: Date: �J City of Carmel Form#ER06 Revision Date 8/10/2015 Page 2 j A A A -1 4 l 11 1 Al26CSCUCI 5AIR PAGE 1 of 4 nterprise 7 'A 2 7 4ER OF VEHICLE: " ANCH ADDRESS: DI --------------- o 5-.'Il RENTAL SOURCE, 4 IN,vim TYPE - -D-0 REIN-&R—­ Y RT CHARGES IF DIFFERENT +I j ORIGINAL VEHICLE YCENStN0. MODEL. :ECAR# � IN BILL COMPANY MILE- AGE OUT TO11 ATTN: PHONE EXT. DRIVEN REFERENCE NUMBER: CNOMOMO;�T�EL X iC KEYS: TER LU ADDITIONAL AUTHORIZED DRIVER(S)-EXCEPT AS REQUIRED BY LAW,NONE PERMITTED WITHOUT OWNERS 0 a WRITTEN APPROVAL. o0 < I REQUEST OWNERS PERMISSION TO ALLOW Eg 1 AM RESPONSIBLE 0 OF THIS RENTAL 0 Z MY LIABILITY AND o- .0aff —sc—CH o=Nl m �ERMISSIONGRANTED TO-IjOEIIA"V ICLEdNL,YIN THE WITED STATES UNLESS AUTHORIZED BELOW: 'UT T7 F 4 E 118 114 318 112 518 3/4 718 F OPERATION IN ANY OTHER COUNTRY WILL AFFECT YOUR LIABILITY AND RIGHTS UNDER THIS_�AGR . TIONAL PRODUCTS NOTICE: WE RENTER DECLINES OPTIONAL DAMAGE RENTER ACCEPTS OPTIONAL D-" WAIVER(DW)AND ASSUMES DAMAGE (DM AT FES HOWN IN COLumN TO Rl�� :ER FOR AN ADDITIONAL CHARGE RESPONSIBILITY.SEE PARAGRAPH 6. SEE NOTICE TO LEFT AND PARAGRAPH 16. DAMAGEWAIVER ISNOT NSU"CE. RENTER:X FOLLOWING OPTIONAL PRODUCTS: PERSONAL RENTER:X MAGE WAIVER; - RELATEa.aEGLANES-ORMONAtZPERSONAL RENTER ACCEPTS OPTIONAL PERSONAL ,]DENT INSURANCE/1"ERSONAL-CLIDENT INSURANCEtPERSONArEFFEGIEL ACCIDENT INSURANCIERERSONAL EFFECTS -f COVERAGE(PAUPEC).SEE PH 9 AND10-COVERAGE(PAUPEC)AT FEE SHOWN IN COLUMN RENTER.X :ECTS COVERAGE; SUPPLEMENTAL TO RIGHT.SEE PARAGRAPH IB. 31LITY PROTECTION AND ROADSIDE !' �' SISTANCE PROTECTION. BEFORE:�R�E T,UnERCECUNES OPTIONACS8P2,L,4ENTAL RENTER ACCEPTS OPTIONAL SUPPLEMENTAL TIABIUTY PROTECTION(SLP).SEE AAR�GRAPH 7. LIABILITY RO ECTIO (SLP)AT FEE SHOWN IN RENTE X 'IDING TO PURCHASE A CO LU Mp.MIGHT lElEIPARAGWH 17. :_SE PRODUCTS, YOU MAY WfSR_ =jRTE.pj.:X . DETERMINE WHETHER YOUR RENTER DEqQNE3,OP:R9l4AL-RQA SIDE RENTER ACCEPTS OPTIONAL ROADS113E r).S� A TANCI PROTECT10N ).S ASSISTANCE PROTECTION(RAP)AT FEE SHOWN RENTER:X RSONAL INSURANCE, CREDIT CARD MG.P,3.B.3. IN COLUMN TO RIGHT.SEE OPTIONAL PRODUCTS NOTICE TO LEFT AND PARAGRAPH 19. OTHER COVERAGE PROVIDES EN :X U PROTECTION DURING THE: \ITAL PERIOD. THE PURCHASE ANY 'H-SE _9E_-T'E -PRODUCTS IS T-REQUIRED,�. RENT'-VEHICLE. TER: '4 REP�C'EIVIE-Nzf�VER'ICLE RELATE 0 0z u OWNER t MN EMPL. 71— �� AE # A I T T REP X LICENSE NO. 4 R IlE COLOR I INILL RETURN CAR BY:,,;�-D&OSIT(S): --,C- 7 DATE TIME AMOUNT PAID BY f MODEL ECAR# S:l-1 _J MILE IN'T AGE T ADDITIONAL INFORMATION DRIVEN CONOMON AND FUEL X 0 OF XE S:— L.V&AGRE-OTO LU --c,10KING '_5TRICKLY TIABLE 0 HIBITED TOTALCHARGES DEPOSITS0 < NON-NEG 0 SMOKING FEE REFUNDS 0 am 0 z 0 L ❑ CLOSED BY PAID BY CASH CHECK CHARGE OUT E 118 114 318 v2 513 314 713 F RECEIPTOF DATE AMOUNT i RECEIVED BN IN E 118 114 3/8 112 518 314 T8 F CASH REFUNDi 'MER IS AN AFFILIATE OF ENTERPRISE HOLDINGS INC.,'hH ICH O�NNS ALL RIGHTS T()ENTERPRISE NAMES AND MARKS. ENTERPRISE LEASING COMPANY-SOUTHEAST,LLC,2( VOUCHER NO. WARRANT NO. Adam Schriner ALLOWED 20 IN SUM OF$ c/o One Civic Square Carmel, IN 46032 $882.28 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT fi Board Members 1192 43-430.01 $459.78 1 hereby certify that the attached invoice(s), or +, 1192 43-430.04 $422.50 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 Friday Aug t2 015 Director 1 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)) 08/02/15 ICC Conference $459.78 08/02/15 ICC conference $422.50 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