249494 09/16/15 0,� CITY OF CARMEL, INDIANA VENDOR: 363618
l ONE CIVIC SQUARE TIM GRIFFIN CHECK AMOUNT: $**.*. 226.32
s. ,?� CARMEL, INDIANA 46032 C/O FIRE DEPT CHECK NUMBER: 249494
9M�TON�` CHECK DATE: 09/16/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 226.32 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME:Tim Griffin DEPARTURE DATE +3- TIME: AM fU3
DEPARTMENT: FIRE RETURN DATE: �` TIME: �PM
REASON FOR TRAVEL: Redmond Symposium DESTINATION CITY: National Harbor.MD
EXPENSES ARE FOR(check all that apply):TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Meas
Gas/Tolls/Date Ledging Mise. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0:00
$0.00
8123115 PERSONAL 4148.68 PERSONAL $148.68
8124/16 $25.00 65.00 $90.00
8125116. 65.00 165.00
8126/15 65.00 $65.00
8/27/15 65.00 $65,.00
8/28/15 $25.00 65.00
$U t7D
$0.00
$0.00
WOO
$0:00
$0.00
$0.00
$0.00
$0:00
$0';00
000
Total X0.00 S0:00 $50.{I13 $O.t)0 $148:88 $0.00: $0:.00 $0,00 $O:dfl $ 25.110 $0,00
DIRECTOR'S STATEMENT: 1 e by affirm that all expanses listed conform to the City s travel policy and are within my department's appropriated budget.
Director Signature: Date;
City-of Cannel Form 9 ER06 Revision Date 9/1QJ2oi5 Page f
HOTEL ROOM CALCULATIONS - HAMPTON INN
KINNEY, ED ARDS, GRIFFIN
Kinney
TOTAL ROOM PER ADDT%FEES
DATES RATE TAX RATE: TAX AMOUNT MiGHT w1TAX RESORT TOTAL
8/23/2015 PERsor AL PIrRSONAL. PER$ONAL
I,
8/24/2015 $180.00 18.0001 34.020000 223.020000
8/25/2015 $1.89.00 18.00041a 34.020000 223.020000
3/26/2015 $189.00 18.000% 34.020000 223.:020070
8/27/2015 $189.00 18.000% 34.020000 223.020000
TOTAL STi Y-LUMBERS WERE ROUNDED 1N FORMULAS $892.48
Edwards
TOTAL ROOM.PER ADDVL FEES.
DATES RATE TAX RATETAX AMOUNT NIGHT W1TAX RESORT TOTAL
8/231-2:,015 PERSONAL PERSOiNA,L PERSONAS
8/24/2015 $189.00 18.000Yn 34.020000 223.020000
8/25/2015; $18 .010. 18.00410 34:020000: 223,020000_
8/2512015 $189.00 18.000% 34,020000 _ 221026000
8/27/2015 $189.010 18.0001% 34.020000 223.0200.00
TOTALSTAY1-NUMBERS WERE ROUNDED IN FORMULAS $$9108
CITY OF CARMEL
FIRE DEPARTMENT
DATE: September 2,2015
TO: Cindy Sheeks
FROM: David Haboush, Fire Chief
Attached you will find Per Diem reimbursements for Jared Kinney, Steve Edwards and Tim Griffin. The
department sent them to the Redmond Symposium on department business. Hotel rooms were reserved in
the name of Jared Kinney and a check was processed and paid beforehand, and the rooms were paid in full.
The Local 4444 sent Sean Sutton to this same conference,and Sean stayed in Tim Griffins hotel room,
which I allowed,as there was an additional bed. However,for whatever reason the names on the rooms
were changed from Jared's to Sean's. Therefore, while the hotel bills have Sean Suttons name on them,they
are actually for Jared Kinney.
If you have any questions, please feel free to contact me.
Thank you.
250 WATERFRONT STREET
NATIONAL HARBOR,MD 20745
•2 TELEPHONE(301)567-3531 • FAX(301)567-3549
® RESERVATIONS
NAME&ADDRESS ® www.hilton.com or 1 800 HILTONS
SUTTON,S ROOM 8O2/SXQL
6 TH URST DR ��y�. ARRIVAL DATE 8/23/2015 1:16:00PM
MEL,IN 46032 DEPARTURE DATE 8/28/2015 11:04:OOAM
US
C ADULTICHILD 210
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
912/2015 PAGE 1
DATE DESCRIPTION ID REF NO i CHARGES CREDITS BALANCE
I
8/1/2015 CHECK(NUMBER 247872) PBYNUM 882335 $1,115.10
8!23/2015 GUEST ROOM MYRA1220 889472 $189.00
8123/2015 RM-STATE TAX MYRA1220 889472 $11.34
8/23/2015 RM-OCCUPANCY TAX MYRA1220 889472 $22.68 j
8/24/2015 GUEST ROOM JHATTON 889708 $189.00
8/2412015 I RM-STATE TAX JHATTON 889708 $11.34
1812412015 RM-OCCUPANCY TAX JHATTON 889708 $22.68
8/25/2015 GUEST ROOM JHATTON 890027 $189.00
8/25/2015 RM-STATE TAX JHATTON 890027 $11.34
8/2512015 RM-OCCUPANCY TAX JHATTON 890027 $22.68
8/26/2015 GUEST ROOM JHATTON 890400 $189.00
8/2612015 RM-STATE TAX JHATTON 890400 $11.34
8/26/2015 RM-OCCUPANCY TAX JHATTON 890400 $22.68 0
812712015 GUEST ROOM JHATTON 890807 $189.00
8127/2015 I RM-STATE TAX JHATTON 890807 $11,34
f 8/27/2015 RM-OCCUPANCY TAX JHATTON 890807 $22.68
BALANCE $0.00
i
i
EXPENSE R PORT SUM RY
8/23/2015 8124/2 15 !2512015 8/2612015
`ROOM&T $223.02 $224.02 $223.02 5223.02
DAILY DOTAL $223.02 $223. 2 223.02 j $223.02 '(
A I
ACCOUNT NO DATE OF CHARGE I FOLIO
- 217815 B
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
THIS&M1SC
4 O
-T-
I TOTAL AJIOUNT
MERCHANDISE ANDIOR SERVICES PURCHASED ON THIS CARD SHALL NOTBE RETURNED FORA CASH REFUND
PAYMENT DUE UPON RECEIPT
/ 250 WATERFRONT STREET
NATIONAL HARBOR-MD 20745
TELEPHONE(301)567-3531 - FAX(301)567-3549
0 RESERVATIONS
NAME&ADDRESS ® www.hilton.com or 1 800 HILTONS
SUTTON,SEAN ROOM 802/SXQL
6 THORNHURST DR
CARMEL,IN 46032 ARRIVAL DATE 8/23/2015 1:16:OOPM
US DEPARTURE DATE 8/28/2015 11:04:OOAM
ADULT/CHILD 2/0
ROOM RATE 5189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
912/2015 PAGE 2
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE _I
8/27/2015 STAY TOTAL
iROOM&T $223.02 $1.11 .10 F
i
DAILY OTAL $223.02 $1,115.10
i
i
I I
i
I
� I
I � L
I
I ACCOUNT NO DATE OF CHARGE FOUO
_ 2176,5 B
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&MIsc
' TOTALADIOUNT
! I
MERCHANDISE ANoOR SERVICES PURCHASED ON THIS CARD SHALL NOT RE RETURNED FOR A CASH REFUND
PAYMENT DUE UPON RECEIPT
250 WATERFRONT STREET
NATIONAL HARBOR.NID 20745
TELEPI)ONE(301)567-3531 • FAX(301)567-3-'49
0 RESERVATIONS
NAME&ADDRESS ® www.hilton.00m or 1 800 HILTONS
6 THO \� ` ROOM 803lSXOL
6 THO'tI.H RST DR \—\p� ARRIVAL DATE 8/23/2015 11:38:00AM
CARMEL,IN 46032 `�
DEPARTURE DATE 8/2812015 2:24:0013M
ADULT/CHILD 2/0
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
9/2/2015 PAGE 1
DATE j DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
8/1/2015 CHECK(NUMBER 247872) i PBYNUM 882334 $1,115.10
8/23/2015 GUEST ROOM MYRA1220 889473 $189.00
8/23/2015 RM-STATE TAX MYRA1220 889473 $11.34
i
812312015 RM-OCCUPANCY TAX MYRA1220 889473 $22.881
8/24/2015 GUEST ROOM JHATTON 889709 $189.00+
8/24/2015 RM-STATE TAX JHATTON 889709 $11.341
8/2412015 RM-OCCUPANCY TAX JHATTON 889709 $22.68
812512015 GUEST ROOM JHATTON 890028 $189.00
812512015 RM-STATE TAX JHATTON 890028 $11.34
8/25/2015 RM-OCCUPANCY TAX JHATTON 890028 $22.68
812612015 GUEST ROOM JHATTON 890401 $189.00 O
8126/2015 I RM STATE TAX JHATTON 890401 $11.34
8/26/2015 RM-OCCUPANCY TAX JHATTON 890401 $22.68 i
8/2W2015 I GUEST ROOM JHATTON 890808 $189.00
8/27/2015 (RM-STATE TAX JHATTON 89D808 $11.34
8/27/2015 RM-OCCUPANCY TAX JHATTON 890808 $22.68
BALANCE WOO
J
! EXPENSE REPORT SUMMARY T
8/2312015 8/2412)15 125/2015 8/2612015
ROOM&T $223.02 $22'.02 $223.02 $223.02 L
IDAILY DOTAL 5223.02 5223. 2 223.02 $223.02
j
ACCOUNT NO I DATE OF CHARGE FOLIO
2,76,6 B T
CARD%IF-MDFR NAME i AUTHORIZATION INITIAL 1
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&kBSC
TOTAL AMOUNT O
MERCHANDISE AND.OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PATIENT DUE UPON RECEIPT
I ` f 250 WATERFRONT STREET
NATIONAL HARBOR AID 20745
+� TELEPHONE(301)567.3531 • FAX(301)567-3549
® RESERVATIONS
NAME&ADDRESS www.hilton.com or 1 800 HILTONS
SUTTON,SEAN ROOM 803/SXOL
6 THORNHURST DR ARRIVAL DATE 8/23/2015 11:38:OOAM
CARMEL,IN 46032 DEPARTURE DATE 8/28/2015 2:24:0013M
US
ADULT/CHILD 210
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
9/2/2015 PAGE 2
DATE ; DESCRIPTION ----lb REF NO CHARGES CREDITS BALANCE
4 8/27/2015 STAY TOTAL
i ROOM&TAX $223.02 $1,11'.10
t � I
DAILY7 OTAL $223.02 $1,115.10 i
f
t
i
I t f
I I4
I I
I
j i I I
l
jI
L
I
:I
DATE OF CHARGE FOLIO
ACCOUNT NO
217816 B
CARD MEMBER NAME AUTHORIZATION INITIAL
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SEANCES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
! TIPS&Mlsc
1
fTOTAL anlouNT �
MERCHANDISE AND!OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PAYMENT DUE UPON RECEIPT
Snyder, Denise W
From: Tunstill, Debbie -The Travel Agent <Debbie.Tunstill@thetravelagentinc.com>
Sent: Friday,July 17, 2015 05:53
To: Snyder, Denise W
Subject: Confirmed flight for Timothy Griffin
SALES PERSON:DT2 ITINERARY/INVOICE NO.ITIN DATE:JUL 17 2015
ACCOUNT TK4ZNG PAGE: 01
FOR:
GRIFFIN/TIMOTHY M
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
-----------------------------------------------------------------------
23 AUG 15-SUNDAY MILES- 487 ELAPSED TIME- 1:38
AIR LV INDIANAPOLIS 915A US AIRWAYS FLT:4515 COACH CLASS CONFIRMED
AR WASH/REAGAN 1053A NONSTOP
RESERVED SEATS 10C
OPERATED BY-US AIRWAYS EXPRESS-REPUBLIC AIRLINES
AIRLINE CONFIRMATION:US-AG 16K3
28 AUG 15 -FRIDAY MILES- 487 ELAPSED TIME- 1:39
AIR LV WASH/REAGAN 1000P US AIRWAYS FLTA463 COACH CLASS CONFIRMED
AR INDIANAPOLIS 1139P NONSTOP
RESERVED SEATS 14C
OPERATED BY-US AIRWAYS EXPRESS-REPUBLIC AIRLINES
AIRLINE CONFIRMATIOMUS-AG 16K3
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.
USAIRWAYS CONF AG16KE
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.TZELL41 LCOM
LIKE US ON FACEBOOK HTTP://WWW.FACEBOOK.COM/THETRAVELAGENTINC
AIR TRANSPORTATION 258.60 TAX 47.60 TTL 306.20
PROCESSING FEE 35.00
SUB TOTAL 341.20
CREDIT CARD PAYMENT 341.20-
TOTAL AMOUNT 0.00
1
Name
IAFF Local/Company Name
L C ► ►v) C C_ 2 I7 E iP T;
2.
Address C- V .Sc• � .
City State/Province T V-) \ c^
Zip Code
1,0 Phone 3 Z 1 l b Z S
Email Address &C—IFF 0—J C 2 IA 1, ti Cso
METHOD OF PAYMENT: $500 per registrant.
FIREPAC PAYMENT OPTIONS NON-FIREPAC PAYMENT OPTION
FIREPAC CHAIRMAN'S COUNCIL FIREPAG LEADERSHIP TRUST 11$500.00:1 would like to register for the
(U.S.and Canada) (US and Canada) conference but not contribute to FIREPAC at
this time.
❑$750 1 would like to join the FIREPAC ❑$5001 would like to join the FIREPAC
Chairman's Council and register for Leadership Trust and register for the 13 Check–U.S./Canadian members please
the Symposium/Conference at the same Symposium/Conference at the same time. make check payable to the JOHN P.
time. REDMOND FOUNDATION.
❑Personal CHECK- U.S.members please
❑PERSONAL CHECK- U.S.members please make check payable to IAFF ❑VISA/MASTERCARD(complete credit card
make check payable to IAFF FIREPAC. information below)
❑Check–Canadian members please make
❑PERSONAL CHECK- Canadian members check payable to IAFF FIREPAC Canada ❑I would like to make a separate voluntary
please make check payable to IAFF contribution to FIREPAC in the amount of
FIREPAC Canada ❑Personal VISA/MASTERCARD(complete but not have it credited toward
credit card information below) my conference registration.
❑PERSONAL VISA/MASTERCARD–(complete
credit card information below) Leadership Trust members will receive a
Leadership Trust pin and recognition on the
Chairman's Council members will receive a IAFF website.
Chairman's Council pin,a specially designed
wind breaker and recognition on the IAFF
website. CHOOSE FORM OF PAYMENT
Please select the size of the wind breaker you ❑Personal Check–U.S.members please make check payable to IAFF FIREPAC.
would like. ❑Check–Canadian members please make check payable to IAFF FIREPAC Canada
17 S ❑M ❑L 0 XL ❑2XL ❑3XL ❑4XL I ❑VISA/MASTERCARD(complete credit card information below)
CREDIT CARD PAYMENT
NOTE to U.S.Members only:If contributing to either the FIREPAC Chairman's Council or Leadership Trust,members must use a personal credit card.
❑VISA 0 MASTERCARD
Credit Card Number: 1:10❑❑❑❑11111111❑❑1111111:111❑ Exp.Date:
Name as It appears on the card:
Signature
1AFF John R Redmond Sympos un iMominick F.-Barbera EMS conference
Gaylord.National Resort and Convention Center.
National Harbor, Maryland •August 25-28, 2015
Use one form per registrant.Participation in workshops is limited and will be determined on a first-come basis.
❑EMS Hot Topics FRIDAY AUGUST 28
PRE-CONFERENCE EVENTS ❑Fire-Based EMS Case Scenarios Session E Workshops(Select 1)
TUESDAY,AUGUST 25 ❑Sleep Deprivation–The Truth About Shift ❑Cancer in the Fire Service
Schedules
❑Fire Ops 101 ❑Fire Service Communications ❑Fire-Based Community Healthcare Provider
LIVE_ EVENT and Train-the-Trainer C3 Fire Behavior Research and Tactics Programs
❑Personal Protective Equipment ❑Working to Death-Occupational Diseases
❑Fire Ground Survival ❑Identifying Human Trafficking Fit for Duty-Injury and Medical
Practical Workshop Rehabilitation
THURSDAY AUGUST 27 ❑Emergency Incident Rehabilitation
Nrl Peer Fitness Trainer Continuing Education Session C Workshops(Select 1) ❑The Toxic Fire Environment–Giving the All
Workshop Clear
❑Active Shooter Table-top ❑Wildland Urban Interface(WUI)–Integrating
❑Tactical Emergency Xunctional Fitness Technology for Your Survivability
Casualty Care(TECC) ❑Toxic Hot Seat–Flame Retardants and Your ❑Fire-Based EMS Case Scenarios
Health ❑Cracking the Code:Building Codes and Fire
❑National Institute for Standards and Safety Standards
❑Nutrition for the First Responder
Technology(NIST)Fire Laboratory ❑EMS Response to Seniors for Lift Assist ❑EMS First Response:Facts versus Rhetoric
❑Fire-Based Community Healthcare Provider ❑Emerging Diseases
WEDNESDAY AUGUST 26 Programs ❑Emergency Vehicle Safety
Information Sessions A(Select 1) El Fire-Based EMS Case Scenarios ❑WFI 41h Edition
❑Fire and EMS Ops In Canada ❑Burn Prevention and Care
0 Ask the Keynote-Resilience ContinuedElEstablishing a Fire-Based Community
L3 Sleep Deprivation and the Truth About Shift
❑Ask the Doc Schedules Healthcare Program:The Mesa Experience
❑Carbon Monoxide–EMS Response to ❑Fire Service Communications
Fireground Incidents El Fire Behavior Research and Tactics FRIDAY AUGUST 28
❑Ask the Trainer(PFT,FGS,CPAT) ❑Personal Protective Equipment Session F Workshops(Select 1)
❑Ambulance Safety ❑Behavioral Wellness,PTSD,Suicide
❑EMS Stress and Assaults to First
❑NFPA 1710 Update Prevention Responders:Near Misses and Injuries
❑National Fire Operations Reporting System- ❑Cardiac Strain and Rehabilitation Associated
NFORS THURSDAY AUGUST 27 with High-Rise Firefighting:Interpreting
❑Using Social Media To Effectively Advocate Information Sessions D(Select 1) Heart Rate and Physiological Responses
for Safety/Health/EMS ❑Emergency Incident Rehabilitation
❑OSHA Emergency Response Standard ❑Ask the Doc–Occupational Physician Q and A El Fit for Duty-Injury and Medical
Future Fire Fighter Technology ❑Carbon Monoxide–EMS Response to Rehabilitation
❑Lithium Ion Battery Fires Fireground Incidents ❑Working to Death-OccupationalDiseases
❑Flame Retardants ❑WFI Cost Justification ❑The Toxic Fire Environment–Giving the All
❑Writing Winning Grants Ask the Trainer(PFT,FGS,CPAT) Clear
❑NFPA EMS Standards 450 and 1917 ❑Wildland Urban Interface(WUI)–Integrating
THURSDAY AUGUST 27 ❑NFPA 1710 Update Technology for Your Survivability
Session B Workshops(Select 1) ❑National Fire Operations Reporting System ❑Canadian FFs Role in EMS
—NFORS Establishing a Fire-Based Community
❑Active Shooter Table-Top ❑National Partners with EMS Healthcare Program:The Mesa Experience
"6 Functional Fitness ❑OSHA Emergency Response Standard ❑Billing and HIPPA Compliance
❑US and International Efforts on Cancer ❑Future Fre Fighter Technology ❑Emerging Diseases
Awareness ❑Can You Hear Me Now–PASS Alarm Study ❑Emergency Vehicle Safety
Nutrition for the First Responder ❑Nano Technology ❑WFI 41h Edition
❑Behavioral Wellness,PTSD,Suicide ❑Writing Winning Grants ❑From Tragedy to Recovery-Burn Injury
Prevention Support
❑Fire-Based EMS Exp to Policy Mkrs and Tax ❑Cancer in the Fire Service
Payers
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tim Griffin
IN SUM OF $
ON ACCOUNT"OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-430.02 $440.00 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
SEP - 4 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))
$440.00
I
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