HomeMy WebLinkAbout249493 09/16/15 CITY OF CARMEL, INDIANA VENDOR: 00350456
CHECK AMOUNT: $*******226.32*
(9,
ONE CIVIC SQUARE STEVE EDWARDSCARMEL, INDIANA 46032 45 WOODACRE DR CHECK NUMBER: 249493
CARMEL IN 46032 CHECK DATE: 09/16/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 226.32 EXTERNAL TRAINING TRA
m
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Steve Edwards DEPARTURE DATE: TIME: PM
DEPARTMENT: FIRE RETURN DATE: -°� -� TIME: ti"Z�, AM 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 Gas/rolls/ Meals
Date Lodging Mise. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0:00
$0.00
8/23/15 PERSONAL -$148.68 PERSONAL -$148.68
8/24/15 $25.00 65.00 $90.00
8/25/15 65.00 $65.00
8/26/15 65.00 $65.00
8/27/15 65.00 $65.00
8/28%15. $25.00 65.00 $90.00
$0.00
$0.00
$0.00
$$0.0.0
$0.00
$0.00
$0.00
$0.00
$0:00
$0,00
$0.00
0.00
1. Totall $0.00 $0.00 $50.00 . $0.00. -$148.68 $0.00 $0;00 $0.00 $0.00 $325.00 $0A0
DIRECTOR'S STATEMENT: I her y ffirm that all expen es fisted c form to the Citys travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision pate 9/1012015 Page 1
Snyder, Denise W
From: Tunstill, Debbie -The Travel Agent <Debbie.TunstiII@thetravelagentinc.com>
Sent: Friday,July 17, 2015 05:38
To: Snyder, Denise W
Subject: Confirmed Flights for Washington
SALES PERSON:DT2 ITINERARY/INVOICE NO.ITIN DATE:JUL 17 2015
ACCOUNT TH2XZY PAGE: 01
FOR:
EDWARDS/STEVEN L
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 10D
OPERATED BY-US AIRWAYS EXPRESS-REPUBLIC AIRLINES
AIRLINE CONFIRMATION:US-AGVSVD
ENTERPRISE 1 FULL SIZE2/4 DR DROP-28AUG CONFIRMED
PICKUP-WASH/REAGAN 1 AVIATION CIR
RATE- 190.03 WEEKLY GUARANTEED EXTRA HR 7.60-UNL
MILEAGE-UNL/FM CODE-EW7O EXTRA DAY 38.01-UN
PHONE-703-414-8310
CONFIRMATION-27057933 3 COUNT
CAR TYPE:FORD FUSION OR SIMILAR
APPROXIMATE TOTAL INCLUDING TAXES$246.24
28 AUG 15-FRIDAY MILES- 487 ELAPSED TIME- 1:39
AIR LV WASH/REAGAN 1000P US AIRWAYS FLT:4463 COACH CLASS CONFIRMED
AR INDIANAPOLIS 1139P NONSTOP
RESERVED SEATS I I C
OPERATED BY-US AIRWAYS EXPRESS-REPUBLIC AIRLINES
AIRLINE CONFIRMATION:US-AGVSVD
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 AGVSVD
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
1
IAFF John R Redmond S' mposiumADominick R 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
Schedules ❑Cancer in the Fire Service
❑Fire Ops 101 ❑Fire Service Communications ❑Fire-Based Community Healthcare Provider
LIVE EVENT and Train-the-TrainerPrograms
❑Are Behavior Research and Tactics
❑Personal Protective Equipment ❑.forking to Death-Occupational Diseases
Ll Fire Ground Survival Fit for Duty-Injury and Medical
Practical Workshop 13 Identifying Human Trafficking Rehabilitation
THURSDAY AUGUST 27 ❑Emergency Incident Rehabilitation
9(Peer Fitness Trainer Continuing Education Session C Workshops(Select 1) LJ The Toxic Fire Environment—Giving theAfl
Workshop Clear
❑Active Shooter Table-top ❑Wildland Urban Interface(WU0—Integrating
❑Tactical Emergency Technology for Your Survivability
Casualty Care JECC) ❑Functional Fitness 0 L3 Fire-Based EMS Case Scenarios
Toxic Hot Seat—Flame Retardants and Your
Health ❑Cracking the Code:Building Codes and Fire
❑National Institute for Standards and Safety Standards
(NIST)Technology Fire LaboratoryLI Nutrition for the First Responder
g � ❑
❑EMS Response to Seniors for Lift Assist EMS First Response:Facts versus Rhetoric
El Fire-Based Community Healthcare Provider E3 Emerging Diseases
WEDNESDAY AUGUST 26 Programs ❑Emergency Vehicle Safety
Information Sessions A(Select 1) ❑Fire-Based EMS Case Scenarios ❑WFI 41,Edition
13f ire and EMS Ops In Canada ❑Burn Prevention and Care
❑Ask the Keynote-Resilience Continued S leep Deprivation and the Truth About Shift ElEstablishing a Fire-Based Community
E3Ask the DocJSchedules Healthcare Program:The Mesa Experience
❑Carbon Monoxide—EMS Response to ❑Fire Service Communications
ireground Incidents ❑Fire Behavior Research and Tactics FRIDAY AUGUST 28
CSfAsk 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
❑National Are Operations Reporting System- Responders:Near Misses and Injuries
NFORS ❑Cardiac Strain and Rehabilitation Associated
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 0 and A ❑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-Occupational Diseases
❑Flame Retardants E3 WFI Cost Justification gl 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 0 National Partners with EMS Healthcare Program:The Mesa Experience
unctional Fitness ❑OSHA Emergency Response Standard ❑Billing and HIPPA Compliance
❑US and International Efforts on Cancer ❑Future Fire Fighter Technology ❑Emerging Diseases
Awareness ❑ n You Hear Me Now—PASS Alarm Stud
❑Nutrition for the First Responder y ®Emergency Vehicle Safety
ano Technology ❑WFI 411'Edition
❑Behavioral Wellness,PTSD,Suicide 13Writing Winning Grants ❑From Tragedy to Recovery-Bum Injury
Prevention
❑Fire-Based EMS Exp to Policy Mkrs and Tax Support
0 Cancer in the Fire Service
Payers
Name , (�u-i R�lLt�S
IAFF Local/Company Name
Address - G I V I (�
City C ryu,-�-cc- State/Province /1�
Zip Code GJ (-,2 U 1 Phone 2, 1'1 - 5 rN - Z-600
Email Address (L o,---) C P a-rl CL 0
METHOD OF PAYMENT.-$500.per registrant.
FIREPAC PAYMENT OPTIONS NON-FIREPAC PAYMENT OPTION
FIREPAC CHAIRMAN'S COUNCIL FIREPAC LEADERSHIP TRUST ❑$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.
El$750 1 would like to join the FIREPAC El$5001 would like to join the FIREPAC
Chairman's Council and register for Leadership Trust and register for the ❑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 ❑VISAIMASTERCARD(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
L1 PERSONAL VISA/MASTERCARD-(complete credit card information below) my conference registration.
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
❑S ❑M ❑L ❑XL ❑2XL ❑3XL ❑4XL ❑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 ❑MASTERCARD
Credit Card Number.
11011001311110000[3011111313 Exp.Date:
Name as it appears on the card:
Signature
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
ow,
NATIONAL HARBOR,MD 20745
TELEPHONE(301)567-3531 • FAX(3011567-3549 RESERVATIONS
NAME&ADDRESS ® www.hilton.com or 1 800 HILTONS
SUTTON,S ROOM 8021SXQL
6 TH URST OR \� ARRIVAL DATE 8123/2015 1:16:00PM
MEL,IN 48032
US DEPARTURE DATE 8128/2015 11:04:OOAM
ADULT/CHILD 2/0
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
9/2/2015 PAGE 1
DATE T DESCRIPTION ID REF NO CHARGES -CREDITS BALANCE
I _ f
r �
i8/1/2015 CHECK(NUMBER 247872) PBYNUM 882335 $1,115.10
8/2312015 GUEST ROOM MYRA1220 889472 $189.00
8/23/2015 RM-STATE TAX MYRA1220 889472 $11.34
8/23/2015 RM-OCCUPANCY TAX MYRA1220 889472 $22.68 j
18124/2015 GUEST ROOM JHATTON 889708 $189.00
18124/2015 j RM-STATE TAX JHATTON 889708 $11.34
8/24/2015 (RM-OCCUPANCY TAX JHATTON 889708 $22.68
8/25/2015 GUEST ROOM JHATTON 89OD27 $189.00
8/25/2015 RM-STATE TAX JHATTON 890027 $11.34
8125/2015 RM-OCCUPANCY TAX JHATTON 890027 $22.68
812612015 GUEST ROOM JHATTON 890400 $189.00
8/2612015 RM-STATE TAX JHATTON 890400 $11.34
8/26/2015 1 RM-OCCUPANCY TAX JHATTON 890400 $22.68 0
8127/2015 I GUEST ROOM JHATTON 890807 $189.00
1 8/27/2015 i RM-STATE TAX JHATTON 890807 $11.34 I
8/27/2015 RM-OCCUPANCY TAX JHATTON 890807 $22.68
i
BALANCE $0.00
I � �
I EXPENSE R PORT SUM RY
T
8/23/2015 8124/215 /25/2015 8/26/2015
ROOM&Tj $223.02 $22 1. L
02 $223.02 $223.02
l i
1
I DAILY OTAL 5223.02 $223,2 223.02 ` $223.02
� I
ACCOUNT NO DATE OF CHARGE ' FOLIO
j 217815 B T
CARD MEINMER NANTE AUTHORIZATION INITIAL 1
y
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&MISC
I TOTALANIOUNT I o
MFACHANDISE ANDIOR SERVICES PURCHASED ON THIS CARD SHALL NOTRE RETURNED FOR A CASH REFUND
PAVAICNT DUE UPON RECEIPT
/ / r 250 WATERFRONT STREET
NATIONAL HARBOR MD 20745
�
TELEPHONE(301)567-3531 • FAX(301)5673.549
m RESERVATIONS
NAME&ADDRESS www.hilton.com or 1 800 HILTONS
SUTTON,SEAN ROOM 802/SXOL
6 THORNHURST DR
CARMEL,IN 46032 ARRIVAL DATE 8!2312015 1:16:00PM
US DEPARTURE DATE 8/28/2015 11:04:00AM
ADULT/CHILD 210
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
9/2/2015 PAGE 2
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
8/27/2015 STAY TOTAL
ROOM&TA)� $223.02 $1,11'.10 �1
i
DAILY TOTAL $223.02 $1,115.ya
i I {
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I
ACCOUN r NO DATE OF CHARGE I FOLIO
217615 B T
CARD MEMBER NAME AU7HORMATION INITIAL 1
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&MISC
TOTAL AMOUNT
O
MERCHANDISE ANDOR SERVICES FURCHASED ON THIS CARD SHALL NOT HE RETURNED FOR A CASH REFUND
PAYMENT DUE UPON RECEIPT
/ / P 250 WATERFRONT STREET
NATIONAL IiARHOR,NED 20745
TELEPHONE(301)567-3531 • FAX(301)567-3549
® RESERVATIONS
NAME&ADDRESS ® www.hilton.00m or 1 800 HILTONS
TOST ` ROOM 8031120E
6
6 THOR RST DR ARRIVAL DATE 8/23/2015 11:38:00AM
CAjM L,IN 46032 ��
V DEPARTURE DATE 8/28/2015 2:24:OOPM
ADULT/CHILD 2/0
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
9/2/2015 PAGE 1
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
8/1/2015 CHECK(NUMBER 247872) PBYNUM 882334 $1,115.10 �
8/2312015 GUEST ROOM MYRA1220 889473 $189.00
8!23/2015 RM-STATE TAX MYRA1220 889473 $11.34
i
6/23/2015 RM-OCCUPANCY TAX MYRA1220 889473 $22.68
8/2412015 GUEST ROOM JHATTON 889709 $189.00
8/24/2015 RM-STATE TAX JHATTON 869709 $11.34
8124/2015 RM-OCCUPANCY TAX JHATTON 889709 $22.68
8/25!2015 GUEST ROOM JHATTON 890028 $189.00
8/25/2015 RM-STATE TAX JHATTON 890028 $11.34
8/25/2015 RM-OCCUPANCY TAX JHATTON 8900281 $22.68
8/26!2015 GUEST ROOM JHATTON 890401, $189.00
8126/2015 RM-STATE TAX JHATTON 8904011 $11.34
8/26!2015 RM-OCCUPANCY TAX JHATTON I 690401 1 $22.68
8/27/2015 GUEST ROOM JHATTON 890808 $189.00
8/27/2015 RM-STATE TAX JHATTON 8908081 $11.34
8/27/2015 RM-OCCUPANCY TAX JHATTON 8908081 $22.68
BALANCE $0.00
4
i
EXPENSE REPORT SU ARY T
8/2312015 8/2412)15 /25/2015 8/26/2015 L
�f ROOM&T $223.02 $22102 $223.02 $223.02
i
i
DAILY OTAL $223.02 5223. 2 $223.02 $223.02
I
ACCOUNT NO DATE OF CHARGE I FOLIO
217616 B
1
CARD ME..3IBER NA,4IE 1 AUTHORIZATION INInAL
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
TIPS&Mlsc
J oTOTAL AltOITT
t„{FRCHANDISE AND,OR SER57CES PURCHASED ON THIS CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PAYMENT DDE UPON RECEIPT
250 WATERFRONT STREET
/ I ` I f
NATIONAL HARBOR��20745
TELEPFIONE(301)567-3531 • FAX(301)567-3549
0 RESERVATIONS
NAME&ADDRESS $ www.hilton.com or 1 800 HILTONS
SUTTON,SEAN ROOM 803/SXQL
6 THORNHURST DR ARRIVAL DATE 8/23/2015 11:38:OOAM
CARMEL,IN 46032 DEPARTURE DATE 8128/2015 2:24:00PM
US
ADULT/CHILD 2!0
ROOM RATE $189.00
RATE PLAN LV4
Hhonors# 90758285 SILVER
AL:
CONFIRMATION NUMBER: 84048883
9/2/2015 PAGE 2
DATE DESCRIPTION ID REF NO CHARGES _ CREDITS BALANCE
8/27/2015 STAY TOTAL
ROOM&T $223.02 $1,11.1,10
DAILY TOTAL $223.02 $1,115.10
i
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ACCOUNT NO DATE OF CHARGE FOLIO
2176,6 B T
CARD AfF1NfEER NAME
AUTHORIZATION IATIIAL 1
ESTABLISHMENT NO& ESTABLISHMENT AGREES TO PURCHASES&SERVICES
LOCATION TRANSMIT TO CARD HOLDER FOR
TAXES
�
TIPS$MISC
! lo
I) TOTAL AIVOUNT ��
t
MERCHANDISE AND!OR SERVICES PURCHASED ON 11115 CARD SHALL NOT BE RETURNED FOR A CASH REFUND
PAYMENT DDE UPON RECEIPT
Snyder, Denise W
From: Edwards, Steve
Sent: Thursday, September 03, 2015 09:17
To: Snyder, Denise W
Subject: Missed baggage receipt
Denise,
I lost my$25 baggage receipt from 8/23/2015. Please accept my sincere apology.
Thank you,
Steve
i
VOUCHER NO. WARRANT NO.
Steve Edwards ALLOWED 20
IN SUM OF$
$4,4e--0051?
ZZ41
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 2815
VV V'fj
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
i
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 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