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HomeMy WebLinkAbout303784 10/04/16 0r C.1q '�' '' CITY OF CARMEL, INDIANA VENDOR: 363862 ONE CIVIC SQUARE JASON FORCE CHECK AMOUNT: $*******799.23* 4 CARMEL, INDIANA 46032 21589 OVERDORF ROAD CHECK NUMBER: 303784 b. �*ON`�;= NOBLESVILLE IN 46062 CHECK DATE: 10/04/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 092916 699.23 EXTERNAL TRAINING TRA 1120 4357004 092916 100.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) JASON FORCE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 21589 OVERDORF ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVI LLE, IN 46062 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $799.23 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 43-570.04 $100.00 I hereby certify that the attached invoice(s),or 9/29/16 0 EVT $100.00 1120 �� 101 1120 101 0 43-430.02 $699.23 bill(s)is(are)true and correct and that the 9/29/16 0 EVT $699.23 1120 101 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Thursday, September 29,2016 Val'ar - �- David Haboush Fire Chief 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer G�tv uNPAq,H�- 1t3 r CITY OF CARMEL Expense Report (required for all travel expenses) /NpIANp EMPLOYEE NAME: Jason Force DEPARTURE DATE: TIME: '4. AM/PM DEPARTMENT: FIRE RETURN DATE: -`;b - TIME: AM/ REASON FOR TRAVEL: Ohio EVT DESTINATION CITY: Reynoldsbur4, OH EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM TransportationMeals Date Gas/Tolls/ g Lod in Misc. Total Air-fare Car Rental Other Parking g Breakfast Lunch Dinner Snacks Per Diem $0.00 9/25/16 $100.00 $32.50 $132.50 9/26/16 65.00 $65.00 9/27/16 65.00 $65.00 9/28/16 65.00 $65.00 9/29/16 406.73 65.00 $471.73 $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 $0.001 $0.001 $100.001 $0.001 $406.731 $0.00 $0.00 $0.001 $0.001 $292.50 $0.00 DIRECTOR'S STATEMENT: he a ffirm hat all e p ses lis d 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 9/29/2016 Page 1 4 ,174.N&'NU fTLl C S6-' Trm r4"'-.tt Lr CQ"'& H i i ,.FF�.;.ff i-L'�.r 2'�to",i? ..i IiaF 1 29.5401 a '["�T�'.� Pj_t'n !=F' .Tay fnfm +i5 f9Fa a T..9 9 ra FJJL'' T � _t r'p Teti: T. A 490 w dtj ; ' v•��ssii 5 ;.: , +' s 0-.f* £;,� � 3.60 22' ep 11g6 1,27n r-arc f Z 3 Thi. �S9 -CI 5•-4 rPi'L"'.gpl6 SB 1^ L N .i'3, A do cel 'rv'LL7Card W-"#AO"*wjy w4md On'25' "O RtwWj M .'pru r-� rsre mwt*d Potts few d•##m vVesoon 04 5 ji, out#+ 'ipc"rA#ir*-Pkw offlo`#.E int 0*19 *Sk. '�F s�ti i f et�nue r qua 1 }'f l V*rwNw WbOr**Y*90i *XK* Of 7W Wdaft i M '1# R h 4'gw iA h� {ro'ice, la 1'A6 "1 `+r+/ # ; �� Ulili. 11llti leiNC46 -1shdWV zy. NOW ji4you 8C iC J arm 1y TUITION INFORMATION REGISTRATION CLOSES SEPTEMBER 16, 2016 Late registration rate will be required. $25 per day/class. FULL PACKAGE Includes the 5 day symposium, daily lunch, and the Wednesday night Banquet: $425.00 Daily Rate - Any Class................................................ $150.00 The Wednesday Night Banquet- ADDITIONAL TICKETS ...................... $30.00 TOTAL ENCLOSED Late Registration after 9-16-16 Full Week.................. $125.00 Per Day/Class...................................... $25.00 TOTAL INCLUDING LATE REGISTRATIONa5 — Send registration form along with full tuition or payment verification: (for example, purchase order number from your employer) Registration: Monday 7:00 AM to 8:30 AM Welcome & Opening Remarks: 8:30 AM Class Times: Classes are Monday thru Thursday from 9 AM-to 4 PM, with one hour for lunch and two 15 minute breaks. Friday 9 AM - 12 PM Lunch will be in the Ohio Fire Academy cafeteria. Meal tickets will be issued to each student.- Some tudent:Some classes.are limited in size due to hands-on training. Register early, classes will be filled on a first come, first served basis. Class _registrations must be postmarked by September 16, 2016. Electronic or scanned registrations are encouraged; send to pguhde@aol.com. Certificates of attendance will be awarded upon payment of all fees and verification of attendance. Students are responsible for providing suitable personal protective equipment, i.e., eye . protection, hearing protection, as may be needed for the hands-on portion of any class. O.A.E.V.T. reserves the right to cancel or substitute classes due to conditions beyond our control. Reasonable efforts have been made to confirm the classes and instructors scheduled. Please call Pat Guhde (440) 476-8707 or E-mail at pguhde@AOL.com 4 9/29/2016 OAEVT Training and Certification OHIO ASSOCIATION OF • .� s - _is� Qaawc�ra Thursday,September 29 TRAINING & CERTIFICATION 0C ION a: f Save the Dates G= June 11, 2016 Cd Regular Meeting TRAINING & Ohio Fire Academy CERTIFICATION OAEVT holds periodic training meetings. Our website will keep you September 26 - 30, 2016 informed of our meeting 24th Annual Emergency and Municipal Apparatus Maintenance schedule. Symposium Ohio Fire Academy Classes include - Hale Fire Pump Repairs, Basic to Advanced Electrical, Air Brake Repairs, A/C Systems, Cummins Engines, 10 EVT Prep Classes, Spartan Chassis, Sutphen Chassis and F- 5 Aerial Prep, AC / Line Voltage in Vehicles, Chassis Electrical Maintenance, Kussmaul Electronics Product Class, Multiplex Electrical Classes, International Engine Maintenance„ Rom Products, Fire Research Products, Hydraulic Generator class EVTCC test site Thursday September 29 2016 @ 4 pm Click here for the schedule and registration. Tuesday Evening Factory tour of the Sutphen Fire Truck Factory (Springfield Plant) with BBQ dinner Class tuition- $425.00 and includes lunch all week and the Wednesday Banquet dinner. Host Hotels The Host Hotel is The Best Western Executive Suites 1899 Winderly Lane, Pickerington, OH 43147 Reservation code is OAEVT # 1506, with a special rate of $69.00 per night for all style rooms, which includes a full breakfast bar. Phone 614-860-9804 Additional Rooms @ Hampton Inn - East 1890 Winderly Lane, Pickerington, OH 43147 OAEVT Group pricing $99.00 per night C-OAE is the reservation code. Phone 614-864-8383 The Ohio Fire Academy also has hotel style rooms available 1-888-726-7731 http://www.oaevt.org/training.htm 1/2 9/29/2016 OAEVT Training and Certification Target Participants Maintenance Chief/ Officers, Fire Fighters, Fire Mechanics, Technicians, Fleet Foreman, Fleet Managers, Municipal Technicians, Service Technicians and any other parties interested and responsible for vehicle and fleet maintenance and repairs at Fire and Public Works Departments for Cities, County, Township, and Village organizations. Click here for a PDF. September 28, 2016 Annual Meeting Tall Timbers Banquet Center November 12, 2016 Regular Meeting Ohio Fire Academy The Monster That's Eating Your Rigs (article on corrosion in PDF format) EVT Certification Commission, Inc. P.O. Box 894 Dundee, IL 60118 © 2001-2011 Ohio Association of Emergency Vehicle Technicians HOME I NEWS I FAQ I GREASE BOARD I LINKS I TRAINING&CERTIFICATION OFFICER DIRECTORY I MEMBERSHIP APPLICATION I CORPORATE SPONSORS I PHOTO ALBUM http:/twww.oaevt.org/training.htm 2/2 Have you ever registered for an EVT Certification exam before? Yes® No xxx-xx- 6442 3 17 - 690 - 4283 3 17 - 57 1 - 2600 Last 4 Digits of Social Security# Home or cell phone Work Phone Force Jason S1 Last Name First Name MI 21589 Overdorf Rd Home Address or P.O.Box Number Noblesville I N 46062 City State Zip or Postal Code Confirmation Letter will be emailed Email a_ddressjforce p Carmel.ln.gov Date of Birth 0 3 - 0 9 - 19 7 3 Sex:;Z Male ❑ Female Years of education: 1 6 yrs Employer Name: City of Carmel DATE OF EXAM: 0 9 / 1.9 / 2 0 1 6 21 Day Advance Registration Required for mail or fax,16 days for online. TESTSrrE# OH92916 C; Reynoldsburg sT OH go to www.evtcc.org for list of sites and dales Blacken the square for exam-a m_aAmurn of 2 regular exams or 6 re-certification exams or a combo of 1 reg&3 recerts may be taken. certification : 'Note: Re-certification exams are for technicians whose ccation is expiring. Regular Re-certification* EVT Certification reserves the right to affirm to interested parties the areas in which a technician is EVT Certified. $50.00 $30.00 Fire Apparatus Exams F1 ❑ ❑ F-1 Maintenance,Inspection,&Testing 09/19/2016 --- - - - - - --- - - --_ Date: F2 F-2❑ F-2_Design_&Perf_o_rmance_- F3 ❑ ❑ F-3 Fire Pumps&Accessories Fees: Number of: F4 _-_❑,_____ - El_ _ __ F-4 Electrical_Systems _ _-_ _ .- ,_ - Regular exams: 2 X $50.00=$100.00 FA4 El ❑ t take tAdvanced e FAA your must haSystems e F4 or E2 _._ ..__. --- .�_._._ _- - __._ F5 - Re-certification exams: X 30.00= ❑ ®-r____F-5 Aerial Fire Apparatus--=_ ---- —___-- F6 ❑ ❑ F-6 Allison Automatic Transmission Registration Fee: one-time fee for _.___❑ ___❑___.__ _F-7 _Foam Systems _ ._ _ --- . _ _,_ NEW registrants only $20.00= $ F8 ❑ ❑ F-8 Hydraulic Systems GL ❑•available 10/14/16 GL Ground Ladder Testing Total Fees = $100.00 Ambulance Exams if you provide an email address,you will receive a Confirmation Letter and EO ❑ ❑ E-0 Maintenance,Inspection&Testing Reference/Objective list within three business day& If not,you will receive it by mail within two weeks.You must have the confirmation letter to be admitted to the E1exam,along with PICTURE to. ❑ ____ _ ❑ E-1 Design_&PerformanceA E2 ❑ ❑ E-2 Electrical Systems REGISTER ON-LINE at www.evtcc.org . E3___❑_-------❑__- ---E_3 HVAC_ ----- - - E4 ❑ ❑ E-4 Cab,Chassis&Powertrain Credit Card# Airport Rescue&Firefighting Vehicle Exams ___.❑_ ______ p____„-_A-1_Design&Performance A2 ❑ ❑ A-2 Chassis&Components Expiration Date A3_,. ___ ___❑ ,___A-3 Extinguishment Systems____-_ _ L1 El L-1 Law Enforcement Vehicle Installation Please print the name on credit card and billing address ❑ (if different from applicants name and mailing address) M1 ❑ ® M-1 Management Level I Supervisor M2 ❑ ❑ M-2 Management Level II Supervisor to take the M-2 you must be certified in M1 Signature of cardholde. A/,Zr• Send form and payment to EVT Certification Commission, Inc., PO Box 894, Dundee, IL 60118 FAX: 47- 426,4076 August 3,2016 Phone: 847-426-4075 FATFtFIELD �~ Fairfield Inn&Suites@ 2826 Taylor Road Ext INN&SUMESO •' Columbus East Reynoidsburg Oh 43068 )kar lof. Guarantee�.. 614.864.4555 ;.x Jason Fore .:. Room:332.. Ne 11.111 Room Type G1BDB Y Number of Guests 1 Business Y Rate: $89 00 I rkANG � a Arnve `25Sep16 Time 08 27PM Depart29ep16 Time ;0817AM Foho',NumbeY 53705 Date Description Charges Credf#s ",' r : z F 25Sep16 Room Charge 89.00 25Sep16 State Sales Tax 6.45 25Sep16 Occupancy Sales Tax 0,89 25Sep16 County Tax 5.34 26Sep16 Room Charge 119.00 26Sep16 State Sales Tax 8.63 26Sep16 Occupancy Sales Tax 1.19 26Sep16 County Tax 7.14 27Sep16 Room Charge 119.00 27Sep16 State Sales Tax 8.63 27Sep16 Occupancy Sales Tax 1,19 27Sep16 County Tax 7.14 28Sep16 Room Charge 60.00 28Sep16 State Sales Tax 4.35 28Sep16 Occupancy Sales Tax 0.60 28Sep16 County Tax 3.60 28Sep16 Room Charge 89.00 28Sep16 State Sales Tax 6,45 28Sep16 Occupancy Sales Tax 0.89 28Sep16 County Tax 5.34 29Sep16 Visa- 406.73 Amount. 406.73 Auth:025405 Signature on File This card was electronically swiped on 25Sep 16 Balance: 0.00 As a Rewards Member,you could have earned points toward your free dream vacation today. Start earning points and elite status,plus enjoy exclusive member offers. Enroll today at the front desk. Thank you for choosing our hotel for your stay! Knowing the many options available,we sincerely appreciate your business. If this receipt of your bill is correct, you may take advantage of express check-out by dialing zero, informing the Guest Service Representative of your departure, and leaving the keys in the room. We wish for safe travels and that you may return home soon. On your next visit to the area, we hope you will choose the Fairfield Inn &Suites Columbus East as your destination hotel! As requested, a final copy of your bill will be emailed to you at: JFORCE@CARMEI_.IN.GOV. See 'Internet Privacy Statement'on Marriott.com. Operated under license from Marriott International,Inc,or one of its affiliates. PNC Online Banking Page I of I 19PINIC Onlineilanking Account Activity Monday,October 03,2016 --Z PNC points Visa Signature XXXXXXXVJeww-3--34R1 Balance:11IM"ll Minimum Payment Due: $0.01) Payment Due Date: 1010612016 Posted Transactions IMOM ,,Cf. DateDescription Amount 09/30/2016 17ARF-IEL-D-INN&SU'IT-ES-R-EY-N0-'1LDBURG OH $406:73 0913012016 THE HOME DEPOT#2017 NOBLESVILLE IN 40 09129J2016 ELX*Grace Church 317-8482722 IN 0912912016 GRACE COMMUNITY CHURCH 317-8482722 IN 09/29/2016 WAL-MART#0923 NOBLESVILLE IN 09129=16 MEIJER INC#230 OONOBLESVILLE IN 09127/2016 CRAIGS LOCKSMITH SERVICE-CARMEL IN 0912712016 LOGANS REYNOLDSBURG OH 0912612016 KROGER FUEL CTR#2957 NOBLESVILLE IN 091252016 AmazonPrime Membership amm.com/prme WA 0912312016 KROGER FUEL CTR#2957 NOBLESVILLE IN 09/2212016 GRACE COMMUNITY CHURCH 317-8482722 IN 09=016 WAL-MART#0923 NOBLESVILLE IN 09=016 CREW CARWASH 15 WESTFIELD IN 09J2112016 PAYMENT THANK YOU DUBLIN OH 0912112016 KROGER#957 NOBLESVILLE IN dW 09121=16 0 STOMYSECRETS.COM 8776136246 NJ 09/2112016 KROGER FUEL CTR#2957 NOBLESVILLE IN 09120P2016 EVT CERTIFICATION COMM 847-426-4075 IL $100.00 09/2012016 BOOST MOBILE 888-266-7848 KS 0912012016 AUTOZONE#0624 NOBLESVILLE IN 09119/2016 REDBOX*DVD RENTAL 666-733-2693 IL 0911712016 CRACKERS COMEDY CLU 317-2664211 IN jowl, 09117/2016 CRACKERS COMEDY CLUB BR2 INDIANAPOLI IN 09N71Z616 SPEEDWAY 06884 INDIANAPOLIS IN 09/16/2016 SPORT CLIPS IN-102 CARMEL IN ANON" 09/1612016 TOM UBRIEN CHRYSLER INDIANAPOLIS IN dim 0911512016 TRACTOR-SUPPLY-CO#0624 NOBLESVILLE IN 0911512016 VvM SUPERCENTER#1601 CARMEL IN 091152016 MENARDS CARMEL IN CARMEL IN 0911412016 RUNYON EQUIPMENT RENTAL CARMEL IN 09/14/2016 ADVANCED TURF SOLUTION 317-642-10861N 0911312016 ADVANCED TURF SOLUTION 317-842-1088 IN 09/1212016 SPEEDWAY 08034 100 CICERO IN gum 09/12t2016 GAN*INDKNANEWSPAPRCIR888-426-0491 IN 09/1012016 NAPA STORE 0365017 CARMEL IN 0911012016 WAL-MART#0923 NOBLESVILLE IN 0910912016 EB EDGE L X CONFERENG 601-413-7200 CA 09109/2016 KROGER#957 NOBLESVILLE IN 0 910=016 MEIJER INC#230 OONOBLESVILLE IN '"NOR 0 Caplaight2010.The PNC Financial services Group,Inc.AU Flights Reamed. 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