Loading...
HomeMy WebLinkAbout328376 08/08/18 CITY OF CARMEL, INDIANA VENDOR: 371537 CHECK AMOUNT: $*******326.48* ONE CIVIC SQUARE JONATHAN R. BENGE CARMEL, INDIANA 46032 C/O CARMEL FIRE DEPARTMENT CHECK NUMBER: 328376 y,/TON E° WHITESTOWN IN 46075 CHECK DATE: 08/08/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 80.00 GASOLINE 1120 4343002 246.48 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 Vendor# 371537 ACCOUNTS PAYABLE VOUCHER JONATHAN R. BENGE IN SUM OF$ CITY OF CARMEL C/O CARMEL FIRE DEPARTMENT 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. WHITESTOWN, IN 46075 Payee $326.48 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 0 42-314.00 $80.00 1 hereby certify that the attached invoice(s),or 8/3/18 0 $80.00 1120 101 1120 101 0 43-430.02 $246.48 bill(s)is(are)true and correct and that the 8/3/18 0 $246.48 1120 1 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Monday,August 06,2018 VaAADr . 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer .4\1`I of CIgQI • CITY OF CARMEL Expense Report (required for all travel expenses) �H0111Hp EMPLOYEE NAME: Jonathan Benge DEPARTURE DATE: -ao - �� TIME:' `s PM DEPARTMENT: FIRE RETURN DATE: TIME: AMPM REASON FOR TRAVEL: EMS Class DESTINATION CITY: Lawrenceville, IL EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. � Total , Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 7/20/18 $80.00 $65.00 $145.00 7/21/18 $116.48 $65.00 $181.48 $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 $0.00 $0.00 0.00 Total $0.00 $0.001 $0.00 $80.00 $116.48 $0.00 $0.00 $0.001 $0.00 $130.00 $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 8/3/2018 Page 1 Lawrence e9untv LLAWRENCE COUNTYL MEMORIAL HOSPITAL Ambulance Service "THE RHYTHM IS GONNA GETCHAPT -M- Presented by Bob Page., M.ED, NRP, CCP, NCEE Sponsored by Lawrence County Ambulance Service Lawrence County Memorial Hospital Two day event: Friday, July 20th, 0800-1700 (1 hr. break for lunch) Saturday, July 215t, 0800-1500 (1 hr. break for lunch) Event Location: Lawrenceville High School Auditorium 2200 James St, Lawrenceville, IL. 62439 Friday,July 2e Multi-Lead Medics: 8 hours of intense 12 lead ECG interpretation. Learn and understand 12 and 15 lead placement, axis and hemi block determination, bundle branch blocks, differentiating wide complex tachycardia and myocardial infarction recognition. Saturday,July 21st Slap the Cap!: 4 hours of continuing education covering all aspects of capnography. Learn the role of capnography in trauma; from cases of cardiac arrest patients to airway and ventilation: assessment and management, from closed head injury to tension pheumothorax and shock. Stethoscopy for Dummies: How much did you pay for your stethoscope? How much training and lab time did you get in the proper use of a stethoscope?This 2 hour hands on seminar features heart and lung sounds presented via stethoscopy sounders so you can listen to them with your own stethoscope. *Must bring your own stethoscope with you.* Lawrence County LAWRENCE COUNTY MEMORIAL HOSPITAL Ambulance Serulce Cost: $50 for 1 day, $100 for both days Early Registration Special (prior to June 30th) $40 for 1 day, $80 for both days *Lunch is included both days* Lunch provided by Air Methods-ARCH And St. Vincent StatFlight A MW r ' Hotel Accommodations: Discounted room rates will be available for out of town guests attending this seminar using discount code "LCA" Hampton Inn 2863 Ford Road, Vincennes In. 47591 812-316-0999 Lawrence county Lmma CO LINTY� MEMORIAL HOSPITAL Ambulance sefte "'RHYTHM- IS GONNA GETCHA :L''w Registration Form: Which days will you attend? L Day 1: Friday, July 20 th Day 2: Saturday, July 21't 'L Both days Mail this form with payment to: Lawrence County Ambulance Service 2009 Lexington Avenue Lawrenceville, IL 62439 -0 R- You can register online via PayPal on our Facebook Page @LCAS3100 -OR- Call Terry Lawrence @ 618-943-3300 No Footer Link Help Center I Resolution Center Security Center Please do not reply to this email. To get in touch with us, click Help & Contact, or call 1 (888) 221- 1161. Copyright©1999-2018 PayPal, Inc.All rights reserved. PayPal is located at 2211 N. First St., San Jose, CA 95131. PayPal PPC000885:1.63:a35f33fd466f9 3 71z Benge, Jonathan R Af�- ed klvi'e 0O 712,1 0,. 1300 From: PayPal <service@paypal.com> Sent: Tuesday,July 10, 2018 12:38 PM To: Benge,Jonathan R Subject: Your receipt for payment to Lawrence County Ambulance Service JIf 10 C+ Y ® e . ® ® ® 11 Lawrem,,,ce, Cqynty.A-'m. ,buj ' .hce rvic i 4 0 Thanks for using PayPal, Jonathan Benge Create a PayPal account in just a few seconds so every checkout is a snap! Activate PayPal Now i i l Payment details I For your.purchase on July 10, 2018 I ` i 1 Details The Rhythm Is Gonna Getcha- Both Days $100.00 USD Subtotal $100.00 USD i 1 j Amount you'll pay $100.00 USD f ' Paid with VISA x-9196 i - � I I The transaction will appear on your statement as PayPal * PAYPAL *LAWRENCECOU I Ship to { ' Jonathan Benge 6156 Brighton Dr. Whitestown, IN 46075 i United States I if PayPal: easy to get, easy to.use PayPal isn't just a convenient way to shop online. It's also an easy way to send money to anyone, across town or around the world. ' Now f i Receipt number I 1820-7735-8270-2518 i 1 Save this receipt in case you need to contact Lawrence County Ambulance Service or PayPal customer service. Merchant details Lawrence County Ambulance Service i I Customer Details Jonathan Benge jbenge@carmel.in.gov 2 Hampton Inn Vincennes ( [l/I1jDt6/j� 2863 Ford Rd•Vincennes,IN 47591 Phone(812)316-0999 • Fax(812)316-0998 If the debit/credit card you are using for check-in is attached to a bank or checking account,a hold name: room number: 131/NKRUG" BENGE,JONATHAN wiltheplaced anthe account for the full antidpated address' arrival date: 7/20/2018 6:15:00 PM dollar amount to be owed to the hotel,including 6156 BRIGHTON DR departure date: 7/21/2018 8:41;00 AM estimated incidentals,through your date of check-out WHITETOWN IN 46075 adult/child: and such funds will not be released for 72 business UNITED STATES OF AMERICA room rate: 104.00 hours`from the date of check-out or longer at the discretion of your financial Institution. Rate Plan: T04 HH# AL: Car: Rates subject too applicable sales,,occupancy, or other taxes. Please do not leave any money or items of value Confirmation Number:981721-50 unattended in your room.A safety deposit box is available for you in the lobby.11agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person,company or•association fails to pay for any.part or the full amount of these charges.A fee of up to 250 115D will be assessed for smoking in a 7/21/2018 non-smoking room.Please ask the Front Desk for locations of designated outdoor smoking areas. date `' reference ,j description amount. L�1 7/20/2018 61157 GUEST ROOM $104.00 7/20/2018 61157 STATE SALES ROOM TAX $7.28 7/20/2018 61157 COUNTY INNKEEPERS TAX $5.20 7/21/2018 61238 VS*9196 ($116.48) **BALANCE** $0.00 Hilton CON RAD CC1R�(� �y� (~l]{lo TAPESTRY WALDORF aucvrs "^• I �( Hilton COLLECTION ASTORIA �meuzassoms """ °" DOUALL•TliEF. ^•^•_•• rr�i ltinon '''+.. Ln snr s,.ssv Garden �(wxptorU hfOME500D HOME Hilton g�rrrs Grand Vacations L�Hton HONORS for reservations call 1.800.ham ton orvisit us online at hampton com, thanks: account no. date of charge folio/check no. VS*9196 7/21/2018 39476 A card member name authorization initial BENGE,JONATHAN 437752 establishment no.and location establishment agrees to transmit to card holder for payment purchases&services taxes tips&mist. signature of card member X total amount -116.48