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HomeMy WebLinkAbout331334 10/17/18 CITY OF CARMEL, INDIANA VENDOR: 00360062 \� ONE CIVIC SQUARE SCOTT OSBORNE CHECK AMOUNT: $*****1,029.03* 9� %rte CARMEL, INDIANA 46032 19702 SIX POINTS ROAD CHECK NUMBER: 331334 SHERIDAN IN 46069 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _ 1120 4237000 639.03 REPAIR PARTS 1120 4343002 390.00 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350062 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SCOTT OSBORNE IN SUM OF$ CITY OF CARMEL 19702 SIX POINTS ROAD 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. SHERIDAN, IN 46069 Payee $1,029.03 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 42-370.00 $639.03 1 hereby certify that the attached invoice(s),or 10/11/18 0 Misc.Parts $639.03 1120 101 1120 101 0 43-430.02 $390.00 bill(s)is(are)true and correct and that the 10/11/18 0 EVT Class $390.00 1120 1 1 101 1 materials or services itemized thereon for 1120 1 101 which charge is made were ordered and received except Friday, October 12,2018 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 CITY OF CARMEL Expense Report (required for all travel expenses) �NOIANR EMPLOYEE NAME: Scott Osborne DEPARTURE DATE: 9/30/2018 TIME: 8 AM/PM DEPARTMENT: FIRE RETURN DATE: 10/5/2018 TIME: 2:30 AM/PM REASON FOR TRAVEL: EVT Class DESTINATION CITY: Lansing MI EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM xx Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 9/30/18 $65.00 $65.00 10/1/18 $65.00 $65.00 10/2/18 $65.00 $65.00 10/3/18 $65.00 $65.00 10/4/18 $65.00 $65.00 10/5/18 $65.00 $66.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 $0.00 DIRECTOR'S STATEMENT: b it at p ses lis 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 10/11/2018 Page 1 Room No. 0412 Jason-Force Arrival 09-30-18 Xx Noblesville IN-46062 Departure 10-05-18 United States Page No. 1 of 2 Folio No. 36921 INVOICE Conf. No. 43956616 Membership No. GR 6015995079268845 Cashier No. 7577 AIR Number Group Code 1809FTTC19 Company Name 10-05-18 08d35:50 AM EST Date Text Charges Credits 0:9-30-18 Room Rate 124.95 d i 9-30-18 6% State of Michigan Sales Tax 7.50 0.9-30-18 .5%County Assessment 6.25 d,9-30-18 2%GLCVB.Assessment 2.50 1,0-01-18 Room Rate 124.95 10-01-18 6% State of Michigan Sales Tax 7.50 10-01=18 5%County Assessment 6.25 1!0-0.1-18 2%GLCVB Assessment 2.50 10-02-18 Room Rate 124.95 10-02-18 6%-State of Michigan Sales Tax 7.50 10-02-18 5%County Assessment 6.25 1i0-02-18 2%GLCVB Assessment 2.50 10-03-18 Room Rate 124.95 110-03-18 6%-State of Michigan Sales Tax 7.50 10-_03-18 5%County-Assessment 6.25 1:9-03-18 2% GLCVB Assessment 2.50 1,0-04-18 Room Rate 124.95 10-04-18 6%State.of Michigan Sales Tax 7.50 10-04-18 5% County Assessment 6.25 110-04-18 2%GLCVB Assessment 2.50 10-05-18 Visa 7.06.00 XXXXXXXXXXXX1615 XX/XX Total 706.00 706.00 Balance 0.00. Radisson Rewards: Members enjoy Member Only Rates, have access to.exclusive benefits, - and earn towards free nights across Radisson Hotel,GroupTM portfolio of hotels. Enroll and learn more at the front desk or at radissonhotels.com/rewards. Radisson Hotel Lansing 11-1 N.Grand Ave. Lansing,MI 48933 Phone:(517)482-0188 Fax:(517)487-6646 Email:rhi_lans@radisson.com 11ad y 1,1 Room No. 0412 Jason Force Arrival 09-30-18 Xx Departure 10-05-18 Noblesville IN 46062 United States Page No. 2 of 2 Folio No. 36921 INVOICE Conf. No. 43956616 Membership No. GR 6015995079268845 Cashier No. 7577 A/R Number 'Group Code 1809FTTC19 10-05-18 08:35:50 AM EST Company Name Date Text Charges Credits Thank You For Staying With Us I agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person,company or association fails to pay for any portion or the full-amount of these charges. Guest Signature Radisson Hotel Lansing 111 N.Grand Ave. Lansing,MI 48933 Phone:(517)482-0188 Fax:(517)487-6646 Email:rhi—lans@radisson.com 2018 Spartan Emergency Response Fire Truck Training Conference - RegOnline Page.2 of 5 Attn: Greg Rinehart 1541 Reynolds Rd. Charlotte, M1 48813 Registrant Information Registration ID: 110338020 Registrant: Scott Osborne Logistics Chief Carmel Fire Dept. 2 Civic.Square Carmel, IN 46032 United-States Registration Date: :8/9/2018 11:42 AM Type: Technician Status: Confirmed- Work Phone: 317-571-2600 Cell Phone: 317-371-3140 Email: sosborne@carmel.in-.gov Name as it would appear on the badge: Scott K Osborne T-Shirt-Size XL ' I I II VIII VIII VIII VIII VIII VIII VIII(IIII IIII IIII i. -8/17/2018 .,https://www.regonline.com/registration/confirmation.aspx?cmpreg=,I&EventId=2499932&Regist... !2018 Spartan Emergency Response Fire Truck Training Conference- RegOnline Page 3) of 5 Agenda Electrolysis &Corrosion (Details) Sunday, September 30, 2018 1:00 PM - 2:30 PM (Eastern Time) Location: Room 204 Add to My Calendar Cummins Engine Maintenance (Details) Sunday, September 30, 2018 3:00 PM--4:30 PM (Eastern Time) Location: Room 202 Add to My Calendar Hale Pump Rebuild (Details) Monday, October 01, 2018 8:30 AM -Tuesday, October 02, 2018 12:00 PM (Eastern Time) Location: Hall A Add to My Calendar Steering and Suspension (Details) Tuesday, October 02, 2018.1:00 PM -4:30 PM (Eastern Time) Location, Room 201 Add to My Calendar Fire Pumps and Accessories EVT F3 (Details) Wednesday, October 03, 2018:8:30 AM -4:30 PM (Eastern Time) Location: Banquet&Add to My Calendar Cummins Electronic Troubleshooting (Details) Thursday, October 04, 2018 8:30 AM - 12:00 PM (Eastern Time) Location: Room 202 Add to My Calendar Lubricants for Emergency Vehicles (Details) !,https-//www.regonline.com/registration/confirrnation.aspx?cmpreg=I&Eventld=2499932&Regist... 8/17/2018 2018 Spartan Emergency Response Fire Truck Training Conference -RegOnline Page 4 of 5 Thursday, October 04, 2018 1:00 PM -4:30 PM (Eastern Time) Location: Room 202 Add to My Calendar EVT Testing Friday, Friday, October 0.5, 20188:30 AM - 12030 PM (Eastern Time) Location: Hall B Add to My Calendar Fees Technician Event Fee Quantity, Unit Price: $583.00 $ Amount: 583.00 Subtotal: $683.00 Total: $583.00 Transactions Transaction Amount Date: 8/9/2018 Amount: $583.00 Balance: $583.00 Online-Credit Card.Payment(************7310) Details Date: 8/9/2018 Amount: ($583.00) Balance: $0.00 Current Balance: $0.00 Method: Credit Card (MasterCard) The-online credit card payment for thisevent will be listed on your creditzard statem.entwith the name Spartan Chassis, Inc. Training. I https-Hww.w.regonline.com/registration/confirrnation.aspx?cmpreg=I&Eventld=2499932&Regist .. 8/17/2018 ,2018 Spartan Emergency Response Fire Truck Training Conference- RegOnfine Page.5 of 5 Refund Information A refund of the full registration amount less $250.00 will be given on cancellations made on or before September 14, 2018. No refunds will be given for any cancellations after September 14, 2018. ' Ever,-, Home I "--.ienConiaci lnforma:ion I Interested in hosting your own event? Ge-L Siar-ted' ,0 ;Se _ 0 2018 y'bur Pnvacy Rig^is .=scout Cveni Re g 0 n I I n(e Quick, easy and affordable cniir,a s\/sn'L reagisTratjon and eveni managernen*, software for all event sizes, https://www.regonline.com/registration/confinnation.aspx?cmpreg=I&EventId=2499932&Regist... 8/17/201-8 .. s EVAPAR SRO# 565292 Ship From: Remit To: Order Date 09/2 Evapar,Inc.(Indianapolis) EVAPAR,Inc. 3451 Developers Road 9000 N.Kentucky Ave. GENERATORS Indianapolis IN 46227 Evansville IN 47725 PARTS 317-783-5434 Bill To: Ship To: SCOTT OSBORNE SCOTT OSBORNE 19702 SIX POINTS ROAD 19702 SIX POINTS ROAD SHERIDAN IN SHERIDAN IN Customer Ship Via Tax Code Terms Customer PO# Salesperson ID OSB0000009 PARCEL-NDA PPD&ADD IN Credit Card CALL IN 300 Order Ship B/O Item Number Qty Qty Qty. Item Description Unit Price Disc% Net Each Extended Net Tax I 1 0 084918C 180.88 0.00 180.88 180.88 Y HEATER BLOCK 180OW 120V 1 1 0 G0642380352 5.55 0.00 5.55 5.55 Y GASKET,THERMOSTAT 1 1 0 G0642380418 201.81 0.00 201.81 201.81 Y V-BELT SET(SET OF 2) 1 1 0 G084417 56.24 0.00 56.24 56.24 Y HOSE,RADIATOR UPPER 1 1 0 G084418 106.69 0.00 106.69 106.69 Y HOSE,RADIATOR LOWER 1 1 0 G0856770200 65.25 0.00 65.25 65.25 Y THERMOSTAT 76.5C 1 FREIGHT 22.61 0.00 22.61 22.61 Y Non-Taxable Subtotal $0.00 Taxable Subtotal $639.03 Tax(7.00%) $44.73 Printed:9/28/2018 at 10:30:44AM By:nick.martin' Total Order $683.76 Page 1 of 1 r.. A Osborne, Scott K From: support@usaepay.com Sent: Wednesday, September 26, 2018 1:00 PM To: Osborne, Scott K Subject: Customer Receipt Your card has been charged by EVAPAR I . Below is your receipt of payment. Transaction Details ----------------------- Date: 09/26/18 09:59:42 Merchant: EVAPAR I Type: Credit Card Sale Invoice#: 562292 Amount: 683.76 Description: Parts Card Holder:Scott Osborne Card Number:xxxxxxxxxxxxxx0990 v8.1-ue-vt-c Email secured by Check Point 1