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331317 10/17/18 ��/ \� CITY OF CARMEL, INDIANA VENDOR: 363862 ,1, CHECK AMOUNT: $*****1,096.00* .� ® , ONE CIVIC SQUARE JASON FORCE s. CARMEL, INDIANA 46032 21589 OVERDORF ROAD CHECK NUMBER: 331317 9gj��T.ON��= NOBLESVILLE IN 46062 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 1,096.00 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 363862 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER JASON FORCE IN SUM OF$ CITY OF CARMEL 21589 OVERDORF ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by wham,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NOBLESVILLE, IN 46062 Payee $1,096.00 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 43-430.02 $1,096.00 1 hereby certify that the attached invoice(s),or 10/11/18 0 EVT Class $1,096.00 1120 101 1120 101 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 Friday, October 12,2018 David Haboush Fire Chief 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) �N0111NP. EMPLOYEE NAME: Jason Force 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 Meals Date Gas/Tolls/ Lodging Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 9/30/18 $65.00 $65.00 10/1/18 65.001 $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 $706.00 $65.00 $771.00 $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 L$0.001 $0.00 $0.00 $0.001 $706.001 $0.001 $0.001 $0.00 $0.00 $390.00 $0.00IM Is DIRECTOR'S STATEMi .T�I t rm al expens 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 10/11/2018 Page 1 7�tu &Y T Jason Force Room No. 0412 Xx Arrival 09-30-18 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 A/R Number Group Code 1809FTTC19 Company Name 10-05-18 08:35:50 AM EST Date Text Charges Credits 09-30-18 Room Rate 124.95 09-30-18 6%State of Michigan Sales Tax 7.50 09-30-18 5%County Assessment 6.25 09-30-18 2% GLCVB Assessment 2.50 10-01-18 Room Rate 124.95 10-01-18 6%State of Michigan Sales Tax 7.50 10-01-18 5% County Assessment 6.25 10-01-18 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 10-02-18 2% GLCVB Assessment 2.50 10-03-18 Room Rate 124.95 10-03-18 6% State of Michigan Sales Tax 7.50 10-03-18 5% County Assessment 6.25 10-03-18 2% GLCVB Assessment 2.50 10-04-18 Room Rate 124.95 10-04-18 6% State of Michigan Sales Tax 7.50 10-04-18 5% County Assessment 6.25 10-04-18 2% GLCVB Assessment 2.50 10-05-18 Visa 706.00 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 111 N.Grand Ave. Lansing,MI 48933 Phone: (517)482-0188 Fax:(517)487-6646 Email:rhi_lans@radisson.com v Jason Force Room No. 0412 Xx Arrival 09-30-18 Noblesville IN 46062 Departure 10-05-18 United States Page No. 2 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 08:35:50 AM EST 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 i Snyder, Denise W From: Force,Jason S Sent: Friday,August 17,2018 10:15 To: Snyder, Denise W Subject: FW:Thank you for your EVT Registration I J son Force Maintenance Technician Ca � el Fire Department 2 Ci is Square,Carmel IN 46032 317- 71-2600 Headquarters 317-571-2615 Fax 'force carmeIJn. ov CONFIDENTIALITY NOTICE:This transmission(including any attachments)may contain information which is confidential,attorney work-product and/or, subject to the attomey-client privilege,and is intended solely for the recipient(s)named above. If you are not a named recipient,any interception,copying, distribution,disclosure or use of this transmission or any information contained in it is strictly prohibited,and may be subject to criminal.and civil penalties under State or Federal law. If you have received this transmission in error,please immediately call us at.(317)571-2600,delete the transmission from.all forms of electronic or other storage,and destroy all hard copies. DO NOT forward this transmission.Any error in addressing or sending this e-mail is nota waiver of confidentiality or privilege and does not waive consent to copying or distribution of this e-mail or attachments.Thank you. I FroT:.registration@evtcc.org.[mailto:registration@evtcc.org] Send: Thursday, August 09, 2018 10:23 AM To: Force; Jason S Subject: Thank you for your EVT Registration I i This)is a receipt that your payment has been received and your registration is being processed. Once processed,the registrant will receive an EVT Confirmation/Admittance Letter via email within two business days. If that Confirmation Letter is not received,please contact us at evtcert ,evtcc.org or 847-426-4075, as you must have it to gain admittance.-Thank.you for.your support of the EVT Certification program. i Registrant::Jason Force Registrant's email address:jforcencarmel.in.gov Test Name RFJ Fire Apparatus Electrical Systems RE2 Ambulance Electrical Systems 1 i i i Loc' tion Site IM.MI100518 Loc tion: Lansing spartanchassis.com .Dat': Friday Oct 5, 2018 8:30 am. TRANSACTION RECORD EVTICERTIFICATION COMM 640IS. 2ND ST W. DUNDEE, IL 60118 Unified States WWW,IEVTCC.ORG TYPE: Purchase ACCT: Visa $ 70.00 USD I i CARDHOLDER NAME Jason S Force CARD NUMBER ############1615 DATE/TIME 09 Aug 18 09:22:52 REF4RENCE # 00.1 0823944 M AUTgOR. # 009536 TRANS. REF. Approved - Thank You Please retain this copy for your records. I Cardholder will pay above amount to card issuer pursuant to cardholder agreement. ---=------------------------------------ --- ----------------------------------- i I i i I I 2 1018 Spartan Emergency Response Firc,rruck Training Conference- RegOnline Page 2 of 5 Registrant Information Registration ID., 110335500 Registrant: Jason Force Maintenance Tech Carmel Fire Department Two Civic Square Carmel, IN 46032 United States Registration Date: 8/9120189:20 AM Type: Technician Status: Confirmed Work-Phone: 317-571-2600 Cell Phone: 317-690-4283 Email: jforce@carmel.in.gov Name as'it would-appear on the badge: Jaon Force T-Shirt Size Large Agenda Starting,Charging,-Diagnostics&Battery Technology (Details) 8/17/2018 https://�w-ww.regonline.com/registration/confinnation.aspx?cmpreg=I&EventId=24999327... 2018 Spartan Emergency Responsc Fire Truck Training Conference - RegOnline Page-4 of 5 Amount $583.00 Subtotal: $683.00 Total: $683.00 Transactions Transaction Amount Date: 8/9/2018 Amount: $583.00 Balance: $583.00 Online Credit Card Payment 616) Details Date: 8/9/2018 Amount: ($583.00) Balance: $0.00 Current Balance: $0.00 Payment Method: Credit Card (Visa) The online credit card payment for this event will be listed on your credit card statement with the name Spartan Chassis, Inc.Training. 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. Interested in hosting your own event? :- • regonline.com/rcgi!itiatiojj/confiniiation.asp.x?cmpr 8/17/20-1,9 https://www.