The URL can be used to link to this page

Home My WebLink About333817 12/21/18 (9, CITY OF CARMEL, INDIANA VENDOR: 361201 ONE CIVIC SQUARE SHAWN REYNOLDS CHECKAMOUNT: $*****1,186.17* CARMEL, INDIANA 46032 21423 TOOLEY NC U 0 CHECK NUMBER: 333817 CHECK DATE: 12/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 590.23 EXTERNAL TRAINING TRA 1120 4343004 200.94 TRAVEL PER DIEMS 1120 4357004 395.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 361201 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SHAWN REYNOLDS IN SUM OF$ CITY OF CARMEL 21423 TOOLEY COURT 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. NOBLESVILLE, IN 46060 Payee $985.23 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 43-570.04 $395.00 1 hereby certify that the attached invoice(s),or 12/14/18 0 Reimburse Instructor Registration Fee $395.00 1120 101 1120 101 0 43-430.02 $590.23 bill(s)is(are)true and correct and that the 12/14/18 0 EMS Instructor Class $590.23 1120 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Wednesday, December 19,2018 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 rZ CITY OF CARMEL Expense Report (required for all travel expenses) /NDIAHP EMPLOYEE NAME: Shawn Reynolds DEPARTURE DATE: 11/29/2018 TIME: 1500 AM/PM DEPARTMENT: FIRE RETURN DATE: 12/2/2018 TIME: 2100 AM/PM REASON FOR TRAVEL: EMS Instructor Class DESTINATION CITY: Joliet, IL EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM xX TransportationMeals Date Gas/Tolls/ Lodging Misc. r Total , Air-fare Car Rental Other Parking g g Breakfast Lunch Dinner Snacks Per Diem $0:00 $0.00 11/29/18 $395.00 $32.50 $427.50 11/30/18 $65.00 0 5.00 12/1/18 $65.00 '$65.00 12/2/18 $362.73 $65.00 $427:73 $0.00 $0.00 $0:00 $0.00 $0.00 $0.00 $0.00 -$0.00 `$0.00 $0.00 $0.00 10.00 $0.00 r $0.00 0.00 L Total $0:00 $0.00 $395.00 $, :00 $362.73 ,$0.00 $0.00 $0.00 $0.00 $227.50 $0.00 DIRECTOR'S STATEME T 14 by irm` aj,,;al:, e 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 12/14/2018 Page 1 12/14/2018 Invoice No.200009806-National Association of EMS Educators Asqc, JEpl� � S ®f JSJw0t 250 MT. LEBANON BLVD. SUITE 209 PITTSBURGH, PA 15234 National Association of EMS Invoice Educators Date Invoice# 9/20/2018 200009806 Bill To Ship To Carmel Indiana Fire Department Shawn Reynolds Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 United States United States PO Number Terms Due Date Due on 9/20/2018 receipt Qty Description Price Totals 1 Level 1 Instructor Course: Joliet, IL - Shawn $395.00 $395.00 Reynolds Sub-Total $395.00 Total $395.00 Payments/Adjustments Qty Description Price Totals 1 Payment via Credit Card (using card ) ($395.00) ($395.00) Applied to invoice on 12/12/2018 3:06:47 PM Total Payments/Adjustments ($395.00) Balance Due $0.00 hftps://naemse.org/members/invoice view.asp?id=EA867E2D-F2C8-4464-B867-69Dl868517AF 1/1 Mileage Mileage reportfor01-01-2018 to 12-12-2018 Generated at: December 12,2018 0159 PM Carmel fire License plate: Name: Shawn Summary Type Distance Rate Reimbursement; Business 2018 378.5 mi $0.545 i�96Zr1� Total 378.5 mi _—_-— ---'-`---- Trips in the period joo ,95 Date From To'! Purpose Distance Rate Relm_ bursement Nov 29 2018 20077-20083 Little Chicago Rd,Noblesville,121396 Tooley Ct,Noblesville,IN 46062 Business 9.8 mi $0.545 $5.34 Nov 29 2018 21413 Tooley Ct,Noblesville,IN 46062 1669-1871 Rock Creek Blvd,Joliet,IL 60431 Business 177.6 mi $0.545 $96.80 Nov 30 2018 1471 Rock Creek Blvd,Joliet,IL 60431 Joliet Junior College,1215 Houbolt Rd T,Jolie Business 1.1 mi $0.545 $0.62 Nov 30 2018 JolietJunior College,1215 Houbolt Rd U,Joli[1471 Rock Creek Blvd,Joliet,IL 60431 Business 1.4 mi $0.545 $0.75 Dec 012018 1511 Riverboat Center Dr,Joliet,IL 60431 Joliet Junior College,1215 Houbolt Rd U,Jolii Business 1.2 mi $0.545 $0.64 Dec 01 2018 1530 Commerce Ln,Joliet,IL 60431 1471 Rock Creek Blvd,Joliet,IL 60431 Business 7.3 mi $0.545 $3.99 Dec 02 2018 Joliet Junior College,1215 Houbolt Rd D,Jolie 21397 Tooley Ct,Noblesville,IN 46062 Business 180.1 mi $0.545 $98.16 10 � ,g5 1 of 1 12/3/2018 Invoice No.200009806-National Association of EMS Educators Pj i'Mal �� 250 MT. LEBANON BLVD. SUITE 209 PITTSBURGH, PA 15234 National Association of EMS ' I11V01C@ Educators Date Invoice# 9/20/20-18 200009806 Bill To Ship To Carmel Indiana Fire Department Shawn,Reynolds Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 United States United States PO Number Terms Due Date Due on 9/20/2018 receipt Qty Description Price Totals 1 Level 1 Instructor Course: Joliet, IL - Shawn $395.00 $395.00 Reynolds Sub-Total $395.0.0 Total $395:00 Balance Due $395.00 hftps://naemse.org/membersriinvoice view.asp?id=EA867E2D-F2C8-4464-B867-69Dl868517AF 1!1 W 10�IR u ji i 6,si ��v°� n�Z a ' 5d =�,a�Iw{p` 6 16 12-02-18 Shawn Reynolds Folio No. Room No. 508 21423 Toodley court A/R Number Arrival 11-29-18 Noblesville IN 46062 Group Code Departure 12-02-18 United States Company Government Rate Conf. No. 23165275 Membership No. PC 242619459 Rate Code IMGOB Invoice No. Page No. : 1 of 2 Date I Description I Charges I Credits 11-29-18 *Accommodation 107.00 11-29-18 State Tax 6.42 11-29-18 City Tax 7.49 11-30-18 *Accommodation 107.00 11-30-18 State Tax 6.42 11-30-18 City Tax 7.49 12-01-18 *Accommodation 107.00 12-01-18 State Tax 6.42 12-01-18 City Tax 7.49 12-02-18 MasterCard 362.73 Thank you for your loyalty as an IHG(R)Rewards Club member,and for staying with us! Total 362.73 362.73 Qualifying points for this stay will automatically be credited to your account. Please tell us Balance 0.00 about your stay by writing a review here-www.ingrewardsclub.com/reviews. We look forward to welcoming you back soon. Guest Signature: Holiday Inn &Suites Joliet Southwest 1471 Rock Creek Blvd. Joliet, IL 60431 Telephone: (779)206-2915 Fax: (779)206-2982 Owned and Operated by Joliet HI Hotels, LLC Dec 4, 2018 ttsrrvnG�SsrurcrnvG�:.:�rbc-�r— ARD Dec 3, 2018 I Withdrawal MASTERCARD -$362.73 DEBIT HOLIDAY INN & S'... From: stephen.perdziola@naemse.org Subject: National Association of EMS Educators - Your Payment Has Been Received Date: Dec 12, 2018 at 3:06:49 PM To: Reynolds, Shawn J SReynolds@carmel.in.gov EducatorsNational Association of EMS Dear Carmel Indiana Fire Department, Thank you for your payment. This e-mail confirms that your payment has been received.Details regarding your payment: • Amount:$395.00 • Date payment was received:12/12/2018 3:06:46 PM • Invoice No.:200009806 To view your invoice/receipt for this transaction,click the link below. httos://naemse.org/members/invoice view.asp?id=ea867e2d-f2c84464-b867-69d1868517af Thanks! National Association of EMS Educators -.— -This is an automated email--sent fmm NAEMSE.Please do not reply,to this ematl It has been sent from an email I account that isnot monitored:If you feel you have receNed this message m error,'please,feel'free to•con ac us j Email secured by Check Point r f 4 Dec 13, 201E 0 Withdrawal MASTERCARD -$395.00 DEBIT NATL ASSOC OF E... � . Dec 12, 201E Claim No. warrant No. I have examined the within claim and hereby certify as follows: IN FAVOR OF Shawn Reynolds That it is in proper form; That it is duly authenticated as required by law; That it is based upon statutory authority; That it is apparently correct $ 200.94 {incorrect On Account of Appropriation No. for 430-04 Travel Per Diems Disbursing Officer � (D Allowed 20 0 o in the sum of$ 0 N in 0 N a M, tr Na5F✓ � m¢� oN Cr7D�i hoard or commisston) �+ FILED tn"Cr n q N o p sz� � R p Q m (Official Title) Prescribed by State Board of Accounts General Form No.101(1955) MILEAGE CLAIM Carmel Fire TO Shawn Reynolds DR. (Governmental Unit) Carmel Fire 430-04 Per Diems On Account of Appropriation No. for (Office,Board,Department orInstitution) DATE FROM TO .545 ODOMETER READING NATURE OF BUSINESS AUTO MILES MILEAGE @ 20 Point Point Start Finish TRAVELED PER MILE Attena 11/29/18 7obleTvIlle,IN Joliet.IL iuuuu Instructor Uass 12/2/18 Joliet,IL Noblmlle.IN 10366.7 Auto License No. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155,Acts 1953,1 hereby certify that the foregoing account is just and correct,that the amount claimed is legally due,after allowing all just credits,and that no part of the same has been paid. Date