190933 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00351674 Page 1 of 1
ONE CIVIC SQUARE STEVE REEVES
CARMEL, INDIANA 46032 580 BARBEE LANE CHECK AMOUNT: $525.00
INDIANAPOLIS IN 46280 CHECK NUMBER: 190933
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1120 4343002 365.00 EXTERNAL TRAINING TRA
1120 4357001 160.00 INTERNAL TRAINING FEE
aF QAgy
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME DEPARTURE DATE:` TIME: PM
DEPARTMENT: RETURN DATE: \Q TIME: AM PM
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Toils/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
9/26/10 $20.00 $65.00 $85.00
9/27/10 $65.00 $65.00
9128110 $65.00 $65.00
9129110 $65.00 $65.00
1011/10 $20.00 $65.00 $160.00 $245.00
$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 $40.001 $0.001 $0.00 $0.001 $0.001 $0.001 $0.001 $325.00 $160.00 11j�
t
DIRECTOR'S STATE ME h al) that I ex ed 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 1017/2010 Page 1
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ICERS 0.S5a��F
FDSOA Headquarters, P.O. Box 149, Ashland, MA 01721
Voice: 508881- -3114 508 881 -1128 Email: membership @fdsoa.org
Incident Safety Officer Certification Application
Applicant shall meet requirements of NFPA 1521, 2008 Edition, Chapter 4, Section 4.5.1
Please type or print all information
Name: 5LW/�--.7 L SS# Last 4 digits:
Agency: Rank: 4A :eF
Department Type: Career Combination Volunteer Other
Address: Z C; S�
City: State: .T--7 Zip: V40
Day Time Phone: 3/ 7_ -E7/- Zl 71 FAX: r31 7- 571- ZG� s
Cell Phone: 3/ 5 67o S Email: SI�e� ✓�S Car US
Professional Experience (Required)
Agency Dates Position
To Employer (Required)
Please verify the above information by signing below:
ver fy that ��-�v Q-� has been involved in the emergency
services for a minimum of five (5) years and meets the requirements of NFPA 1521, 2008 edition,
Chapter 4, Section 4.5.1
Print Name:
Required: Chi o Chief Off' r 1
Signature:
Require Chief or Chief Officer
Rev. 01108
Registration F®lrM (Register online at www.fdsoa.org)
FDSOA Annual Safety Forum Pre Registration Required
NOTE: Use one registration form per person photocopies accepted. Please return completed
form, with payment in U.S. funds, to FDSOA, P.O. Box 149, Ashland, MA 01721 -0149. Make
checks payable to FDSOA. Save time register online at: http: /www.fdsoa.org.
Name: 5= �n Nickname: ��Q-� Q--
Title:
Agency:
Address: City: State: State: Zip:
Day Time Phone: 's��- '��ocz FAX: 3N ;,z �S
Cell Phone: Email:
Conference Registration Fees
Member Non Member Amount
Safety Forum Only $325.00 $425.00
X Safety Forum ISO Academy $425.00 $525.00 �a
Safety Forum HSO Academy $425.00 $525.00
ISO Academy Only $200.00 $300.00
HSO Academy Only $200.00 $300.00
jRISO Certification Exam 95.00 $195.00 a.5
HSO Certification Exam 95.00 $195.00
XFDSOA Individual Membership Dues (,loin now to take advantage of the member rate) 85.00 <Z>
TOTAL AMOUNT DUE eos.
Payment Information: (U.S. Funds, drawn on U.S. Bank)
Enclosed is a check payable to FDSOA Enclosed is an official Purchase Order
MasterCard Visa
Card Number: Expiration Date:
Card Holder Signature: Date:
Card Holder Name: (Please Print)
Cancellations: Cancellations must be made in writing and sent to FDSOA, P. 0. Box 149, Ashland, MA
01721 -0149. If received 30 days prior, 75% of Forum Registration only will be refunded; 7--29 days prior,
50% of Forum Registration only will be refunded. Less than 7 days, no refund is possible.
FDSOA Non-Profit Org.
P. 0. Box 149 U.S. POSTAGE
Ashland, MA 01721- -0149 PAID
Permit No. 125
Ashland, MA
Page 1 of 2
Snyder, Denise W
From: Debbie Tunstill Debbie. Tunstill @thetravelagentinc.com]
Sent. Thursday, September 02, 2010 1:30 AM
To: Snyder, Denise W
Subject: Confirmed Flight for Reeves
SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: SEP 02 2010
ACCOUNT P5M2PC PAGE: 01
FOR:
REEVES /STEPHEN J
TO: CITY OF CARMEL CITY OF CARMEL -FIRE DEPT
ONE CIVIC SQUARE 3RD FLOOR ATTN: DENISE SNYDER
CARMEL IN 46032 TWO CIVIC SQUARE
CARMEL IN 46032
26 SEP 10 SUNDAY MILES- 828 ELAPSED TIME- 2:11
AIR LV INDIANAPOLIS 1126A AIRTRAN AIR FLT: 399 COACH CLASS CONFIRMED
AR ORLANDO /INTL 137P NONSTOP
AIRTRAN CONF DBLWGQ
SEAT 14D
01 OCT 10 FRIDAY MILES- 828 ELAPSED TIME- 2:16
AIR LV ORLANDO /INTL 354P AIRTRAN AIR FLT: 394 COACH CLASS CONFIRMED
AR INDIANAPOLIS 610P NONSTOP
AIRTRAN CONF MFLIQH
SEAT 26C
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH AIRLINE CONF. TICKET IS COMPLETELY
NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL
TRAVEL DATE. FEES WILL APPLY.
CONF DBLWGQ
*YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES- REFUNDS CHANGES. FOR
AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL
877 6456373 CODE A09. $15.00 PER CALL FEE WILL BE CHARGED
A CANCELLATION FEE OF 15PCT ON TTL COST OF BOOKED TOURS- CRUISES
LAND HOTEL PKGS WILL APPLY. AIRLINE CHECKED BAGGAGE NOTICE
FOR DOMESTIC AND INTERNATIONAL TRAVEL AIRLINES MAY CHARGE
THE TRAVEL AGENT THANKS YOU -317 846 9619..DEBBIE WWW.TTA.TRAVEL
PROCESSING FEE 35.00
SUB TOTAL 243.40
CREDIT CARD PAYMENT 243.40-
10/7/2010
CUSTOMER'S ORDER NO. DEPARTMENT DAT
d�
VAME
ADDRESS F
7
CITY, STATE, ZIP
i
i
SOLD BY CASH C.O.D. CHARGT MpSE RETp PAID OUT
i
QUANTITY DESCRIPTION RICE AMOUNT C
1
3
i I
4
4, 5 i
6 f
7
9
10 I
I
12 FIRE DEPARTHEHI SAFETY I
13 ASHLAND W
13
14 TERHIHAL Io
MERCHANT R. 235287479991
16 Oxxxxxxxxxxxx
SALE
a` 17 BATCH: 898417
INVOICE: 9 0178540199
18 DATE: OCT 81, iB
I: AUTH B: 84575E
19
I
.20 TOTAL X160_00 I
RECEIVED; BY
CUSTOMER COPY
KEEPXHIS SLIP FOvt,r,"
5805 l
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Steve Reeves
IN SUM OF
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #frITLE AMOUNT Board Members
1120 43- 570.01 $160.00 1 hereby certify that the attached invoice(s), or
1120 43- 430.02 $365.00 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
OCT .1`1 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
FDSOA Books $160.00
FD SOA $365.00
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
Clerk- Treasurer