159833 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00352429 Page 1 of 1
0 ONE CIVIC SQUARE MINDY COLLINS CHECK AMOUNT: $463.85
CARMEL, INDIANA 46032 ci0 cccc
c1 cccc CHECK NUMBER: 159833
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 378.50 EXTERNAL TRAINING TRA
1115 4343004 85.35 TRAVEL PER DIEMS
1
01 CAq�t\l'
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: t bl j l l k DEPARTURE DATE: TIME: A PM
DEPARTMENT: C ttV t I b I k,46 RETURN DATE: 6 6� TIME: 33 D AM PM 11 REASON FOR TRAVEL: Vow l L �G1 k T11��� iLD DESTINATION CITY: l OpWt j� q,
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
5/5/08 $4.79 $4.59 $9.38
5/6/08 $2.77 $4.80 $6.90 $14.47
5/7/08 $4.79 $7.57 $12.36
5/8/08 1 $5.55 $5.55
5/9/08 $5.221 $5.22
$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 1 $0.00 $0.00 $0.00 $0.001 $0.00 $17.57 $14.941 $14.471 $0.00i $0.00 $0.00
DIRECTOR'S STATEMENT: I hereby it at 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 5/13/2008 Page 1
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fTownePlace Suites
105 South. Franklin Road
Bloomington, IN 47404
812 334 -1234
0 o y
M. COLLINS Room: 214 NUYL
Room Type: STQT
No. Of Guests: 1
Rate: 74.00
PEL.HAM Clerk:
Arrive 05May08 Time 03 :38p Depart 09May08 Time Folio# XT -72629
[3ate Reference Number Description Charges Credits
05•May03 J]_214 Room Charge 74.00
05May08 T2214 State Occupancy Ta 5.18
05May08 T3214 City Tax 3.70
06NTa.y08 J1214 Room Charge 74.00
06Ma.y08 72214 State Occupancy Ta 5.18
06May08 T3214 City Tax 3.70
U /Ma.y08 J1.214 Room Charge 74.00
07:May08 T2214 State Occupancy Ta 5.18
07May08 T3214 City Tax 3.70
":1,: May08 J1214 Room Charge 74.00
0 May08 T2214 State Occupancy Ta. 5.18
00May08 T3214 City Tax 3.70
09May08 VI214 Visa 331.52
CARD /XXXX
Amount: 331.52 Auth: 08370B
Signature on File
BALANCE .00
As requested, a final copy of your bill will be emailed to you at:
MCOLLINS @CARMEL.IN.GOV
See "Internet Privacy Statement" on Marriott.r_om
Felham--- Training
bereby certifies that
MINDY COLLINS
bas successfully completed a 48 bour
Paramedic Refresher CoUrose
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in accordance with the DOT national standard EMT-Paramedic Refresber curriculum.
05/05/08 05109108
'fliis continuing education activity is approved by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS).
48 Hour Paramedic Refresher
You have participated in a continuing education program that has received CECBEMS approval for continuing education credit. If you have
any comments regarding the quality of this program and/or your satisfaction with it, please contact CECBEMS at.
CECBEMS 12200 Ford Road, Suite 478, Dallas, Texas 75234 972247-4442 Isibley@cecbems.org
Tim Abram
Pnimary Instructor
G-, _iAL FORM NO. 101 ('SE6)
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and for wlriclr charge is inade was ordered 1�y sue and was necessary to tl►o public
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Pelham Training Bloomington, IN
Paramedic Refresher May 05 through May 09, 2008
Mandatory Core Content (24hrs)
Airway, Breathing and Cardiology a hours
.Provide ventilatory support for a patient
.Attempt to resuscitate a patient in cardiac arrest
.Provide care to a patient experiencing cardiovascular compromise
Provide post resuscitation care to a cardiac arrest patient
Medical Emergencies 3 hours
.Assess and provide care to a patient experiencing an allergic reaction
.Assess a patient with possible overdose
.Assess and provide care to a near drowning patient
Trauma 6 hours
.Perform a rapid trauma assessment
.Assess a patient with a head injury
.Assess and provide care to a patient with suspected spinal injury
Provide care to a patient with a chest injury
.Provide care to a patient with an open abdominal injury
.Provide care to a patient with shock/hypoperfusion
Obstetrics and Pediatrics 8 hours
Assess and provide care to an infant or child with cardiac arrest
Assess and provide care to an infant or child with respiratory distress
.Assess and provide care to an infant or child with shock/hypoperfusion
.Assess and provide care to an infant or child with trauma
Flexible Core Content (24hrs)
Airway, Breathing and Cardiology a hours
.Assess and provide care for respiratory distress in an adult patient
.Use oxygen delivery system components
Perform techniques to assure a patent airway
.Assess and provide care to a patient experiencing non traumatic chest pain/discomfort
Medical Emergencies 6 hours
.Assess and provide care to a patient with an altered mental status
Assess and provide care to a patient with a history of diabetes
.Assess and provide care to a patient experiencing a seizure
.Assess and provide care to a patient exposed to heat or cold
.Assess and provide care to a patient experiencing a behavioral problem
.Assess and provide care to a patient with suspected communicable disease
Trauma 1 hour
Provide care to a patient with a painful, swollen, deformed extremity
.Assess and provide care to a patient with bum injury
Obstetrics and Pediatrics s hours
Assess and provide care to an infant or child with suspected abuse or neglect
.Assess and provide care to an infant or child with a fever
.Assess and provide care for the obstetric patient
.Provide care to the newborn
.Provide care to the mother immediately following delivery of a newborn
Operational Tasks 2 hour
.Use body mechanics when lifting and moving a patient
.Communicate with a patient while providing care
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mindy Collins
IN SUM OF
11429 Pegasus Drive
Noblesville, IN 46060
$463.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 43- 430.04 $85.35 1 hereby certify that the attached invoice(s), or
1115 43- 430.02 $46.98
bill(s) is (are) true and correct and that the
1115 43- 430.02 $331.52
materials or services itemized thereon for
which charge is made were ordered and
received except
,,�i�► Tuesday, May 13, 2008
Director
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))
05/13/08 $85.35
05/13/08 $46.98
05/13/08 $331.52
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