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HomeMy WebLinkAbout200840 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 363021 Page 1 of 1 ONE CIVIC SQUARE STEVEN EDWARDS CHECK AMOUNT: $375.00 CARMEL, INDIANA 46032 10409 GUARDHILL LANE FISHERS IN 46038 CHECK NUMBER: 200840 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 375.00 EXTERNAL TRAINING TRA cQaarcR y�l s CITY OF CARMEL Expense Report (required for all travel expenses) V!NUiANA EMPLOYEE NAME: DEPARTURE DATE: TIME P M DEPARTMENT: RETURN DATE: TIME: S AM REASON FOR DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Parkin Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 $0.00 8/14/11 $65.00 fNWO 8/15/11 $65.00 $65.00 8/16/11 $65.00 $65. 8/17/11 $65.00 $65.00 8/18/11 Z, S $65.00 1000 $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 Total $0.001 $0.00 So $0.00 $0.001 $0.00 $0.001 $0.001 $0.00 $325-001 $0.00 t DIRECTOR'S STATEMENT:.. preafffi�i tholl ex uses cform to the City's travel policy and are within my department's appropriated budget. Director Signature: \J Date: AUG City of Carmel Form ER06 Revision Date 8/25/2011 Page 1 I A FF MEMBERS ONLY: IAFF members Can make a FIREPAC 2011 John P Redmond Symposium+ onAhe 06cupationakHealth Hazards; L oontributwn and r egister (or the 2011 John P. of th'e Fire Serlrice in.,COnjunctfon wiW the Domintck"F. Barbera- Redmond Symposium on the Occupatiar al A Health Hazards of the Fire Service/Dominick tmergeney. Medical Services.Conierence F Barbera Emergency Medical Services Hilton Now York Now York' City Augyst 4-1K'2011 ,.2011 Conference in one step. This FIREPAC Gtnly �.nt ngistranrlrer fnrut, Far t rrgisrnurr rrtust.�hrrk o .rirrre irxrr kslreps fin Tresieuy unrt rlirarr option is available only to IAFF members. Ave ;iksitrrps fiat Wedne -Way, Registrarrrssclectin the Fire. Ground Survival Practiced Workshop will attend wtio- csliaps on Tuesday or'tticdnesrlatt depending wr which day they are assigned to atrerrd. fhe U.S. MEMBERS; C con c Your personal, vo che FIREPAC CAniributiAn ersonal check, Dire Crround Survival.Practical ttrorkshnp. I money order or credit card) of 5500 or more 7lrtrndeuue at tkc 1•vrkshol it fnnirk,,I torte! will he le rcrrnirred on fit r trrrne basis: provides you membership in the FIREPAC Leadership Trust or Chairman's Council and F.40L GR{?QNb st'JRVlVAL 'ei�TlbAL +Q W0 CSi# i automatically registers you tot the Tues day ay i'Votk9zitt p5 f• ttc�k l �1r�ct '�Le4 sLiay !Jtlotk�iloia5 #Ch,c.k 71'_4° 5ymposiumlConrsrence. One tegistratlon Fire Ground Survival Practical. VV6rksho p 'Firc Ground Sut*Nil Practical Workshop Arm per individual. united States Iedeml election law prohibits 0,Residential Fin -gmund Feld F_rc{7 eritn_c,tts Q Qccopational Elt�tscs, the solicitation of non-IAFF members. U.S- Functional litness- 2- fart ScrleS Ll!'FunctionalFifntcs 2- }art$rtits IAFF members selecting the FIREPAC CJ Building C,oM Building oxirs option must submit their own personal J ��hi to sncl Pintos .v v �.fstu.fnr the Ftisi, infaus Lscau c+u'U checks or use their own personal credit. s and may not seek reimbursement for their �ftespnritier ta7 [icF artoral.�trelln�st �letttal rl pctts of con It tton. Federal election law prohibits LL�tt l iitcrmitUntnent Prfz•rttznet FIREPAC from aecepGrlg union or corporate aid 7'nyslc ri Dei)tnnds ttf mire Brit hung C I ire Sen•ice CumnninieittionS: Whv Choy Are money. One person Cannot write a personal '_l Ftonomitsaf Fire Fighter t+ellrtss" hest 4VorkinF check or use a personal credit card to cover muttiAle registrants CAn nautirtg to FIREPAC. 0 Niteictl Nurcwr Cotirse 3-Wart Series. 13 Operating Safcl Protective Clothing antd Please note that contributions to FIREPAC 0 EMS Field Ex runcnts t qutpment are not. tdsc deductible. Previous FIREPAC Fire -f axed F Case_Sci n trioa Sta+ang, Conrnpcuttve f Atnbtilance Transi)0 contributions and monthly deductions cannot Fiir O )crahtii ts m Canaria be applied toward registration. Onto O ]tifarketiiiga Fire Ilaecd'Sysletn. registration for per individual. CANADIAN MEMBERS: Your contribution of V—TMob OF PAYMEOT, Ft12EtrAC Chairman s Council meiiibtm will reeciv, 'a $500 (USD) or more to FIREPAC Canada 3(S500. I will attend tht Sympoitun iGitticrence and Cliaistniti s Cotinul yw: a's`Yecia3ly de!iigned wind provides you membership in the FIREPAC .t:9.t join the FIREPAC Leadership Trust. shirt and reeognitton in i3te4nt.ernatior:al Fire Fightcr. Leadership Trust, or Chairman'&. Council and automatically registers you for tree Cl SSQrI t sruulJ lake to tarn the FIREVAC Lrwidersh p Symposium/Conference- One registration Q SM I would lif.•r to join fhc. F�MAC Irma it's Trust` and regiitec, Ior the Syrnpdau trf loan per individual. Ctiunctl .pr d register for +he 5ying asiurnl Gnnrerencr a) dre sattttt tirnr. i Carufnance at the s471,e Jerre 3 There are two options for making J CHECK {Payable in U.S Datiaro to John P. ra'PERSONA :CHECK /i` ONFY ORDER FIREPAC contributions: Rrdrn and foundatitrir) (Payable to N tEPAQ VlSAINIASTF.RCARD (cornl lete credit O t #ERSONAl.VISA ,%IASTHRCARD 1. FIREPAC Chalrman's Council IAFF card information below) (<<nirpletc crcdit card infortnati in beloev) members malting a personal, volunta y contribution of $750 or more to FIREPAC will Chairman's Cauncii m�mticrs 0 5 v icntbcrs only FIkEkc'can anly accept pt irsonul be enrolled in the FIREPAC Chairman's 1'ltast arli Cr the stye of the +oind slttrt }4u would like. chcdai snohry eaters or,persnnal crestit car&v,- federal. Council and registered for the Conference: J O Iwt U I. dal 0 2XL O?1XI_ G q.CL elee icrn'tiwspmhilih FiitEFAC from acceputig bi,iirics Registrants using the FIREPAC option will or tuiiori dues (9reasury) a.+�utii Clrecl °w. Cinuiltutiniit receive a Chairman's Council pin, a specially tSS.rercmlxrsonly :'cl :tLPAGcanonly :a :cept personal to FIREPAC`do'nm qualify as charitable contsibt hors designed wind shill and recognition in the chest s, money orders or personal crcdn cards. frederal fc)r federal'incoirtr tart purpasrs, International Fira Fighter. vicctivn laws prohibit FIREPAC accept ng busincss or union due; (treasury) accuunrcherk Contributions 'FtREI Teusi ioetrtlrers wiliscccite a 2, FIREPAC Leadership Trust IAFF to IrIRRPAC do not gvealih• as chdritable cortribiai.ni Leadership Tram pin and "re ogniti ii in the members: making a personal, voluntary cur red--tal aecome tax purpoies frtlernarinneo! rrghur: Contribution of 5500 to FIREPAC vy'_ill be enrolled in the 'FIREPAC Leadership Trust and registered for the Conference: ,ltr \y11A t Zs i Registrants. using the FIREPAC option will ]i rocoive a Leadership Trust pin and It11=Ff :r3CatlGoml >auy taint "f r 7 "1 t.�.p't�l'a �i',/Z tecognitionIn the lncernafioialFireFigl velt r If you wish to register for the symposiurN laddres Lo 1 tlf'l�f�wc tN Conference and join the Leadership Trust dr Chairman's Council, please check the FIREPAC box on the attached registration City form. This FIREPAC option is only available to IAFF members. Federal election law prohibits Lip Code t Phone p LG the solicitation of non-IAFF members. !:mail address �r R 1 j? 13-t• jt: d i t CO r-( Please complete this registration form and rrr5if or Ink to: 1.15AIMASTBRCARU John P. Redmond Foundation Credit Card \timber Dominick F. Barbera Conference IntematfonaE Association of Fire Fighters AM! Cleverly Lewistisa Aaron 'Na nc as it alrpcars qtr the. Card 1750 New York Avenue, NW Washington, DC 20006 Siy,naturt Err,. date 1202} f32a 159dt'ta7t -(202)737-84. Fax Snyder, Denise W From: Debbie Tunstill Debbie. Tunstili @thetravelagentine.com] Sent: Wednesday, June 08, 2011 1:10 PM To: Snyder, Denise W Subject: Confirmed Flight for Steven Edwards SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: JUN 08 2011 ACCOUNT NGWMSQ PAGE: 01 FOR: EDWARDS /STEVEN L TO: CITY OF CARMEL CITY OF CARMEL -FIRE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN: DENISE SNYDER CAP-MEL IN 46032 TWO CIVIC SQUARE CARMEL IN 46032 14 AUG 11 SUNDAY MILES- 664 ELAPSED TIME- 2:23 AIR LV INDIANAPOLIS 1110A DELTA FLT:3771 COACH CLASS CONFIRMED AR NYC /KENNEDY 133P NONSTOP REFRESH AT COST RESERVED SEATS 7B AIRLINE CONFIRMATION:DL GRZC2K 18 AUG 11 THURSDAY MILES- 664 ELAPSED TIME 2:44 AIR LV NYC /KENNEDY 159P DELTA FLT:6605 COACH CLASS CONFIRMED AR INDIANAPOLIS 443P NONSTOP REFRESH AT COST RESERVED SEATS 11B AIRLINE CONFIRMATION= GRZC2K 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. DELTA CONF GRZC2K *YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED FEES AND PENALTIES EXIST FOR REISSUES REFUNDS CHANGES. AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373 CODE A09- $15.00 PER CALL. A CANCELLATION FEE OF 15PCT ON TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL .FOR TERMS AND CONDITIONS AIRLINE LUGGAGE POLICES AND OTHER SERVICES OFFERED. THANK YOU. DEBBIE TUNSTILL 317 805 5762 AIR TRANSPORTATION 327.44 TAX 45.96 TTL 373.40 PROCESSING FEE 35.00 SUB TOTAL 408.40 CREDIT CARD PAYMENT 408.40 TOTAL AMOUNT 0.00 1 I, Steven Edwards, hereby certify that I paid $25.00 for baggage fees while attending the Redmond Symposium August 14 August 18 2011. Respectfully submitted, Steven Edwards VOUCHER NO. WARRANT NO. Steve Edwards ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 43- 430.02 I hereby certify that the attached invoice(s), or 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 AUG 2.9 2011 L 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)) 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