HomeMy WebLinkAbout160434 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 175950 Page 1 of 1
ONE CIVIC SQUARE BRUCE KNOTT CHECK AMOUNT: $340.00
a s;ARMEL, INDIANA 46032 212 N JOHN ST
ARCADIA IN 46030 CHECK NUMBER: 160434
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1120 4343002 340.00 EXTERNAL TRAINING TRA
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sy OF CAgy-
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CITY OF CARMEL Expense Report (required for all travel expenses)
/NOlANA�.
EMPLOYEE NAME: ���U �`�Q�� DEPARTURE DATE: TIME: A PM
DEPARTMENT: RETURN DATE: S o TIME: OKD AM/ M
REASON FOR TRAVEL DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
6/1108 $20.00 $60.00 $80.00
6/2/08 $60.00 $60.00
6/3/08 $60.00 $60.00
6/4/08 $60.00 $60.00
6/5/08 $20.00 $60.00 $80.00
$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 $0.001 $0.001 $40.00 $0.00 $0.001 $0.001 $0.001 $0.00 $0.00 $3 $0,001M.Em
DIRECTOR'S STATEMENT: I hereby affirm that 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 6/6/2008 Page 1
THE TFZAVEL AGENT
tel 317846.9619 800.347.2512
fax 317848.3998
Es bWwd1979, email i nfo@thetravelag en t.t ravel VIRTUOSOMEMBER.
11562Westfteld Boulevard I Carmel, Indiana 46032 web www.thetravelagent.travel
SALES PERSON: A09DT ITINERARY /INVOICE NO. 47128 DATE: APR 25 2008
ACCOUNT CPD JTODJO PAGE: 01
FOR:
KNOTT /BRUCE
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
01 JUN 08 SUNDAY MILES- 1591 ELAPSED TIME- 3:50
AIR IV INDIANAPOLIS 725A SOUTHWEST FLT: 401 COACH CLASS CONFIRMED
AR LAS VEGAS 815A NONSTOP
05 JUN 08 THURSDAY MILES- 1591 ELAPSED TIME- 3:40
AIR LV LAS VEGAS 935A SOUTHWEST FLT :2450 COACH CLASS CONFIRMED
AR INDIANAPOLIS 415P NONSTOP
"YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE ISSUED
FEES AND PENALTIES EXIST FOR REISSUES REFUNDS AND CHANGES
FOR AFTER HOURS EXISTING RESERVATION EMERGENCY CALL
877 645 6373 CODE A09. A $15.00 PER CALL FEE WILL BE CHARGED.
A FEE OF 5PCT ON THE TOTAL COST APPLIES TO ALL CANCELLATIONS
FOR BOOKED TOURS CRUISES OR LAND HOTEL PACKAGES.
THE TRAVEL AGENT THANKS YOU- -317 646 9619.."DEBBIE WWW.TTA.TRAVEL
AIR TRANSPORTATION 278.14 TAX 41.36 TTL 319.50
PROCESSING FEE 35.00
SUB TOTAL 354.50
CREDIT CARD PAYMENT 354.50
TOTAL AMOUNT 0.00
AS YOUR TRAVEL ADVISOR, WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALLTRAVEL COMPONENTS. TRAVELEX INSURANCE SERVICES IS OUR PREFERRED PROVIDER_
FOR TERMS AND CONDITIONS, REFERTO: wwW.TTA"TRAVFI /TERMS
Inn
NFPA Woad Sal�enr CoN It; F gap ExPOS ITION
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STEP is NERALINFORMATI N
first Name: n lost Name: i 1
iitie: 62 M AP_ SN F 1Z F P'7' 1 L_ PE i PLO C C'fPS other
c Alm 1J 1
Com on AHiliatan: 1 1
Mailing Address:
City to c l._.. NFPA is committed to providing upprapdare a((ornmodanons for persons with
disahilihds so that everyone may have access to aar,prag oars aad evebis.
C_LPleose check horn if you would NFPA to conlcut,pu regarding oppio-
NicY,nomefor8adge fnstdimeAHendee priale accommodations, ormntaausot6'.]7984 -7310.
Email (required for (onfirmmion):
(iayrimePhone: 17— `7/ �(�DC� Fur: I�T� 5 I� DY) STEP PAYMENT INFORMATION
FULL PAYMENT IS DUE WITH REGISTRATION. PURCHASE ORDERS NOT ACCEPTED.
Spouse Noma for Badge (if aNendina): 11 (Admission to Generols6von end expo onlp) NFPA WILL NOT INVOICE FOR WSC &E OR SEMINARS.
Emergency Contact Nome: F N a.In o J fk K. Emergency Contact Phone: `3I Enclosed is my Check A payable to NFPA.
gahow's name must oppeor on (herkJ
�M�t(�16ERSHIP ENE NATION I (Re
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t NFPA Member 3 (p I ilonddembes Charge to the following credit card:
f r,) Technical Committee Member (Committee none) �V o n n 0
STEP 2: CONFERENCE REGISTRATION r' Cord d:
FULL CONFERENCE REGISTRATION Includes all sessions and the Expostrioa (does cwt include Ple{onfeienco Sominurs) Expiration Dme:
EARLY-BIRD RATE (by April 10, 2008) RE lAR RATE {aNer April 10, 2008) AMOUNT
�jNfPA 1Aember 5650�Nao-Member $750 r fFPA Member 5750 ;)Noo-Membar 5850 Home on Card:
`_�TCINFPA Member 5520 _)TVNan-Meinher $600 C) TONFPA Member 5600 Member 5680 Signature:
SINGLE-DAY REGISTRATION Includes Eipositian; does oo(iricfude Pip. Conference Seminars (Choose one do-1 onEy Billing Address (If different):
0 Sun Man C) Toes 0 Wed/Thur (_)NFPA Member S260 QNou 1Aembei 5290
CTCINFPA Member 5200 CK''Non- Member $230 5
J E %POSITION ONLY— Dwsnorinc lWeConferenceorP re-ConlercnceSeiniivis )Member ONon- Memher FREE STEP 5: ATTENDEE INFORMATION
Free when you register in advance. S50 Onsite (unless you present this form) Which of the fallowing best describes your current job function iih¢rk oro orgy)
STEP 3: PRE CONFERENCE SEMINAR (MAY 31 —JUNE 1) REGISTRATION 0 A. anhitett O E, r%peaor/BuJISngOlfaioi
PreReg0oiroo iequiiad (does not include Conference) O B. ii i ing 0r.rer /Manager Q Instcdei
0 C Cmnulmi/Consufung Engbseer O A. Los ConaoAI; hlunogei
ant tegistedng fora Pre{onference Seminar(s)... 0 WITHOUT the Exposilian WITH the Ex p otHron 0 0. Comr000s Q N, Manogel /bdmnslmm
Emergency and Standby Power (Sat) C) Member 5295 0 Non Member 5330 S O F. Ed
gm aor Q 0. Moneluhrel
O E Elingaa.s Q P. Ovrmai/Presidenl /CHJ
Emergency Eyaruation for People with Disabilities (Sou) Member 5295 n Nop- Member $330 5 O G. facilities Marriger 0. Sofery /Sxurbyikrsgar
NE(" Changes (Sari Mamber 5295 R. $330 5 C� H. F o Chid Q R. Sines /Ate ke mg
NFPA 1 1UF(— Spray Booth (Sat) O Member 5295 r Non-Member 5330 I. Fire Marshal O S. Othe
NFPA 10, Standard for Portable Fire Extinguishers (Sat) 0 Member 5295 C) NonMembar 5330 1. Fire Seke
Stallcup's Grounding and Bonding (So) C) Member 5295 Q Nort-Member 5330 What industry or business is your organization in? (Cli k dI hat oppty)
e Dust Explosion Hazards (Sun) 0 Member S295 Q Non- Momber $330 S O A A shire taro 0 I. Hoafrh Cae
B. Conhocfa/IntoBation 0 O 1. Irsdustry/Fachry/Yimehouse
Emergency fvacualion and Relocation (sun) C) Member S295 (j Non- Membei 5330 S L 0 C. Conunencl IDffre, Rod, RestmcmU O t, Insuneeco/8isl AMnagement
a NFPA I/UF( Hazardous Materials (Sun) (J Member S295 0 NonMembar $330 0 0. Derennon /Prison O L lodl,:ng
NfPA 99, Neollh Care Fordities (Sun) Cl Member $295 0 NonMembar 5330 0 E Education O M. hluary
5tallcup's High Valloge {Sun) 0 Member 5295 C_7 Non Member $330 0 E Electr Senices 0 N. Othe
a Behind-the-Scenes Tour Technical Presentations (Sun) 1 E. Fue Service {puN ca piacieJ EMS O 0. Other
n Member 5195 Non- Mernbet 5225 S Q N. Government
a (FPS Primer (Sut/Sun) 0 Member 5545 0 Non Member S625 Which of the fallowing products do you buy, specify, recommend, or
Developing a Resident Assistant fire Academy (Sat, Sutt) 0 Member $545 Non Member 5625 5 approve for your company? (Check dl that oppty)
o Environment of fare Bose(amp 601 /sun) (D Member 5545 J CD Norn-Mernbei $625 S A. Moira /Dewtioa Sysroms 0 G. Hotmar Sloroga/HandSng
a Fire Protection Plans Review (Sat /Sun) Member SS4 S U Non Member 5625 5 B. Building Cororruot n Acr uinh O H. Pumps /(anha's/Vahxs
Fire Protection Systems and Equipment Maintenance (Sot /Sun) O Member 5545 0 NorrMembei 5625 5 C Edumion/I;dnirg O I. Semriri hoducts/Scr yes
Main Street USA: Renovations, Alterations... (Sot /Sun) O Member $545 NmrMember 5625 S O 0. Hectdcui Equrament /Services 1. SprWJers/Spt %dU systems
O E. Exhguishers /Earns /Exifigtop, O k *ftclivsyysrems
NfPA 1, Uniform Fire Code' (Sat /Sun) G Member $545 0 Non Member 5625 F. Fire Department Equp./Saivicos O L Odser
NFPA 1600, Disostar lmergentyMgmi Business... (Sal /Sun) Q Member 5545 /Q Non Member $625 How much lire protection /life safety equipment /services Boas your
NFPA 701 Electrical Safety in the Workplace" (Sat /Sun1 (,D Member $545 Q Non Member 5625 company hey or protection/life n /lif o f (Cheek uipm
NFPA 921, Fire and Explosion Investigations IS
j Member $S45 Non Member 5625 S Q A, less rfnn $150,000 O 0, $1,000,000 to $5,900,000
Public Information and Media Relations (Son /sun) O Member 5545 6 Non- A1ember 5625 0 8. 5156o so Ss00,o00 O E. More dare S5,DD0,Di1D
Sprinkler Hydraulics (Sol /Sun) 0 Member 5545 n Noo-Membar $625 0 C. S506,0W b Si3O4000 O E Not Applicable
ur(busing Authority ?'(Clwk, one onfy)
TOTAL REGISTRATION AMOUNT A Recommend 'O S. Specfy O C Approve O D. Nalnvahremeni
Photo identification is required o pick up you(regisnonon,inpterials oasit 43T@. ;You nary not piik;up anyone:elsa's materials, 0nedoy caggtstrohoris cqn only be up on'fho:da the iegistro ion is v61id.:(ANCELLATIONSroust
be made to wrong And seat not;NFPA Regrshot on, c/o Exgeaez Inc:, 'Tums ike Slreei; Conlon, MA,02021. Reg stmlioo cdncallations ceioived prior to May 16 ?.0118; riill receiae o refund. A 51:5 pmiessing fee will be
deducted: Cancellutions tacansid`6er May) b, 2008" pro nomefuadoble. Regis( ciion,questions? Ca11'888.397. 6209: 1 i
I, Bruce Knott hereby certify that I purchased cab fare from the Las Vegas Airport to Mandalay Bay
on June 1, 2008 for the cost of $20.00. 1 also purchased cab fare from the Mandalay Bay Hotel to
the Las Vegas Airport on June 5, 2008 for the cost of $20.00. The total purchase for both was
$40.00.
Respectfully submitted,
Bruce Knott
Reservations M ANDALAY BAY Guest Information
1- 877 -632 -7000 1 -702- 632 -7777
TTY 877 632 7101 a FAX 1 702 632 7234
Fvrr�;ri; 4,n�'i tau
3950 Las Vegas Blvd. South /Las Vegas, Nevada 89119
Name BRUCE KNOTT Rate
Address 2 CIVIC SQ Room MB 7214
Arrive 6/01/08
CARMEL IN 460322584
Depart 6/05/08
Persons 2
Deposit Amount
Company Name
Group Code
Travel'Agent No. Page 1
Thank you for staying with us
DATE REFERENCE DESCRIPTION CHARGES BALANCE
06/01/08 395997165813 CHECK 621.27-
06/01/08 395999000406 ROOM CHARGE MB 7214 179.99
TAX 16.20
06/01/08 395997140179 APPLIED DEPOSIT 196.19-
************177S
06/02/08 396009000496 ROOM CHARGE MB 7214 179.99
TAX 16.20
06/03/08 396019000447 ROOM CHARGE MB 7214 239.99
TAX 21.60
06/04/08 396029000481 ROOM CHARGE MB 7214 149.99
TAX 13.50
A
.00
I agree to be personally liable if the indicated person, firm, or corporation fail to pay any of the charges; further, to have you bill any presented
credit card in the event t fail to sign its charge record on checkout. The Mandalay Bay Resort Casino assumes no responsibility for
money or vahtables not deposited in our safety deposit boxes, which are provided without charge at the casino cage.
Guest Card Guest Card
M ANDALAY BA M ANDALAY BA
R—, t C C-i e Rc.ori L C—iun
1
Arrival Date Rm. No. Arrival Date Rm. No.
Departure Date Check Out 11:00 am Departure Date Check Out 11:00 am
Signature Signature
VALID ONLY ,YIIEN SIGNED. EXPIRES UPON DEPARTURE VALID ONLY WHEN SIGNED. EXPIRES UPON DEPARTURE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bruce Knott
IN SUM OF
$340.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TTLE AMOUNT Board Members
1120 43- 430.02 $340.00 1 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
t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1995)
t
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))
Per Diem $340.00
1 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