177617 09/29/2009 a F CITY OF CARMEL, INDIANA VENDOR: 363380 Page 1 of 1
ONE CIVIC SQUARE TIM CONNOR CHECK AMOUNT: $388.25
CARMEL, INDIANA 46032
CHECK NUMBER: 177617
CHECK DATE: 9/29/2009
f
DE PARTM ENT F ACCOUN PO NU MBER INV NUMBER AMOUN DES
1120 4343002 388.25 EXTERNAL TRAINING TRA
i
CITY OF CARMEL Expense Report (required for all travel expenses)
�!N01 ANA
EMPLOYEE NAME: ����a -c DEPARTURE DATE: -O� TIME:
DEPARTMENT: RETURN DATE: a '�S O q TIME: AM /01
REASON FOR TRAVEL: c -Cio� 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
$0.00
9/20/09 $15.00 $33'2 tfl'o
9/21/09 $65.00 $65.00
9/22/09 $65.00 $65.00
9/23/09 $65.00 $65.00
9/24/09 1 $65.00 $65.00
9/25/09 $15.00 $65.00 $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
Totall $0.001 $0.00 $30.00 $0.001 $0.00 $0.00 $0.00 $0.001 $0.001 $358.251 $0.00
�Y
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.
SEP 2 9 2009
Director Signature: Date:
City of Carmel Form E 06 Revision Date 9/28/2009 Page 1
Srsyder, Denise W
From: Debbie Tunstill Debbie. Tunstill @thetravelagentinc.com]
Sent: Monday, August 10, 2009 8:06 PM
To: Snyder, Denise W
Subject: Confirmed Flight for Timothy Conner
SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: AUG 10
2009
ACCOUNT TGKPOA PAGE: 01
FOR:
CONN ER/TI MOTHY L
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
20 SEP 09 SUNDAY MILES- 828 ELAPSED TIME- 2:12
AIR LV INDIANAPOLIS 308P AIRTRAN AIR FLT: 397 COACH
CONFIRMED
AR ORLANDO /INTL 520P NONSTOP
AIRTRAN CONF O3475L
SEAT 12D
25 SEP 09 FRIDAY MILES- 828 ELAPSED TIME- 2:14
AIR LV ORLANDO /INTL 600P AIRTRAN AIR FLT: 370 COACH
CONFIRMED
AR INDIANAPOLIS 814P NONSTOP
AIRTRAN CONF O3475L
SEAT 17D
THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO
ID AT CHECK IN WITH CONE. TICKET IS NONREFUNDABLE IF UNUSED.
MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY.
AIRTRAN CONF O34475L
"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
i
I, Timothy L. Conner hereby certify that I paid $15 for luggage fee on the trip to Orlando, FL on
September 20 2009. 1 also paid another $15 for luggage fee on the return trip to Indianapolis on
September 265, 2009. 1 spent a total of $30.00 on luggage fees.
Respectfully submitted,
Timothy L. fConner
Fire Department Safety Officers Association Page 1 of 2
�''HO FDSOA Annual Safety Forum Elections
MEMBERSHIP'
I 2009 Annual Safety Forum
September 21 25
EVEN_T_S Rosen Plaza Hotel Orlando, FL
APPARATUS
SY,L1P0$1Um
I A Click here for the program and safety forum registration form.
SA E Y FoftUN1 s Click here for an electronic online registration.
�..ES{r111NARS
CALL FOR Annual Wety Forum Vendor information
rJ PRESENTATIONS f
r
Annual Safety Forum Vendor letter
CERTIFICATION Annual Safety Forum Vendor Registration form
PRODUCTS
NEWSLETTER
Presentation Files
FORUM
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ABOUT US
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http: /www.fdsoa.org /events /annual_conference.htnil 9/28/2009
Annual Conference Online Receipt Page 1 of 1
P f 4 Y 1 P LS ai4
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Thank you for submitting.your information for the Annual Conference. Confirmation of your registration will come to
you through U.S. Mail. Please call the FDSOA office at 508- 881 -3114 with any questions.
Here is a summary of your submission:
Name: Timothy L. Conner
Position: Lt/BC Aide
Agency: Carmel Fire Department
Address: 2 Civic Square
City: Carmel
State: IN
Zipcode: 46032
Country: USA
Work Phone: 317 -571 -2600
Fax: 317 -571 -2615
Email dsnyder @carmel.in.gov
Safety Forum Registration Fee: Safety Forum ISO Academy Non Member $525.00
PO Number: 12674
Submit: Submit
flaps: /vAvw.fdsoa.org /a.nnconf receipt.htm 8/11/2009
Please type or print all
Exam Location Exam Date:
Deadline: Completed application, with payment, must be received 15 days prior to exam
date.
Payment must accompany registration form
$195.00 Non- Member (US Funds) $95.00 FDSOA Member (US Funds)
A refund will be given the applicant (or sponsoring organization) provided written notification is
received by FDSOA at least one (1) week prior to exam. A 25% processing fee will be applied.
Save $15.00 Join FOSOA today (with the submission of the application) and pay member
rate.
Membership: $85.00 Individual (US Funds) $385.00 Department (US Funds)
Payment Information: (U.S. Funds, drawn on U.S. Bank)
0 Enclosed is a check payable to FDSOA CAnclosed is an official Purchase Order ab�
R MasterCard Visa
Card Number: Expiration Date:
Card Holder Signature: Date:
Card Holder Name: (Please Print)
If all information requested is not provided, application will be returned.
By signing and submitting my credentials, registration form and payment, I accept the conditions for
FDSOA Certification concerning the offering of the examination, the reporting of scores, the release
of information and the certification and/or re- certification processes and policies. I certify that the
information in this application is true, complete and current to the best of my knowledge and is
made in good faith. I understand that if any information is later determined to be false, the FDSOA
Certification Committee reserves the right to revoke any certification granted because of that false
information.
I understand that the evaluator(s) at any assigned exam center are authorized to take all action they
deem necessary and proper to administer the test securely, fairly and efficiently. I acknowledge that
the evaluator(s) may relocate e during or before the examination
Applicants Signature.
Applicants Printed Printed Name:
Date:
9700 Cnternational Drive Page No.
Orlando, FL 32819
Tel: (407) 996 -9700
H -IF E I-- Fax: (407) 996 -9111 Rosin Hcg EL.s RE_
Guest Name; James Toney Room 216
Carmel Fire Dent Folio RR5AD1331
2 Civic Square Group 21187
Guests: 1
Carmel, IN 46032 USA Clerk: MDIEUDOI
CL
Arrive: 09/20/09 Time: 07:35 PM De part: 09/25/09 Time: 11:37 AM Status: HIST
Date Descnpttan Reference Comment Charges Credit
09/20/2009 PAY CHECK ck 176415 app #6976 ($1,577.70)
09/20/2009 BALANCE TRANSFER check bal To: Bowles, Orbie 455 $788.85
09/20/2009 ROOM CHARGE 216 $139.00
09/20/2009 ROOM TAX 216t ROOM TAX $17.38
09/20/2009 OCCC FEE 216t OCCC FEE $1.39
09/21/2009 ROOM CHARGE 216 $139.00
09/21/2009 ROOM TAX 216t ROOM TAX $17.38
09/21/2009 OCCC FEE 216t OCCC FEE $1.39
09/22/2009 ROOM CHARGE 216 $139.00
09/22/2009 ROOM TAX 216t ROOM TAX $17.38
09/22/2009 OCCC FEE 21.6t OCCC FEE $1.39
09/23/2009 ROOM CHARGE 216 $139.00
09/23/2009 ROOM TAX 216t ROOM TAX $17.38
09/23/2009 OCCC FEE 216t OCCC FEE $1.39
09/24/2009 ROOM CHARGE 21.6 $139.00
09/24/2009 ROOM TAX 216t ROOM TAX $17.38
09/24/2009 OCCC FEE 216t OCCC FEE $1.39
Folio Balance
$0
04
The Hotel has an a reement with the" e Count :Convention Center to a one ercent of the room rate as a ur h
g g, y p y p s c arge This surcharge may be used for
facihhes
an services as approved by the Orange County Board of Commissioners
If l elect to pay by'credrt card T understand Ghat acceptance is subject to approval by the issuing organiahon information necessary to charge my credit
card account will appear on my itmized hotel folio (s) and be_transmitted electromcallym lieu of a salesdraft my liabil }ty for this bill is not waived and
a ree that in the event the indicated; erson company or association fails to pay 1 wi[I heltl responsible .i°
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lftdi:ing vkmr tc�lcvision. Frt.)-�n dic wwul
W I Me %I I I U H PIA01 hIl I MO h", I hen P'(I I I o Rcvic%v. TPW F,) I
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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))
$388.25
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
VOUCHER NO. W ARRANT NO.
Tim Conner ALLOWED 20
IN SUM OF
$388.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 430.02 $388.25 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
SEP 2 9 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund