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Home My WebLink About179680 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363618 Page 1 of 1 Q ONE CIVIC SQUARE TIM GRIFFIN CHECK AMOUNT: $502.00 `S ra CARMEL, INDIANA 46032 C/O FIRE DEPT CHECK NUMBER: 179680 CHECK DATE: 11/24/2009 DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1120 4343002 502.00 EXTERNAL TRAINING TRA Indianapolis International Airport 7800 Col. H. Weir Cook Memorial Drive Indianapolis, IN 46241 Fee Computer Number: 17 'Cashier: Holzer Id 9124 Transaction Number: 52761 Entered: 11/07/2009 10:50 Exited: 11/12/2009 Ticket #80247 Dispenser #2 Lot: Long Term Area: Area 5 Rate: 7 Long Term VRate 2009 Parkiog Fee." 72.00 'Tofa_l Fee:, 72.00 Aim A 72.00 Credit Card Number: Total Paid: 72.00 Thank You have a nice day! (317) 487 -5017 c` t OF CA84, QPT \Fks rA! 3 1 1 CITY OF CARMEL Expense Report (required for all travel expenses) POR FNUIpNP� EMPLOYEE NAME: L�`� DEPARTURE DATE: TIME: (ia)PM DEPARTMENT: v RETURN DATE: TIME: AM 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 11/7/09 $20.00 $65.00 $85.00 11/8/09 $65.00 $65.00 11/9/09 1 $65.00 $65:00 11/10/09 $65.00 $65.00 11111/09 $65.00 $65.00 11/12/09 $20.00 $72.00 $65.00 $157.00 $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 $0.00 $40:00 $72.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 $0.00 e e DIRECTOR'S STATEMENT: hereby affirm that all ses list conform to the City's travel policy and are within my department's appropriated budget. NOV 2 3.2009 Director Signature: Date: City of Carmel Form ER06 Revision Date 11/1912009 Page 1 I, Tim Griffin hereby certify that I paid $20 for luggage to Los Angeles, CA for the Redmond Symposium and I also paid $20 for luggage for the return trip to Indianapolis. For a total of $40 for luggage expenses. Respectfully submitted, V— Tim Griffin INTERCONTINENTAL LOS ANGELES CENTURY CITY 11 -12 -09 Mr Steve Edwards Folio No. Room No. 0730 10409 Guardhill Ln A/R Number Arrival 11 -07 -09 Fishers, IN 46038 Group Code RED Departure 11 -12 -09 us Company Conf. No. 62431838 Membership No. Rate Code Invoice No. Page No. 1 of 2 Date Description Charges Credits 11 -07 -09 Check Approval code 6294 3,182.50 11 -07 -09 `Accommodation Routed From Edwards Steve Of Room #0706 279.00 11 -07 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06 11 -07 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19 11 -07 -09 `Accommodation 239.00 11 -07 -09 Room Tax -14% 33.46 11 -07 -09 CA Assessment 0.19 11 -08 -09 Parking 3rd Party 11 -07 -09 Edwards Steve #0706= >Edwards Steve #0730 35.20 11 -08 -09 'Accommodation Routed From Edwards Steve Of Room #0706 279.00 11 -08 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06 11 -08 -09 CA Assessment Routed From Edwards Steve Of Room #0706 019 11 -08 -09 'Accommodation 239.00 11 -08 -09 Room Tax -14% 33.46 11 -08 -09 CA Assessment 0.19 11 -09 -09 Parking 3rd Party 11 -08 -09 Edwards Steve #0706=> Edwards Steve #0730 35.20 11 -09 -09 Parking 3rd Party 1 H706 POSTING Edwards Steve #0706 >Edwards Steve 35.20 #0730 11 -09 -09 'Accommodation Routed From Edwards Steve Of Room #0706 279.00 11 -09 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06 11 -09 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19 11 -09 -09 "Accommodation 239.00 11 -09 -09 Room Tax -14% 33.46 11 -09 -09 CA Assessment 0.19 11 -10 -09 Parking 3rd Party #706 POSTING Edwards Steve #0706 >Edwards Steve 35.20 #0730 11 -10 -09 'Accommodation Routed From Edwards Steve Of Room #0706 279.00 11-10-09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06 InterContinental Los Angeles Century City 2151 Avenue Of the Stars Los Angeles, CA 90067 Telephone: (310) 284 -6500 Fax: (310) 284 -6501 INTERCONTINENTA L LOS ANGELES CENTURY CITY 11 -12 -09 Mr Steve Edwards Folio No. Room No. 0730 10409 Guardhill Ln AIR Number Arrival 11 -07 -09 Fishers, IN 46038 Group Code RED Departure 11 -12 -09 us Company Conf. No. 62431838 Membership No. Rate Code Invoice No. Page No. 2 of 2 Date Description Charges s 11 -10 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19 11 -10 -09 `Accommodation 239.00 11 -10 -09 Room Tax -14% 33.46 11 -10 -09 CA Assessment 0.19 11 -11 -09 Parking 3rd Party #706 POSTING Edwards Steve #0706 Edwards Steve 35.20 #0730 11 -11 -09 `Accommodation Routed From Edwards Steve Of Room #0706 279.00 11 -11 -09 Room Tax -14% Routed From Edwards Steve Of Room #0706 39.06 11 -11 -09 CA Assessment Routed From Edwards Steve Of Room #0706 0.19 11 -11 -09 "Accommodation 239.00 11 -11 -09 Room Tax-14% 33.46 11 -11 -09 CA Assessment 0.19 Total 3,130.50 3,182.50 Balance -52.00 Guest Signature: I have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. InterContinental Los Angeles Century City 2151 Avenue Of the Stars Los Angeles, CA 90067 Telephone: (310) 284 -6500 Fax: (310) 284 -6501 THE TRAV AGENT tel 317846.9619 800347.2512 ��nz�orraGG ?ar. /.rrr�rtei�l fax 317848.3998 sCOblsss 4 email: nfo @thetravelagent.travel lt'f UOSO C it C� R. 11562 Westfield Boulevard Carmel, Indiana 46032 web www.thetravelagent.travei ,il—.,,r, rill T —1, SALES PERSON: DT2 ITINERARY /INVOICE NO. 50709 DATE: OCT 19 2009 ACCOUNT LGJRIE PAGE: 01 GRIFFIN /TIMOTHY M TO: CITY OF CARMEL CITY OF CARMEL --FIRE DEPT ONE CIVIC SQUARE 3RD FLOOR ATTN: DENISE SNYDER CARMEL IN 46432 TWO CIVIC SQUARE CARMEL IN 46032 0 NOV 09 SATURDAY MILES— 381 ELAPSED TIME— 1:30 AIR LV INDIANAPOLIS 1232P DELTA FLT:3336 APEX CONFIRMED AR MEMPHIS 102P NONSTOP RESERVED SEATS 3A AIRLINE CONFIRMATION:DL PPYKGT �✓sT? �`ti L t ,1 6.19 EL -S )tD TIME- 4::19 a t 1 t t C A17R ('Ii'VI(MEMPHIS E F27 5P DELTA• ELT 3Os05 f .AP 3 EX n CONFIRMED _4 ~3AP FOOD PTO �CJRCHk �L.L RESERVEII °ZATS, r J AIRLINE CONS- IRMATION: DL PPYKGT 12 "NOV,:0 9 THURSDAY MILES- 1614 ELAPSED TIME- 4:03 AIR `.'LV'ZOS "'ANGELES ,11.4 DELTA FLT:2998 SPECIAL CL CONFIRMED '::AR" II.NDIANAPOLIS 64.82, NONSTOP FOOD TO PURCHASE RESERVEp. SEATS, 113Eti,;: w� c`. y t: AIRLINE CONFIRMA'T'ION: DL PPYKGT THIS IS' AN ELECTRONIC TICKET. PLEASE PRESENT, PHOTO ID AT CHECK; IIN WITki'wAIRLINE;CONF. TICKET IS COMPLETELY' NONREFUNDAEL "E IF MAY CHANGE ONLY PRIOR TO ORIGINAL 'TRAVEL. DATE. FEES WILL APPLY, CON'F DELTA PPYKGT *YOU MUST VERIFY ALL INFORMATION IS CORRECT. ONCE "ISSUED FEES AND PENALTIES EXIST FOR REISSUES- REFUNDS.- CHAIgG f�TER 'hT0URS.`,,tMERGEjN9IES ON EXISTING RESERVATIONS CALL 87T'164;° :373 CODE A09. $15 f3 0� PER GALL.,F.EE WILL•.BE,., CHARGED. V SCaANCELFaT,I'.ON FEE OF 15PCT ,ON COST OF .BOOKED, TO,URS-, CRUISES LAND HOTEL PKGS WILL APPLY. AIRLINE.-C•IIECKED BAGGAGE.NOT.ICE FOR DOMESTIC AND INTERNATIONAL TRAVEL AIRLINES MAX CHARGE AS YOUR TRAVEL ADVISOR,.WE RECOMMEND YOU ALWAYS PURCHASE INSURANCE FOR ALL TRAVEL COMPONENTS, TRAVELER INSURANCE SERVICES IS OUR PREFERRED PROVIDER.. :FOR TERMS AND CONDTtONS, REFER 'TO: WWW.TTA.TRAVELfrERm 2.0 T H R E D M- O N.D S Y M P O S I U M Health Safety for the Professional Fire Fighter- Hyatt Regency Century Plaza Los Angeles, CA November 8 -12, 2009 Only one registrant per form. Each registrant must check off three workshops from Group A and three workshops from Group B. Registrants selecting the Fire Ground Survival Practical Work- shop will attend one from Group A and two from Group B or two from Group A and one from Group B depending on which day they are assigned to attend the Fire Ground Survival Practi- cal hVorkshop. Attendance at the workshops is limited and will be determined on a 11 first -come basis. FIRE GROUND SURVIVAL PRACTICAL WORKSHOP Tuesday or Wednesday Space is limiter) and requires the registrant to bring their own personal prntectiac equipment (turn -nut coat and pants, hood, gloves, bunts and helmet) We will ONLY be able to accommodate 200 registrants on each clay. e Group A Workshops (Check'fhree) Group B Workshops (Check hrcc1 11 I,d WFI Implementation Fire Service Communication: Why Are Not Working 13 Behavior 1,lellness: Mental Aspects of They P rfonnance Fire Fighter Safety, Resource Deploy l y Economics of Fire Fighter lyVellness and Staffing C1 Infectious Disease: How to Protect C/Furictional Fitness Yourself Operating Safely: Protective Clothing C3 Fire Fighter Environment: Detection and Equipment Technology and Dangers of Toxins in "loday's Fires Yinjury J ardiovascular Disease Building Codes :Making Buildings Prevention Safer for Fire Fighters and Residents «o I e NAI I E N IAFF Local /Company Name Address c� \�.L State /Province Zip Code Email address c� .v e 11 0 Ib1ETHOD OF PAYMENT: $500 per registrant; $525 after September 30, 2009. 5500 I will join the FIREPAC Leadership Trust and register for the John P. Red- mond Symposium at the same time. PERSONAL CHECK /MONEY ORDER (Payable to FIREPAC) PERSONAL VISA /MASTERCARD (complete credit card information below) I +500 I will attend the Symposium but not join the FIREPAC Leadership Trust. CHECK (Payable in U.S. Dollars to John P. Redmond Foundation) VISA/ N1ASTERCARD (complete credit card information below) e I U.S. members only: FIREPAC can only accept personal checks, money orders or personal credit cards. Federal election laws prohibit FIREPAC from accepting busi- tress or union dues (treasury) account checks. Contributions to FIREPAC do n6L quality as charitable contributions for federal income tax purposes. I FIREPAC Leadership Trust members will receive a Leadership Trust pin and recognition in the Interti anion al Fire Fighter. VISA /MASTERCARD Credit Card Number Name as it appears on the card 1 Expiration date Signature 1 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)) $502.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Tim Griffin IN SUM OF $502.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept., INVOICE NO. ACCT /TITLE AMOUNT Board Members 1.120 43- 430.02 $502.00 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 ex a. !2 Fire C Title Cost distribution ledger classification if claim paid motor vehicle highway fund