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173807 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 357338 Page 1 of 1 ONE CIVIC SQUARE CHRISTOPHER ELLISON CARMEL, INDIANA 46032 140 MAXWELL ROAD CHECK AMOUNT: $233.70 INDIANAPOLIS IN 46217 CHECK NUMBER: 173807 CHECK DATE: 6/24/2009 D A CCOUNT P NUM BER IN NUMBER AMOUNT DESCRIP 1120 4343002 53927 233.70 EXTERNAL TRAINING TRA i- A SV 6F CggM i G e,RSSe�ipF� CITY OF CARMEL Expense Report (required for all travel expenses) On,SnNp EMPLOYEE NAIVIE: DEPARTURE DATE: TIME: j •3Q AM PM DEPARTMENT: _Z- RETURN DATE: -\Q -ate. TIME: .SQ AM PM REASON FOR TRAVEL: Q���Q C �'J 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 618109 $65.00 $65.00 619109 1 $65.00 $65.00 6110/09 $38.70 $65.00 $103.70 $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 $0.001 $0.001 $38.70 $0.001 $0.00 $0.00 $0.001 $0.001 $0.00 $195.001 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conprm to the City's travel policyhc y a yjritxidgy department's appropriated budget. N �;GG f [�J�J Director Signature: Date: 4,POW 41 City of Carmel Form ER06 Revision Date 6/15/2009 Page 1 s 4 ir rr`c ...P i G (,i r' 1p r� 5� 1��„a '.'�as. 33n ays u 1ka) malt r ;"fi wrw P�s'�fi 4a t fSfllllftUlClf1TFF0ATE :'APBlirE3df244t e r R 4 s f f a �t� ,h�' is s''k r} a ut..x ';ks sr, r o �W4 rylFjr. L'. s r r r x u•• ,i re }r. �1• sFtr ti�tlw j� �r �y �1 ar �yr. r yjz ��ix t n� xtl vj 4r�'�r7I I„ ai r !3' 61 m R kre�s icy a n i a 1 y a k c''F tr ti '�w A i I,Y d aS c, r I�l�rl" p ICS CI 1 u�� N x r ,.:J'a r5 :r,�.,' r,,,,I 1 F.M -.at ,..:>•_..s. try •t z r .5 i -�A+ a, r r i �o a r a 3 �•t 1�1 1 I a I r t 1 1 .,s 1 t of r:�� 1 STEP 11: GENERAL INFORMATION PE 0 Phil U CFPS 0 Other 1 1 E E s •c`i x x (ompany1AG51iation, Mailing Address: r+ �nJ c f E cu3 Z NFPA ii COMMitted io providing! appropriate accammodatlons for pr MS with Ciry: StatelZlplCnumry dlsabi3ltiesso dial e garie may hailac <esswour programs 'and evem F.rnail r cited 1 1 .s o J Q C 0 r MC i v Fur i- fiuteAmmvlee P[easechedthereif umuldlikeNFPAmcciltact a ardet propd- a M 1 1/ d Yo Yo' 9 P ��-7 J ateaimmrt atlons,acaprattusatfilT- 984 -731U. Daylirrvftnr J, 1 Z6 QCJ _Fax: 3 S 7 I `I Spouse Name for Bddoe(ilattendmg):,_ L�z 4dnt1siionropmtmsasvunmrdla7+ ono 1 STEP4: PAYME14TINFORMATION F,nmryency (nnsact (fame: rJ co/v C•+ El l :x o J Etne gency Conran Phanc: I� =6> I` FULL PAYkAENT IS DUE VIITH REGISTRATION. PURCHASE ORDERS NOT P �ulq /C��s O (ontanlntail: CL r ACCEPTED. NFPA WILL NOT INVOICE FOR CONFERENCE OR SEMINARS. finergenry n t Enclosed is my dleck P payable io NFPA. MEMBERSHIP INFORMATION rranifarmemusteWironrherk) 0 NFPA Member f .Z V )I 1 I Q Non Member Charge to the (vlhnving credit card: 0ltrhnical Committee Member (Comm €nee name) 0 al Lim STEP Z: CONFERENCE REGISTRATION Ij11gK.fiZM (and l: F ULL CONFERENCE REGISTRATION Inludes ws andtheEgosriun( doesnoraxlude •fonfereweSemirurs) EARLY -BIRD RATE (by April 30,2009) REGULAR RATE (after April 30, 2009) AMOUNT EzPlrationDatc 01 ()Non- Member5795 ONFPAMember$795 QNon- Mem1berS895 Name on Card: OTCINFPAMembet5550 OT(44ou MemberS635 O7CINFPAMembcr5635 OT(Mon- Member$715 Sgnawre: SI NGLE- DAY RE& ISTRATION Includes tipNtim, doa mt indude Pre4onference Seminars ((loose ant day only) 0 Mon V Tue5 O Wed /lhur IPA Member 5265 Y Non Member 5295 Billing Address (il diffemni): OTUNEPAMember$. D T(Non- Klember$235 llz!�" 0 EXPOSITION ONLY--- Dommiuxludr Pm- Confefmrsmflpws OMernber ONon•Mcniber FREE free. 4KyGuregisterin advance- 95Ons0lunlessyoupresem this form) STEPS ATTENDEE INFORMATION STEP 3: PRE CUNFEREId {E SEMINAR (TUNE 6 S) REGISTRATION Wh�af the following beg desoti bas your cumnt job function? (CMdmeordy) Ere- R4oador,fewired(does nor irafudefonl+renre) O A Aahi O k. in u a ile, ndmglbf al O H. BuildmgUmerlManage 0 E Installer I am registering for the 110110adng Pre Conference Seminai(s)... O WiTH06l the FxpOSi DQ O WEIR the FREE Exposition 0 C (Drys JranuCamult ry Engureei O M. Loss CmtrdlRESk Nonage; AummatitSprinklet {'a, in,Tloni 0 Member $895 /O Non- Member $995 S O D, Colmactor Q N. ManNerAdmiasoaror O E Educator 8 Q ManufjmFer Tire Alarm Code' NWSun /Mori) 0 Member 589510 Non- Member 5995 Q r Gugna.f O P Owner/Resident/C10 Life Safety Cade Essenniots ISnlSm;tannl O Member SS95 /ONon- Member$995 O G. EiNiresfaanage O Satery(SerudlyManager (FPS Prtmer(Sat,`Au} O Member 562510 Nan- Meinber%95 S O H. Vne(hief R SaIrJMadeng WeR ShuMaintainin Fire &lifeSof Syshr= 5a[A�ru Member$6251 Non- Member$695 S C -7 1. fiefAailhdl O S. (her____ e4 9 Sol n 0 O J. Fine Service Envranmen7ofCare the Next Esrolaian Member S625 1QNOn- MemberS69S What Industry or business isyoworganization [n?,Qurk all that appry) life -Very (ode' Pion sRevie. w 'Se 7P :n) O Member %2.51Q Non Member $695 S O A. Arehitrcture O L Reatth(at NFPA 1, Fire (ode NUS-;W O Member 562510 Non Member $695 S O 8 CunudctocAnstallaum O 1. IndushyrrraaayfW ttMu NFPA 45, Fire Wetyin Research tabs (Sat'Sun) 0 Member $6251() Non-Member 5695 O G Cunt ial (Oiki Re A kc5aurant) O K. InsurancivRisi Mawgemn er O 9. DetenripnMiws O 1. Lodging NFPA70E lkktyin the Workplace* 6a:15,tn) 0 Member 562510Non- MernberS695 S O L Education O K Military NFPA 921,Are&Lrploslan lavestigatiom(SatfSan) 0 Member $62510Ngn- MemberS695 S O F. UecnicalSerdces O N. WrInes NFPA 16170, Disauer1merg. Mgmt. &Bus Continuity Prgms. (,<tt/5an) 0 Member 56251 Non Member 5695 S 6. Eire Service (public or private) EMS O Q Other 11, Guyemm nt CfW5ofeiy and the life Safety Code* (k) 0 Member $34510Non- Member$395 Wbkbof the followingprocildo you buy, spedfy, recommend, or Frpdusion Prevention and ProreeVon (Sett) 0 Member $34510 Nan Member $395 approve for your company? (CheckA that apply) IAEISoarrsGroundlg &BmdingESat! QMembe•r$3451QNon- MembeiS395 ti Alsnni0elecionSWarts 0G. Naanaruua5e/itatoling NFPA 13- Proposed Changes =ti 0 Member $34510Non -Member 5395 S J 11 Building ConsuuctimMaterAs 9 H. Pump%1(mnotsiV&^ Sprinkler Systems Plans Review !';x 0 Member S3451QNon- Membel5395 r J C EAnCaunnlilairdng O 1. Seculry PradULOM M 0 0 Electrical Equipment1servikes 1 spinkleMS Dust osionhazardsf5ui�1 �S pin kkiSywins fxpl 0 Member 534510 Nan- Member 5395 S O Exnngu4cs9wmgEAVngLqoi4 O K. Sigraling5ystean Emergency Evacuation for People with Disabilities i u ij 0 Member 534510 Non-member $395 S X E Foe Depanmear Equfli kivkes U L- Other NFPA 72°- Proposed Changes ISani 0 Member 5345 /Q Non .Member S395 How much fire proteciioMifesafety equipment/services does your NFPA 99, NeafthCore Fatuities faun; 0 Member 534510 Non Member $395 S company buy or Sufi wally? (Check one only) Behind- the Scenes lour- Fermi National l&C, 0 Member $1951ONon- Mernber5225 S 0 A tcgsdwnStSO,�IG -0 D. 51 O 5,000, iD D Q B. S I SO,ono ro 550D,om O E Mort thar than 55,000,180 -3ehind- the•Scenes lour- ULFcidtity -SaO 0Atembet519510Non- member5225 C. SSOa.txunto5tU0d.000 '%f. NwxppliaMe TOTAL REGISTRATION AMOUNT S purchasing Authority? ((he(kaceonly) O h Recommend O il Seedy A C. Approve O 0 Nobrvolmneni Photo identi(t�tion is rtgw e l to up your re jiit zdon matPrlals w rte Y� may not p k Lip anyone else's material,. Oiie day reglstratiuns can only be. pkked up on,the day die registrar ion is valid CANCELLATION PMx Y.. Wriitencantellalion requests mtnt be submitted an w before May 16, 2009, toqualiry for a refund: Refunds will reilecta 575.pmcess)ng fee: After May 16, 09, no refunds will be 8stied. Cancellations must be sent to NFPA Registralion, c/o Exgcmiex Inc, 4371urnpike Soeet, 6Aia6, MA 02021; phone 888- 397 6209; amiil NFPA2009p?ixgeiTxcom. I I a` k 'AIEZFI Y�D Fairfield Inn 3ultus by Marriott 218 East Ontario Street >txt���a Chicago Downtown Chicago, iL 60611 (312) 767-3777 Aa rriotl ChriWr Ellison Rom: 505 i 140 Maxwell Rd Room Type: EXKS Indianapolis IN 46217.3434 Number of Guests: 1 Business Rato: $127.00 Clerk: RMO I Arrive: 06Jun09 Time: 12,18PM Depart 10Jun09 Time: 11.40AM Folio Number: 88022 Date Description Charges Credits Check 293.09 08Jun09 Doom Charge 127.00 08JUn09 Room Tax 15.74 08Jun09 City Tax 3.81 09Jun09 Room Charge 127.00 09Jun09 Room Tax 15.74 09Jun09 City Tex 3,81 0.01 10Jun08 Check Balance: 0.00 Marriott Rewards Account XXXXX5380. Your Marriott Rewards points/miles earned on your room rate will be Credited to your account. For account activity: 801- 46840DO or MarriottRewards.com. Get all your hotel bills by email by Updating your Marriott Rewards Preferences. Or, ask the Front Desk to email your bill for this stay. See lnternet Privacy Statement' on Marriott.com. t'd -7v2- Wd81 6002 *Si Nflt Page I of 4 Snyder, Denise W From: Ellison, Christopher M Sent: Friday, June 12, 2009 7:23 AM To: Snyder, Denise W Subject: FW: Amtrak: Reservation Confirmation THIS IS NOT A TICKET FYI, Here is my Receipt for my travel from Indy to Chicago. I left on Monday June 8 at 5:30 AM and returned on Wednesday June 10th at 11:50 PM. Note: The information below states we left at 6.30 AM, however after this. was e- mailed to me Amtrak had a schedule change and moved the departure time up to 5:30 AM. Thanks, Chris From: Chris Ellison [mailto:edog535 @yahoo.com] Sent: Friday, June 12, 2009 7:15 AM To: Ellison, Christopher M Subject: Fw: Amtrak: Reservation Confirmation THIS IS NOT A TICKET On Wcd, 5 /13/49, tickets@amtr ak.com <tickets@mtrak.com> wrote: From: tickets @amtrak.com <tickets @amtrak. com> Subject: Amtrak: Reservation Confirmation THIS IS NOT A TICKET To: edog535 @yahoo.com Date: Wednesday, May 13, 2009, 6:23 AM Thank you for choosing Amtrak. Save or print this page for your records. Reservation Number: 160736 Amtrak Guest Rewards Number: 2010769772 THIS IS NOT A TICKET. You must obtain your ticket(s) before boarding any train; this confirmation will not be accepted onboard. This confirmation notice is not a ticket. You must obtain your ticket(s) before boarding any train. 6/12/2009 Page 2 of 4 TICKETING INFORMATION You can pick up your tickets at any Amtrak ticket window. IMPORTANT POLICIES For important identification requirements, please visit http:// www. amtrak.com /lDrequirements.html. For important baggage policy information, please visit http:// www .amtrak.com/BaggagePolicy.html. All Amtrak trains except the Auto Train are non smoking. PASSENGER INFORMATION Passenger 1: Christopher Ellison (AAA Adult) ITINERARY Indianapolis, IN (IND) to Chicago Union Station, IL (CHI) 08- JUN -09; 6:30 am 08- JUN -09; 10:35 am Service: 51 Cardinal Duration: 5h 5m <Departs> Indianapolis, IN (IND) 08- JUN -09; 6:30 am <Arrives> Chicago Union Station, IL (CHI) 08- JUN -09; 10:35 am <Seat(s)/Room(s)> I Reserved Coach Seat Amenities: Dining car, Lounge Chicago Union Station, IL (CHI) to Indianapolis, IN (IND) 10- JUN -09; 5:45 pm 10- JUN -09; 11:50 pm 6/12/2009 Page 3 of 4 Service: 850 Hoosier State Duration: 5h 5m <Departs> Chicago Union Station, IL (CHI) 10- JUN -09; 5:45 pm <Arrives> Indianapolis, IN (IND) 10- .TUN -09; 11:50 pm <Seat(s)/Room(s)> 1 Reserved Coach Seat Amenities: FARE INFORMATION Rail Fare $38.70 Accommodations $0.00 Price Ticket Delivery $0.00 Fee Total $38.70 BILLING INFORMATION Billed to: Christopher Ellison 140 W. Maxwell Rd Indianapolis, IN 46217 United States Total Amtrak Charge $38.70 Credit Card: Amtrak Guest Rewards MasterCard 1310 ADDITIONAL INFORMATION We recommend that you arrive at the station at least 30 minutes prior to your scheduled departure. If you need 6/12/2009 Page 4 of 4 help with ticketing, baggage or other passenger assistance, please arrive at the station at least 60 minutes prior to your scheduled departure. If you are traveling on the Auto Train you must check in at least two hours before scheduled departure. You may cancel (but not modify) your reservation online. Cancellation fees and /or refund fees may apply. To change your reservation, please call 1 -800- USA -RAIL (1 -800- 872 7245). Need a hotel or car? Amtrak offers great deals for your destination. For the best hotel, car and activity deals, visit htt /trip.amtrak.com to book now. THIS IS NOT A TICKET. You must obtain your ticket(s) before boarding any train. HAVE A GREAT TRIP? Questions? Contact us online at http: /www.amtrak.com /contactus.html or call 1 -800- USA -RAIL (1- 800 -872- 7245). 6/12/2009 VOUGNER NO. WARRANT NO. ALLOWED 20 C -kris Ellison IN SUM OF $233.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1 120 43- 430.02 $233.70 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 �A1��innn a 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)) $233.70 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