179574 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363612 Page 1 of 1
ONE CIVIC SQUARE MARK BAILEY
CARMEL, INDIANA 46032 505 TAMARAK LANE CHECK AMOUNT: $44fi.35
NOBLESVILLE IN 46062
CHECK NUMBER: 179574
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 446.35 EXTERNAL TRAINING TRA
L'
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIPNP
EMPLOYEE NAME: v--� DEPARTURE DATE: TIME: (A[ V PM
DEPARTMENT: RETURN DATE: TIME: AM
REASON FOR TRAVE 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 $65.00 $65.00
11/10/09 $65.00 $65.00
11/11/09 $16.35 $65.00 $81.35
11/12/09 $20.00 $65.00 $85.00
$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 $0.00 $56.35 $0.001 $0.001 $0.001 $0.001 $O.00F $0.00 $390.00 $0.00
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 11/19/2009 Page 1
r I t_7
2 0 T H R E D M Q N D, S Y M P O S I U M
Health Safety for the Professional Fire-Fighter Re for the 2009 John Redmond
Hyatt Regency Century Plaza Los Angeles', CA Symposium and join the FIREPAC Lead
November 8 -12, 2009 ship Trust in one easy step b
su bmitting your FIREPAC co ntribution
Only one registrant per form. Each registrant must check off three workshops from Group A and sym re
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 mem makin pe rsonal,
Group B depending on which day they are assigned to attend the Fire Ground Survival Practi- v oluntary contribution o
cal Workshop. Attendance at the workshops is limited and will be determined on a
first come basis. will automaticall b e r t
FIRE GROUND SURVIVAL PRACTICAL WORKSHOP partici t ttli• e Symposium at no additional charge.
Tuesday or Wednesday
space is limited and requires the registrant to bring their own personal protective equipment (turn -nut mat and Your personal
pants• hood, gloves, boots and helmet). we will ONLY be able to accommodate 200 registrants on each day. c ontribution e
Group A Workshops (Check I hree) Group B Workshops (Check Three) money order credit
provides y«
0 WFI Implementation Fire Service Communication: Why Leadership Trust and automatically
VBehavior Wellness: Mental Aspects of They Are Not Working
rM7
Performance Fire Fighter Safety, Resource Deploy
dividual.
L6cun ment and Staffing
ics of Fire Fighter Wellness
C3 Infectious Disease: How to Protect
Functional Fitness prohibits
Yourself El Operating Safely: Protective Clothing accepting union or corporate money.
Fire Fighter Environment: Detection and Equipment Technology Therefore, U.S. members cannot pay by
union check, use a union or corporate
and Dangers of Toxins in •Today's Fires Its ''ardiovascular Disease credit card, or seek reimbursement for
Building Codes :Making Buildings C�] Injury Prevention the
Safer for Fire Fighters and Residents
FIREPAC opt must submit own.
contribution. One person cannot write a
NAIME personal check or use a personal credit
card to cover multiple members. Contribu-
IAFF Local /Company Name
tons to FIREPAC are not deductible.
Address Previous
n
c ontributions a• monthly Check-Off
be a
City State /Province FIREPAC opt
Zip Code Phone ��`S C x \000
CANA Your
Email address� c� La��z` n �p\� contribution of $50 D
J Canada p r o vides
METHOD OF PAYMENT: S500 per registrant; $525 after September 30, 2009. FIREPAC Leadership
$500 1 will join the FIREPAC Leadership Trust and register for the John P. Red- automatically e you e John,
mond Symposium at the same time. Redmond e e
PERSONAL CHECK /MONEY ORDER (Payable to FIREPAC) form'per individual e
PERSONAL VISA/MASTERCARD (complete credit card information below) contribute
Contributions to FIREPAC Canada
2 5500.. I will attend the Symposium but not join the FIREPAC Leadership Trust. cannot be made via credit
CHECK (Payable in U.S. Dollars to John P. Redmond Foundation)
Cl VISA/ivIASTERCARD (complete credit card information below) If you to register for Red
mond
U.S. members only: FIREPAC can only accept personal checks, money orders or Trust, please box on
personal credit cards. Federal election laws prohibit FIREPAC from accepting busi- the attached registration
ness or union dues (treasury) account checks. Contributions to FIREPAC do not option n e IAFF
qualify as charitable contributions for federal income tax purposes. members. Federal i• prohibits
the solicitation of e
FIREPAC Leadership Trust members will receive a Leadership Trust pin and
recognition in the hiternational Fire Fighter. co thi re gi s t ra tion
VISA/MASTERCARD
Credit Card Number John R Redmond
Divisi IAFF of Occupatio
Safety Med icine
Name as it appears on the card A 750 New York
Washington, DC 20006
Expiration date Signature '(202) 737-8418 Fax
INTERCONTINFNTAL
TOS ANGELES CENTURY CITY
11 -12 -09
Nlr 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 0.19
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 #706 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
1
INTERCONTINENTAL,,
V 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. 2 of 2
Date Description Charges Credits
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 cardholders 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
Page 1 of 2
Snyder, Denise W
From: Debbie Tunstill Debbie. TunstilI @thetravelagentinc.com)
Sent: Monday, October 19, 2009 3:45 PM
To: Snyder, Denise W
Subject: Confirmed Fligt for Mark Bailey
SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: OCT 19 2009
ACCOUNT LFCBHW PAGE: 01
FOR:
BAILEY /MARK E
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
07 NOV 09 SATURDAY MILES- 381 ELAPSED TIME- 1:30
AIR LV INDIANAPOLIS 1232P DELTA FLT:3336 ECONOMY CONFIRMED
AR MEMPHIS 102P NONSTOP
RESERVED SEATS 6A
AIRLINE CONFIRMATION:DL PPMT7K
MILES- 1619 ELAPSED TIME- 4:19
AIR LV MEMPHIS 215P DELTA FLT:3005 ECONOMY CONFIRMED
AR LOS ANGELES 434P NONSTOP FOOD TO PURCHASE
AIRLINE CONFIRMATION:DL PPMT7K
SEAT ASSIGNED AT AIRPORT CHECK IN ONLY.
12 NOV 09 THURSDAY MILES- 1814 ELAPSED TIME- 4:03
AIR LV LOS ANGELES 1145A DELTA FLT:2998 SPECIAL CL CONFIRMED
AR INDIANAPOLIS 648P NONSTOP FOOD TO PURCHASE
RESERVED SEATS 13B
AIRLINE CONFIRMATION:DL PPMT7K
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.
CONF DL PPMT7K
*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
877 6456373 CODE A09. $15.00 PER CALL FEE WILL BE CHARGED
A CANCELLATION FEE OF 15PCT ON TTL COST OF BOOKED TOURS- CRUISES
11/19/2009
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))
$446.35
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
Mark Bailey
IN SUM OF
$446.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 43- 430.02 $446.35 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
NOV 2 a 2009
l`
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund