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179738 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 358817 Page 1 of 1 ONE CIVIC SQUARE JARED KINNEY CARMEL, INDIANA 46032 10041 SHAHAN COURT CHECK AMOUNT: $459.64 INDIANAPOLIS IN 46256 CHECK NUMBER: 179738 CHECK DATE: 11/24/2009 DEPARTMENT A CCOUNT PO NU MBER I NVOICE NU MBER AMOU DESCRIPTION 1120 4231400 29.64 GASOLINE 1120 4343002 430.00 EXTERNAL TRAINING TRA 4 V C41? CITY OF CARMEL Expense Report (required for all travel expenses) UM /NbIPNPi EMPLOYEE NAME DEPARTURE DATE: TIME: AN� PM DEPARTMENT: RETURN DATE: TIME: AM OP 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 1117109 $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 $65.00 $65.00 11/12/09 $20.00 $29.64 $65.00 $114.6 $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 $0.001 $40,00L $29.64 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 $0.00 DIRECTOR'S STATEMENT I eb #firm that all ses fisted. conform to the City's travel policy and are within my department's appropriated budget. irector Signature: Date: N O V G 2 3 2aos City of Carmel Form ER06 Revision Date 11119/2009 Page 1 Page 1 of 2 Snyder, Denise W From: Debbie Tunstill Debbie. Tunsti11 @thetraveiagentinc.com] Sent: Monday, October 19, 2009 3:39 PM To: Snyder, Denise W Subject: Confirmed Flight for Jared Kinney SALES PERSON: DT2 ITINERARY /INVOICE NO. ITIN DATE: OCT 19 2009 ACCOUNT LDCDOK PAGE: 01 FOR: KINNEY /JARED N 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 12322 DELTA FLT:3336 ECONOMY CONFIRMED AR MEMPHIS 102P NONSTOP AIRLINE CONFIRMATION:DL P050U5 SEAT ASSIGNED AIRPORT CHECK IN ONLY. MILES- 1619 ELAPSED TIME- 4:19 AIR LV MEMPHIS 215P DELTA FLT:3005 ECON014Y CONFIRMED AR LOS ANGELES 434P NONSTOP FOOD TO PURCHASE AIRLINE CONFIRMATION:DL -205OU5 SEAT ASSIGNED 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 11E AIRLINE CONFIRMATION:DL P05OU5 THIS IS AN ELECTRONIC TICKET. PLEASE PRESENT PHOTO ID AT CHECK IN WITH AIRLINE CONE. TICKET IS COMPLETELY NONREFUNDABLE IF UNUSED. MAY CHANGE ONLY PRIOR TO ORIGINAL TRAVEL DATE. FEES WILL APPLY. DELTA CONE P05OU5 *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 LAND HOTEL PKGS WILL APPLY. AIRLINE CHECKED BAGGAGE NOTICE 11/19/2009 2 0 T H R E D 144 O N D S Y N1 P O S I U t•)l Healt4 Safety for the Professional Fire Fighter 1 Hyatt Regency_Century -Plaza -Los Angeles, CA November 8 -12, 2009 Only one registrant perform. Each registrant must check off three workshops from Group 1 i and three workshops from Group B. Registrants selecting the Fire Ground Survival Practical Workshop 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 5urvivM Practical Workshop. Attendance at the workshops is limited and will be determined on ;t s s 11 first -come basis. t w_ c FIRE GROUND SURVIVAL PRACTICAL WORKSHOP Tuesday or Wednesday Space is limited and rcguiro the registrant to bring their usvn personal rot"tive equipment (turn -out coat and r. pants, hood, gloves, boots and hdtnn We %vita ONLY be able to sccurnmodate 200 registrants on each day. i i+ i r Group A Workshops (('hcck'lhrcc? Grouo B WarksFtoos (hcch lhrrc WFI Implementation Fire Service Communication: Whv 0 1 F-77, 11771 r They Are Not Working I Z .havior ��eUness: Mental Aspects of o i Performance ❑Fire Fighter Safety, Resource (Economics of Fire Fighter Wellness Deployment and Staffing i Infectious Disease: How to Protect (linctional Fitness 4 'IiOUrself Operating Safely: Protective Clothing ire Fighter Environment: Detection and Equipment Technology and Dangers of Toxins in Today's Fires Cardio Disease Building Codes :alMaking Buildings (�Ittjury Preventiun Safer for Fire Fighters and Residents NA,M E t`k r L C I o' v� Z� 1 r, IAFF Local /Company Namc rti•-t CO-- D2 1 Address z C�i� c, City �r"C i,w C'- l State /Province -T— ,V t r. r r Zip Code Phone 7- 7i 7i O Email address �tii►���' l ti 4G r• t r NIETHOD OF PAYMENT: $500 per registrant $525 after September.30, 2009. $500 I will join the. FIREPAC Leadership Trust and register for the John P. I ti Redmond Symposium at the same time. 1 PERSONAL CHECKIt4IONEY ORDER (Payable to FIREPAC) PERSONAL VISA/MASTERCARD (complete credit czrd information below) (A 500 1 wilt attend the Symposium but not join the FIREPAC Leadership Trust. 4 CHECK (Payable in U.S. Dollars to John P. Redmond Foundation) VISiUiNtASTERCARD (complete credit card information below) L11 1 U.S. members only: FIREPAC can only accept personal checks, money orders or personal credit cards. Federal election laws piuhibit FIREPAC from accepting busi- ness or union dues (treasury) account checks. Contributions to FIREPAC do not 1 qualify as charitable contributirins for federal income tax purpose. «t FIREPAC Leadership Trust members will rcceiv: a Leadership Trust pin and recognition in the International Fire Fighter. VISA/MASTERCARD 1 Credit Card Number Name as it appears on the card Expiration date Signature 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 0.19 11 -08 -09 *Accommodation 239.00 11 -08 -09 Boom 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 w INTERCO NTINENTALa 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% 3146 11 -11 -09 CA Assessment 0.19 Total 3030.50 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 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)) $430.00 $29.64 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 Jared Kinney IN SUM OF $459.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 43- 430.02 $430.00 1 hereby certify that the attached invoice(s), or 1120 42- 314.00 $29.64 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 1 2009 U Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund