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HomeMy WebLinkAbout179834 11/24/2009 a CITY OF CARMEL, INDIANA VENDOR: 277850 Page 1 of 1 ONE CIVIC SQUARE RANDY SCHALBURG CHECK AMOUNT: $904.92 CARMEN, INDIANA 46032 CHECK NUMBER: 179834 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1 1110 4343002 904.92 EXTERNAL TRAINING TRA i r vrKT u; A CITY OF CARMEL Expense Report (required for all travel expenses) eax� x �NUTAN P EMPLOYEE NAME: Randy Schalburg DEPARTURE DATE: 9/19/2009 TIME: 7:31AM AM PM DEPARTMENT: Carmel Police RETURN DATE: 9/25/2009 TIME: 3:20 PM AM/PM REASON FOR TRAVEL: IPTM SUPERVISOR TRAINING DESTINATION CITY: JACKSONVILLE FLORIDA EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 9119109 $240.40 $211.52 $63.00 °$514:_92 9/20/09 $65.00 $65 00 9/21/09 $65.00 $65::00 9122/09 $65.00 K ;$6520 9/23/09 $65.00 $65:00 9/24/09 $65.00 $05.00 9125109 $65.00 $65:00 ,$0.00 $o.ao $a0o $o:oo $0:00 $000 $000 0 $0:00 $0:00 x'$0.00 Total $240 40 I, 52 $03 00 $Q 00 $0:00 $0:00! $0 00 r $0:00 $0 0 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 c age ent g o UNIVERSITY OF NORTH FLORIDA' F HP This is to certify that I has successfully completed the 40 hour training eaurse Ma naging the Patrol Function E Conducted in Jacksonville, Florida September 21,.2009 m September 25, 2009 Provider No. 59-1 Course No. 024112031 40 hrs. 'LETB service UNF COURSE DIRECTOR IPTM DIRE TOR UNIVERSITY,)/' NORTH FLORIDA, AirTran Airways Itinerary Confirmation Pagel of 3 ti Schalburg, Randy S From: Dina Wellman [dwellman @mallory- sonalert.com] Sent: Tuesday, October 13, 2009 4:21 PM To: Schalburg, Randy S Subject: Fw: AirTran Airways Confirmation for RANDY SCHALBURG on September 19, 2009 Original Message From: confirmations airtran.com To: dwellman mallor sonalert.com Sent: Friday, September 18, 2009 6:59 AM Subject: AirTran Airways Confirmation for RANDY SCHALBURG on September 19, 2009 PRET RRED 0, Thank you for flying AirTran Airways. If you have any questions about your reservation, please call 1- 800 AIR -TRAN. AirTran Airways preferred customers are eligible for priority processing when available at airport security checkpoints. Please check with an AirTran Airways Crew Member for local details. Confirmation number: KBP69N Passengers: RANDY SCHALBURG 9700006941 DINA WELLMAN 1980038360 16415 CHERRY TREE ROAD NOBLESVILLE, IN 46062 Flight Information: Should our flight schedule change, we will notify you by email as early as possible. Saturday, September 19, 2009 Flight 498 [Non -Stop] Seat: 1A 1C Departing Indianapolis, IN (IN at 06:00 AM Arriving Atlanta, GA (ATL) at 0 Connecting To Saturday, September 19, 2009 Flight 930 [Non -Stop] Seat: 1 A 1 C Departing Atlanta, GA (ATL) at 08:20 AM Arriving Jacksonville, FL (JAX) at 0929 AM 11/19/2009 AirTran Airways Itinerary Confirmation Page 2 of 3 Friday, September 25, 2009 Flight 935 [Non -Stop] Departing Jacksonville, FL (JAX) at 09:59 AM Arriving Atlanta, GA (ATL) at 11:10 AM Connecting To Friday, September 25, 2009 Flight 719 [Non -Stop] Departing Atlanta, GA (ATL) at 01:5 Arriving Indianapolis, IN (IN 03:20 PM Payment Information: Air Fare 200.00 Federal Segment Tax 28.80 r, 0 Airport Passenger Facility Charge 36.00 September 11th Security Fee 20.00 Other Fees 196.00 i Ticket Total 480.80 Ticket Reference Number: 332064491104 Now you can check in for your flight online see details below. Wi -Fi Now Onboard Wi -Fi W[-Fi available on every AirTran flight. on every AirTrnn Flighnt Power up and you're ready to go online. Jacksonville, FL, Getaway Planner i Check out our ex pert tri sugg estion or plan y our own Will you need a rental car? Get the special AirTran Airways di scount in Jacksonville FL on a Hertz car rental. Looking for a place to stay? Book y our hotel with AirTran Vacations. HOTELS Net Escapes sign up and save. Net D-,� Get our best deals emailed to you weekly. Escapes Sign u here Passenger Check -In Information Online Flight Check -In Service? Check in for y our fli onlin at airtran.com. Most passengers with an electronic ticket for a domestic flight may use our online flight check -in service from 24 hours to 90 minutes before the flight's scheduled departure to obtain their boarding pass and seat 11/19/2009 Page 2 of 3 with sufficient credit for a deposit. Amount of available credit required depends on car type, support@hotwire.com rental period, and optional items. Debit cards may not be accepted. Funds used for By phone anytime debit /check card deposits cannot be accessed until the car is returned. If using a debit U.S./Canada toll free card for the deposit, contact the rental agency for its policy. Some drivers presenting a 1- 866- HOTWIRE debit card will need to show a roundtrip itinerary. (1 -866 -468 -9473) The rental agency will verify the driver is at least 25 years of age. The car must be picked up and dropped off at the same rental location. Outside U.S./Canada You can still insure against expenses should you be required to cancel or interrupt your 1- 920 634 -3150 trip due to medical or other covered reasons affecting yourself or family members. Buy Trip (toll charges apply) Protection with Access America, a Hotwire partner. Booking rules All bookings are final. No changes or refunds are allowed. Review our Terms of Use for i We recomm more information. li:uwi'rc' Summary of charges t 4"C71ve L -t lc 1';k r Visit travel- ticker.eom for get up and go deals you Car rental won't find anywhere else. Car daily rate: Hotwire Hot Rate $17.95 Rental days: 6 Sho [no 4" Subtotal: $107.70 i Rental Car Protection $63.00 Tax recovery charges and fees: $40.82 Total price: $211 HotDollars and gift cards 0.00 Total charges to your credit card $211.52 Billed To: ran y s Contact phone: (3 -6600 Contact email: Charged to: Date booked: Sat, 09119109, 6:46AM Prices are in U.S. dollars. 'Rental Gar Protection will be listed as a charge from Access America on your credit card statement. You will receive separate confirmation emails from Access America with insurance details, including policy number. in 4 to 6 hours. Your reservation is complete. Click here to claim your $20.00 Cash Back Incentive on your next Hotwire.com reservation! Conti'riue By clicking above, you can claim your incentive from our preferred partner. See details Featured Services Go green with Hotwirel Team up with Hotwire and help balance the global warming impact of your trip. Purchase carbon offsets from TerraPass.com, and we'll pay half of the amount of all offsets you purchase. 11/19/2009 essA e cal P.O. Box 71533, Richmond, VA 23255 -1533 LETTER OF CONFIRMATION September 19, 2009 randy schalburg Dear randy schalburg, Confirmation Number /Policy ID: H51666443 Thank you for purchasing Access America. This Letter of Confirmation and the enclosed Certificate of Insurance /Policy contains important information on the travel insurance program you purchased. We recommend that you take copies of these materials with you on your trip. If you did not receive a Certificate of Insurance /Policy, or would like another copy, please call 1- 800 771 -1281 or e -mail hotwire @accessamerica.com. Program Information Date of purchase: September 19, 2009 Travel Dates: September 19, 2009 September 25, 2009 All coverages effective date: September 19, 2009 Insured's Name: randy schalburg Plan Purchased: Rental Car Protection Benefits and maximum coverage amounts are per individual (unless otherwise noted) Collision /Loss Damage Insurance $40,000.00 24 -Hour Hotline Assistance Total Package Price: A15 .00 Amount Paid: $63.00 Order Type: Gatewa Satisfaction Guarantee: Within 10 days of purchasing this program, Access America will process a full refund of premium (the amount you paid for insurance) to you, as long as you have not already departed on your trip or filed a claim. No refunds shall be paid to you after 10 days of purchasing the program. Some Important Coverage Information You may cancel your Rental Car Coverage anytime prior to pick -up providing that you have cancelled your rental agreement and notified your travel provider. Cancellations made on the day of pick -up will incur a cancellation charge of $9.00. California residents: Please note that we are doing business in California as WASC Insurance Agency and our California License is OB01400. Insurance coverage is provided under Form No. 52.201 or 52.401 issued by BCS Insurance Company, Chicago, IL. If You Need to Contact Us If you need help while traveling, call 1-800- 654 -1908 from the U.S., Canada, Puerto Rico and the U.S. Virgin Islands or call collect to 1 -804- 281 -5700 from all other locations. To file a claim, call 1 -800- 334 -7525 or visit our website at www.accessamerica.com. 152 Anderson, Teresa K From 5chalburg Randy S Sent.: Monday, April 13 2009 9 :56 AM To: Anderson, Teresa K" Su 61edt: FW IPTM Online'Registration FOUND IT --O iginal.Message-- From:�webmail @iptm.org Cmailto :webmail @iptm.org) Sent.=Friday„ April `03, 2009.2.56 M To: °Schalbufg, Randy. S Cc: Thurston, Luann Suoject. 1, TM Online Registration We have :received your registration :request for enrollment in the following IPTM course. Registration 6.320 Course Title. MA:NAGfNG'THE PATROL, FUNCTION. Coarse Location: JACKSONVILLE, FLORIDA Cou Monday, `september 21, 2009 Course:Fee 6fi25 Your submission wfli be processed;antl °written confirmation will be mailed, faxed, or:errnailed,toyou. Pleasedo not make „airline or hotel, reservabons:until you receive written�confirmation`.from IPTM. For ail'computer courses;. Due to 'very limited seating, a,$2 non refundable: Aep9m'is required'to complete your registration. :Please mail or fax your deposit or purchase order to1PTM at Institute of Police Tbchnalogy and,Man6gement 12000 Alumni Drive Jacksonvillejlorida 32224 -2678” Phone (Rt)4) 620478.6 Fax (404 Pease note'., Due to4 overwh`eI ring volume�df enrollments.received, recjuests. are processed 1n the order in which the;. classes' are scheduled: i 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 Randy S. Schalburg Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/19/0s' reimburse Major Randy Schalburg for meals, air fare 904.92 and car rental while attending the IPTM Supervisor Training on September 21 25 2009 in Jacksonville, FL Total 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 R aidy S. Schalburg IN SUM OF 904.92 ON ACCOUNT OF APPROPRIATION FOR police general ufnd Board Members Post or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -02 904.92 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 November 19 20 09 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund