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)
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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.
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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.
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more information.
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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
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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