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212992 09/25/2012 c, CITY OF CARMEL, INDIANA VENDOR: 366556 Page 1 of 1 Q � ONE CIVIC SQUARE TIM FAGIN CHECK AMOUNT: $390.00 CARMEL, INDIANA 46032 C/O CFD CHECK NUMBER: 212992 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 390 . 00 EXTERNAL TRAINING TRA 4�nQ:RT:CAq�F� a „ CITY OF CARMEL Expense Report (required for all travel expenses) N01 AN P EMPLOYEE NAME: �\ `� a DEPARTURE DATE: TIME: A M DEPARTMENT: RETURN DATE: TIME: AM / M 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 $0.00 9/10/12 $65.00 $65.00 9/11/12 $65.00 $65.00 9/12/12 $65.00 $65.00 9/13/12 $65.00 $65.00 9/14/12 $65.00 $65.00 9/15/12 $65.00 $65.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $390.00 $0.00` •o 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 9/21/2012 Page 1 J Snyder, Denise W From: Fagin, Timothy D Sent: Tuesday, September 11, 2012 12:48 PM To: Snyder, Denise W Subject: Fwd: ECCU 2012 Conference Registration Confirmation Begin forwarded message: From: <eccugcitizencpr.org> Date: September 11, 2012 12:45:46 EDT To: <tfagin9carmel.in.gov> Subject: ECCU 2012 Conference Registration Confirmation Reply-To: <eccugcitizencpr.org> ECCU 2012 Conference Registration Confirmation Confirmation#: 420 Company: Carmel Fire Department Attending: ECCU 2012 Total Billed: $495.00 Total Paid: $0.00 Balance Due: $495.00 Username: Fagin Password: 420 Registrants: Name 7TYpe Fee Events Tim Fagin EARL $495.00 Continental Breakfast With Experts Friday $0.00 9/13/2012, 07:00 AM Continental Breakfast $0.00 9/14/2012, 07:00 AM Continental Breakfast With Experts Saturday $0.00 9/15/2012, 07:00 AM Dear ECCU 2012 Conference Registrant: Thank you for registering for the ECCU 2012 Conference which will take place September 11-15, 2012 at the Rosen Shingle Creek in Orlando, FL. 1 If you have not already submitted payment please send your check to CCPRF headquarters, 201 Park Washington Court, Falls Church, VA 22046. Registrants may pick up their badge along with their registration bag at the onsite ECCU 2012 Conference registration desk. All conference attendees are required to wear their name badge during conference events. CCPRF reserves the right to cancel pre and post-conference training sessions due to lack of minumum participation. All Pre-conference and conference meetings and functions will occur at the Rosen Shingle Creek unless otherwise noted in the Program. To Edit Your Registration Click on ECCU 2012, and enter the user name and password that is included on your registration confirmation and then click on "view your registration". To add or edit your events click Add/Edit Events at the top right side of the page. Select the event you wish to add by adding a "1" in the ticket column. To complete your update click "Continue Registration" and then "Submit Registration" at the bottom of the page. You will receive an updated registration confirmation by email. To Obtain an Official Receipt and/or Invoice Go to www.eccu20l2.com, click on "online options" under "What Do You Need", click on "invoice history", enter your user name and password which is included in your email confirmation, and then click on the invoice number to print either your invoice and/or receipt. For hotel reservations: • Rosen Shingle Creek: 9939 Universal Blvd., Orlando, FL 32819. • Rate: $149 single/double+ tax. Attendees should mention "Citizen CPR Foundation Emergency Cardiovascular Care Update 2012" to qualify for the group rate. • Reservations: Call the Rosen Shingle Creek at (866) 996-6338 or go to eccu2012.com for a link that will take you to a special ECCU hotel registration page. Cancellation Policy Written cancellations can be emailed to eccu(a_citizencpr.org, faxed to 703-241-5603 or mailed to CCPRF Headquarters (201 Park Washington Court, Falls Church,VA 22046). Verbal cancellations will not be accepted. CCPRF headquarters will provide you a cancellation number to confirm receipt of your cancellation. Written notice of cancellation received on or before September 7, 2012 will be refunded less a $100 processing fee. No refunds will be issued after September 7, 2012. If you have not submitted payment and do not attend the conference, the full registration 2 Snyder, Denise W From: Debbie Tunstill [Debbie.Tunstill @thetravelagentinc.com] Sent: Tuesday, July 17, 2012 4:24 PM To: Snyder, Denise W Subject: Confirmed Flight for Timothy Fagin SALES PERSON:A09DT ITINERARY/INVOICE NO. ITIN DATE:JUL 17 2012 ACCOUNT CPD KDD4NS PAGE:01 FOR: FAG I N/TI M OTH Y D 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 ----------------------------------------------------------------------- 10 SEP 12-MONDAY MILES- 828 ELAPSED TIME-2:10 AIR LV INDIANAPOLIS 705A AIRTRAN AIR FLT:424 COACH CONFIRMED AR ORLANDO/INTL 915A NONSTOP 15 SEP 12-SATURDAY MILES- 828 ELAPSED TIME-2:12 AIR LV ORLANDO/INTL 1200N AIRTRAN AIR FLT:1301 COACH CONFIRMED AR INDIANAPOLIS 212P NONSTOP "YOU MUST VERIFY ALL INFORMATION IS CORRECT, ONCE ISSUED FEES AND PENALTIES EXIST FOR REISSUES-REFUNDS-CHANGES. AFTER HOURS EMERGENCIES ON EXISTING RESERVATIONS CALL 1 877 645 6373 CODE A09-$15.00 PER CALL.A CANCELLATION FEE OF 15PCT ON TOTAL COST OF ALL BOOKINGS WILL APPLY. REFER TO WWW.TTA.TRAVEL FOR TERMS AND CONDITIONS-AIRLINE LUGGAGE POLICES AND OTHER SERVICES OFFERED. THANK YOU. DEBBIE TUNSTILL 317 805 5762 AIR TRANSPORTATION 219.54 TAX 38.06 TTL 257.60 PROCESSING FEE 35.00 SUB TOTAL 292.60 CREDIT CARD PAYMENT 292.60- TOTAL AMOUNT 0.00 1 s Page No. 1 9939 Universal Blvd ,ROSEN, Orlando, FL 32819 S�lI*GLE CREEK Far.(40�996-3 0 RosEN HoT s&RFsoRTs www.RosenSlungleCreek.com Guest Name: Mark Hulett Room#: 5429 Carmel, IN 46032 USA Folio#: RR7FF529 Group#: 24694 Guests: 2 Clerk: EHOPPES CL#: Arrive: 09/10/12 Time: 10:23 AM Depart: 09/15/12 Time: 10:06 AM Status: HIST Date Description Reference Comment Charges Credit 09/10/2012 PAY CHECK 09109516949 ($665.98) 09/10/2012 PAY 09109556949 ************ ($193.12) 09/10/2012 Cala Bella 7490811 $112.32 09/10/2012 ROOM CHARGE 5429 $145.00 09/10/2012 ROOM TAX 5429t ROOM TAX $18.12 09/10/2012 SELF PARKING Recur 155 Recurring:Hulett 5429 $5.63 09/10/2012 SALES TAX Recur 155t Recurring:Hulett 5429 $0.37 09/11/2012 NXTV MOVIES 661 Movie $14.99 09/11/2012 COMM SERVICE TAX 661t Movie $2.18 09/11/2012 ROOM CHARGE 5429 $145.00 09/11/2012 ROOM TAX 5429t ROOM TAX $18.12 09/11/2012 SELF PARKING Recur 155 Recurring: Hulett 5429 $5.63 09/11/2012 SALES TAX Recur 155t Recurring: Hulett 5429 $0.37 09/12/2012 ROOM CHARGE 5429 $149.00 09/12/2012 ROOM TAX 5429t ROOM TAX $18.62 09/12/2012 SELF PARKING Recur 155 Recurring:Hulett 5429 $5.63 09/12/2012 SALES TAX Recur 155t Recurring:Hulett 5429 $0.37 09/13/2012 ROOM CHARGE 5429 $149.00 09/13/2012 ROOM TAX 5429t ROOM TAX $18.62 09/13/2012 SELF PARKING Recur 155 Recurring: Hulett 5429 $5.63 09/13/2012 SALES TAX Recur 155t Recurring: Hulett 5429 $0.37 09/14/2012 ROOM CHARGE 5429 $149.00 09/14/2012 ROOM TAX 5429t ROOM TAX $18.62 09/14/2012 SELF PARKING Recur 155 Recurring:Hulett 5429 $5.63 09/14/2012 SALES TAX Recur 155t Recurring: Hulett 5429 $0.37 09/15/2012 PAY ************ ($129.49) Folio Balance: $0.00 If 1 elect to pay by credit card,I understand that:acceptance is subject to approval by the issuing organization;information necessary to charge my credit card account will appear on my itemized hotel folio(s)and be transmitted electronically in lieu of a sales draft;my liability for this bill is not waived and agree that in the event the indicated person,company,or association fails to pay,I will be held responsible. Prosu j:)od by date Boa!d of Accounts City Form No.201 (Rev 1995) r i-L VOUCHER PAYAB� iL k_., CITY OF CARMEL An i:wo'P,;e lit bil! lu !,,inc% of service, pe;hxtitcd, Service rendel-ed, by -C-Ul, :-i;wriber 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)) l1 $390.00 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 VOUCHEF< N0. WARRANT NO. ___ ALLOVVE D 20______ Tim Fagin |N SUM {}F $390.00 ON ACCOUNT OF APPROPRIATION FOR --- Carmel Fire Department Board Members 112" | hereby certify that the attached invnica(s). or biU(a) io (ane) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund