213917 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 363862 Page 1 of 1
ONE CIVIC SQUARE JASON FORCE
?o CARMEL, INDIANA 46032 30 SLEEPY HOLLOW COURT CHECK AMOUNT: $198.50
WESTFIELD IN 46074 CHECK NUMBER: 213917
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 198 . 50 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
' NOIANP'
EMPLOYEE NAM
DEPARTURE DATE: `�a _�_ ��a- TIME:
DEPARTMENT: RETURN DATE: �Q --'� - TIME: \ AM / M
REASON FOR TRAVEL_ _ � ��a ' 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.
10/11/12 ,.$6 .00
10/2/12 $65.00 $65.00
10/3/12 $36.00 $65.00 $101.00
$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
$0.00
0.00
Total $0.00 $0.00 $0.00 $36.00 $0.00 $0.00 $0.00 $0.00 $0.00 $195.00 $0.00 0
DIRECTOR'S STATEMEN : I re affirm that all expenses listed conform to the City's travel po y-Pr1,2reZVjin my department's appropriated budget.
UI[
Director Signature: d Date:
City of Carmel Form#ER06 Revision Date 10/19/2012 Page 1
Snyder, Denise W
From: Debbie Tunstill [Debbie.TunstiII @thetravelagentinc.com]
Sent: Wednesday, September 12, 2012 4:43 PM
To: Snyder, Denise W
Subject: Confirmed Flight for Jason Force
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: SEP 12 2012
ACCOUNT ND3C8T PAGE:01
FOR:
FORCE/JASON S
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
-----------------------------------------------------------------------
01 OCT 12-MONDAY MILES- 231 ELAPSED TIME- 1:13
AIR LV INDIANAPOLIS 145P DELTA FLT:3429 ECONOMY CONFIRMED
AR DETROIT/METRO 258P NONSTOP
RESERVED SEATS 15B
AIRLINE CONFIRMATION:DL-GFNO9F
MILES- 453 ELAPSED TIME- 1:54
AIR LV DETROIT/METRO 346P DELTA FLT:3474 ECONOMY CONFIRMED
AR PHILADELPHIA 540P NONSTOP
RESERVED SEATS 18B
AIRLINE CONFIRMATION:DL-GFNO9F
04 OCT 12-THURSDAY MILES- 96 ELAPSED TIME- 1:06
AIR LV PHILADELPHIA 709P DELTA FLT:4322 COACH CLASS CONFIRMED
AR NYC/LAGUARDIA 815P NONSTOP
RESERVED SEATS 413
AIRLINE CONFIRMATION:DL-GFNO9F
MILES- 660 ELAPSED TIME-2:17
AIR LV NYC/LAGUARDIA 905P DELTA FLT:5991 COACH CLASS CONFIRMED
AR INDIANAPOLIS 1122P NONSTOP REFRESH AT COST
RESERVED SEATS 14C
AIRLINE CONFIRMATION:DL-GFNO9F
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 DELTA GFN09F
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.
1
THANK YOU. DEBBIE TUNSTILL 317 805 5762
------------------------------------------------------------------------
AIR TRANSPORTATION 249.30 TAX 61.90 TTL 311.20
PROCESSING FEE 35.00
SUB TOTAL 346.20
CREDIT CARD PAYMENT 346.20-
TOTAL AMOUNT 0.00
BAGGAGE ALLOWANCE
ADT
DL INDPHL OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
CARRY ON-CARRY ON DATA NOT AVAILABLE
MYTRI PAN DMORE.COM/BAGGAGEDETAILSDL.BAGG
DL PHLIND OPC
BAG 1- 25.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
BAG 2- 35.00 USD UPTO50LB/23KG AND UPTO621-I/158LCM
CARRY ON-CARRY ON DATA NOT AVAILABLE
MYTRIPANDMORE.COM/BAGGAGEDETAILSDL.BAGG
BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/
ONLINE CHECKIN/FORM OF PAYMENT/MILITARY/ETC.
2
AM OLE
Hale Pump Maintenance/Operations
Class Date: 10/01/2012
School Name: Montgomery County Fire Academy
Length Of School: 4
Instructor: Ric Tull
Requesting EVT Test: YES
Document Author: Ric Tull
Name: Jason Force
Company: Carmel FD
Address: Two Civic Square
City,State,Zip: Carmel IN 46032
Phone: 317-571-2600
Fax: 317-571-2615
Please Note: The EVT F3 exam will be offered by the Montogomery County Fire Academy. You must
contact the EVT Certification Commission prior to taking the Hale Products Pump Training Class. To
register please contact Sherry at 847-426-4075, this will connect you directly with the EVT Commission.
This test will be given at 10:00 am Friday Morning proceeding the product training class. Hale Products
does not give the EVT Test or sign individuals up for this test, if you wish to take the exam please contact
the EVT Commission office. Hale Products highly recommends that you purchase reference and study
materials which are recommended by EVT. EVT applications will be sent along with the
Hale Products Information Materials. If you wish to register for the EVT test;
please pre-register with the EVT commission.
Comments:
Invoice/Receipt
Payment Due:
Payment Method: Check
Payment Received:
Visa/Mastercard Number:
Name of Card Holder:
Expiration Date:
Check Number: 204822
Date Received:
Comments:
If paying by check, make the check payable to Hale Products, Inc., and send to:
Ric Tull
Manager of Product Training
700 Spring Mill Ave.
Conshohocken, PA 19428
Fax � Ric Tull� ���� � � � x1�����
� �� ���� r�U� oQ/� x�u' .� ~.�.� : ~-rn�v� .�
ALL PUMP CLASSES START ON TUESDAY AT8:3UAM.
OPTIONAL CLASSES-- Monday - CAFS and Foam will b*covered from 1 '4PW
Friday'E\/T Exam, 8AM to12noon
Please indicate below if you will be attending the optional CAFS class on Monday and if you are taking the optional
EVT Exam on Friday. If you are not taking the EVT exam, classes will be over on Thursday. i0ptional class d2ys
are the first and last daye,in i'he listintis. Please choose your preferred date$.
|will be aftending the OPTIONAL CAFS/Fnam class on Monday from 11-4 PM
|will taking the OPTIONAL EVT exam un Friday from 8AM to12PM
____AprU 2". 24, 25. 28. 27 July 9, 10. 11� 12. 13 —September 10, 11. 12, 13, 14
May 2t. 22. 23. 24. 25 ____July 23, 24. 25. 28. 27 —September 17, 18. 18` 2O-Spanish only*
--�—'June 4, 5. 8.7. 8 �.uguat6. 7. 8. S. 10 October 1. 2. 3. 4. 5
June18. 19. 20. 21. 22 ____Augue\20. 31. 22. 23' 24 October 15. 16. 17. 18. |9
Please choose one;a�'tcnmate date/n addition to your first choice. Mark yourm/menoa/ow&th a/, ''A"
*:This class for Spanish mkin h^ There will not'be an EV7 test on Friday.
$300.00 per person. (EVT test is an additional fee charged by the EVT Certification Commission and you must reg-
ister divec0y with EVT at 847-426-4075.). Hotels and transportation are not included in the foe. Lunch in included
Tuesday through Thursday.
C|aaooa are held at the Montgomery County Fire Academy, Conshohocken, RA. (The nearest airport is the Phila-
delphia International Airport, Philadelphia, PA. about 20 miles from Conshohocken,)Space is limited and classes
are available on a first-come basis. If space is not available in the dane you oe|ected, you will be notified by phone
and given the opportunity to choose another class.
Payment must 6m received prior tm the class date. Payment may be made by check or credit card.After
receipt of payment, information regarding.classes, directions, and local hotels will ba mailed mr taxed mu�
Send to: Ric Tull
Hate Products|nc/7OO Spring Mill Avenue, Conshohocken, PA18428
Phone: (O1C) 825'G8OO. extension 1495/Fax: (803) 551-4605/E-mail: rtuU@idexoorp.00m
iF PAYING BY CHECK, make checks payable 0a Hale Products Inc, and send to the address noted above.
Company Name CI
Attendee's Names
IF PAYING BY VISA OR MASTERCARD, complete the following and send or fax directly to 803-551-4605
Credit Card Number Visa MasterCard
Name of Card Holder Expiration Doua
Signature ofCard Holder
Hate Products Inc. ^ A Unit q[|DEX Corporation ^7O0 Spring Mill Avenue ^ Conshohocken, RA19428
Phone: (810)825-6300^ Fax: (610)832-8443~www/ha|opnoduc1s.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason Force
IN SUM OF $
-42-M 0
-g ,
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-430.02 I $ O( .. 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
r (� materials or services itemized thereon for
which charge is made were ordered and
received except
OCT 0 2 2012
t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
3rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
nrhom, 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))
$231.00
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