214116 10/23/2012 r�ITY QF CARMEL, INDIANA VENDOR: 00350735 Page 1 of 1
0 ONE CIVIC SQUARE BOB VANVOORST
CARMEL, INDIANA 46032 23402 MULE BARN ROAD CHECK AMOUNT: $591.99
SHERIDAN IN 46069 CHECK NUMBER: 214116
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 21 . 15 GASOLINE
1120 4343002 570 . 84 EXTERNAL TRAINING TRA
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIPNp=
EMPLOYEE NAME: �` -,%-, DEPARTURE DATE: TIME: AM P
DEPARTMENT: ��� RETURN DATE: �a -� -�2 TIME: \Q AM/ M
c
REASON FOR TRAVEL: �`c��.�- ���� �� . DESTINATION CITY:
IJ
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM ✓
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
$0.00
10/1/12 $65.00 $65.00
10/2/12 $65.00 $65.00
10/3/12 $21.15 $375.84 $65.00 $461.99
$0.00
$0.00
$0.00
r $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 $0.001 $0.00 $0.001 $21.151 $375.84 $0.00 $0.001 $0.001 $0.001 $195.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expense`listed conform to the City's travel policW12
w- l�imy department's appropriated budget.
Director Signature: ! i� Date:
r� ..
City of Carmel Form#E1 6 Revision Date 10/19/2012 t. i Page 1
.
PLYMOUTH MEETING,PA 19462 USA
TELEPHONE 610-567-0900 FAX 610-567-0901
ofioaI sp-...
VANVOORST,ROBERT name room number: 522/SXBL
23402 MULEBARN RD address arrival date: 10/1/2012 7:09:OOPM
SHERIDAN, IN 46069 departure date: 10/4/2012
US aduiVchild: 210
room rate: 116.00
If the debit/credit card you are using for check-in is attached to a bank or checking account,a hold will RATE PLAN L-T9X
be placed on the account for the full anticipated dollar amount to be owed to the hotel,including HH#
estimated incidentals,through your date of check-out and such funds will not be released for 72 business AL:
hours from the date of check-out or longer at the discretion of your financial institution. BONDS AL: CAR:
CONFIRMATION NUMBER: 81106214 Rates subject to applicable sales,occupancy,or other taxes.Please do not leave any money or items of value unattended in
your room.A safety deposit box is available for you in the lobby.I agree that my liability for this bill is not waived and agree
to be held personally liable in the event that the indicated person,company or association fails to pay for any part or the full
10/4/2012 PAGE 1 amount of these charges In the event of an emergency,I,or someone in my party,require special evacuation due to a
physical disability Please indicate yes by checking here.
signature:
10/1/2012 1543200 GUEST ROOM $116.00
10/1/2012 1543200 STATE OCCUPANCY TAX $6.96
10/1/2012 1543200 LOCAL OCCUPANCY TAX $2.32
10/2/2012 1543418 GUEST ROOM $116.00
10/2/2012 1543418 STATE OCCUPANCY TAX $6.96
10/2/2012 1543418 LOCAL OCCUPANCY TAX $2.32
10/3/2012 1543655 GUEST ROOM $116.00
10/3/2012 1543655 STATE OCCUPANCY TAX $6.96
10/3/2012 1543655 LOCAL OCCUPANCY TAX $2.32
WILL BE SETTLED TO $375.84
EFFECTIVE BALANCE OF $0.00
EXPENSE REPORT SUMMARY
12 00:00:0112 12:00:OOAM 012 12:00:OOAM STAY TOTAL
ROOM&TAX $125.28 $125.28 $125.28 $375.84
DAILY TOTAL $125.28 $125.28 $125.28 $375.84
account no. date of charge folio/check no.
385557 A
card member name authorization initial
establishment no. and location establishment agrees totraromitto card holder for payment purchases&services
taxes
tips&mist.
signature of card member
total amount
X
0.00
WARF C O N RA D ® ❑ae� - "� HOMEWOOD Hilt n
Hilton ®Gar5 Inn f( w swTES HOMEN _ H I LTO N
a,.,,.�,. ••••,-,.,_. Grand Vacations
asroRAf Wool„i:ritrr M WORLDWIDE
HOTEL ROOM CALCULATIONS - VANVOORST FORCE - HAMPTON INN
PLYMOUTH MEETING
VANVOORST & FORCE
TOTAL ROOM PER NIGHT ADDT'L FEES-
DATES RATE TAX RATE TAX AMOUNT W/TAX RESORT TOTAL
10/1/2012 $116.00 8.000% $ 9.280 $ 125.28 $ 125.280
10/2/2012 $116.00 8.000%1 $ 9.280 $ 125.28 $ 125.280
10/3/2013 $116.00 8.000% $ 9.280 $ 125.28 $ 125.280
TOTAL STAY-NUMBERS WERE ROUNDED IN FORMULAS 1 $375.8400
Employee to be reimbursed for the hotel stay.
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: Robert Van Voorst
Company: Carmel FD
Address:
City,State,Zip:
Phone:
Fax:
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
Snyder, Denise W
From: Debbie Tunstill [Debbie.Tunstill @thetravelagentinc.com]
Sent: Wednesday, September 12, 2012 6:13 PM
To: Snyder, Denise W
Subject: Confirmed Flight for Robert VanVoorst
SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE:SEP 12 2012
ACCOUNT NRVPC9 PAGE:01
FOR:
VANVOORST/ROBERT J
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 16B
AIRLINE CONFIRMATION:DL-GFJYX8
MILES- 453 ELAPSED TIME- 1:54
AIR LV DETROIT/METRO 346P DELTA FLT:3474 ECONOMY CONFIRMED
AR PHILADELPHIA 540P NONSTOP
RESERVED SEATS 18C
AIRLINE CONFIRMATION:DL-GFJYX8
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 4C
AIRLINE CONFIRMATION:DL-GFJYX8
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 16B
AIRLINE CONFIRMATION:DL-GFJYX8
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.
DELTA CONF GFJYX8
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 UPTO62LI/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
MYTRI PAN DMORE.COM/BAGGAGEDETAILSDL.BAGG
BAGGAGE DISCOUNTS MAY APPLY BASED ON FREQUENT FLYER STATUS/
ONLINE CHECKIN/FORM OF PAYMENT/MILITARY/ETC.
2
Fax to: Ric Tull 803 - 551 -4605 _ Q �
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ALL PUMP CLASSES START ON TUESDAY mAT°8:30 AM.
OPTIONAL CLASSES- Monday -CAFS and Foam will be covered from 1 -4 PM.
Friday- EVT Exam, 8 AM to 12 noon
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. Optional clas:�days
are tilm first mid last days in thc` listings. Please choose your preferred dates,
I will be attending the OPTIONAL CAFS/Foam class on Monday from 1-4 PM
I will taking the OPTIONAL EVT exam on Friday from 8 AM to 12 PM
April 23, 24, 25, 26. 27 July 9, 10, 11, 12. 13 September 10, 11, 12, 13: 14
May 21,22, 23,24, 25 July 23, 24, 25. 26, 27 September 17. 18. 19. 20-Spanish only*
June 4, 5, 6, 7, 3 August 6, 7, 8, 9, 10 October'I, 2. 3, 4, 5
June '.,',;, 19, 20, 21, 22 August 20, 21, 22123, 24 October 15, 16, 17, 18, 19
Plea=,r choa�;e one a temate date if) addition to your first chc.ice. Mark y our afternxr.°e with zip "A>
'This class for Spanish speaking customers only. Mere will not be an EVT test on Friday.
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$300,00 per person. (EVT test is an additional fee charged by the EVT Certification Commission and you must reg-
ister directly with EVT at 847-426-4075,), Hotels and transportation are not included in the fee. Lunch is included
Tuesday through Thursday.
Classes are held at the Montgomery County Fire Academy, Conshohocken, PA. (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 class you selected, you will be notified by phone
and given the opportunity to choose another class.
Payment must be received prior to the class date. Payment may be made by check or credit card.After
receipt of payment,information regarding classes, directions,and local hotels will be mailed or faxed out.
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Send to: Ric Tull
Hale Products Inc.1700 Spring Mill Avenue,Conshohocken, PA 19428
Phone: (610)825-6300, extension 1495/Fax: (803) 551-4605/E-mail: rtull@idexcorp.com
IF PAYING BY CHECK, make checks payable to Hale Products Inc, and send to the address noted above.
Company Name C;oggm E F1R E b t�?-4,1z-m 6r/7"
Attendee's Names IAAI.,j rEtJEt�c e 64 i E,- �b 96.z- 7- (1A,.i oo;r5 r"
C-M Ar,L N d i o ti/
Address Tu ca C, or c
City/State/Zip C,g,2 M F'�L Inr t4(,P t7,2_
Phoned- . S-:�i - 2 {aUt> Fax V4 57/ 2USO 0
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 Date
Signature of Card Holder
Hale Products Inc. - A Unit of IDEX Corporation •700 Spring Mill Avenue •Conshohocken, PA 19428
Phone: (610)825-6300• Fax: (610)832-8443 •www.haleproducts.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob VanVoorst
IN SUM OF $
$591.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 42-314.00 j $21.15 1 hereby certify that the attached invoice(s), or
1120 42-314.00 bill(s) is (are) true and correct and that the
1120 I I 43-430.02 I $570.84 materials or services itemized thereon for
which charge is made were ordered and
received except
OCT 2 2 2012
$
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
$21.15
$570.84
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
120
Clerk-Treasurer