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218306 03/14/2013 CITY OF CARMEL, INDIANA VENDOR: 00351704 Page 1 of 1 ONE CIVIC SQUARE DAVID MEAD CARMEL, INDIANA 46032 1511 QUEENSBOROUGH DRIVE CHECK AMOUNT: $1,249.40 CARMEL IN 46033 CHECK NUMBER: 218306 ON CHECK DATE: 3/14/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 25 . 00 GASOLINE 1120 4343002 1, 224 .40 EXTERNAL TRAINING TRA �c K yA CITY OF CARMEL Expense Report (required for all travel expenses) NDIANP EMPLOYEE NAME �J� ��-� DEPARTURE DATE: -�_\`�j TIME: DEPARTMENT. RETURN DATE: TIME: Sip AM / PM REASON FOR TRAVEL: ��`��-� DESTINATION CITY: EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVE 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 3/3/13 1 $65.00 $65.00 3/4/13 $65.00 $65.00 3/5/13 $65.00 $65.00 3/6/13 $65.00 $65.00 3/7/13 $65.00 $65.00 3/8/13 $25.00 $834.40 $65.00 $924.40 $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 $0.001 $0.00 $25.00 $834.401 $0.00 $0.00 $0.00 $0.00 $390.00 $0.00 DIRECTOR'S STATEMENT: hW4t9*Fr5es listed conform to the City's travel policy and are within my department's appropriated budget. OR 112013 Director Signature: Date: City of Carmel Form#ER06 Revision Date 3/11/2013 Page 1 3 Sheeks, Cindy L From: Snyder, Denise W Sent: Monday, March 11, 2013 11:20 PM To: Sheeks, Cindy L Subject: Fwd: Confirmed David Mead Sent from my iPhone Begin forwarded message: From: Debbie Tunstill <Debbie.TunstiII_athetravelagentinc.com> Date: January 18, 2013-, 6:47:29 PM EST To: "'Snyder, Denise W"' <dbristow2carmel.in.gov> Subject: Confirmed David Mead SALES PERSON: DT2 ITINERARY/INVOICE NO. ITIN DATE: JAN 18 2013 ACCOUNT JOX4TS PAGE: 01 FOR: MEAD/DAVID L 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 ----------------------------------------------------------------------- 03 MAR 13 - SUNDAY MILES- 1591 ELAPSED TIME- 4:30 AIR LV INDIANAPOLIS 720A SOUTHWEST FLT:3755 COACH CLASS CONFIRMED AR LAS VEGAS 850A NONSTOP SOUTHWEST CONF G3Q2XQ 08 MAR 13 - FRIDAY MILES- 1591 ELAPSED TIME- 3:25 AIR LV LAS VEGAS 1045A SOUTHWEST FLT: 165 COACH CLASS CONFIRMED AR INDIANAPOLIS 510P NONSTOP SOUTHWEST CONF G3Q2XQ 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. SOUTHWEST CONF G3Q2XQ "VERIFY ALL INFO IS CORRECT. FEES APPLY FOR REISSUES-REFUNDS-CHANGES AFTER HRS.EMERGENCIES ON THIS ITIN CALL 877 645 6373 CODEA09 $15/CALL A CANCEL FEE OF 15PCT ON TTL COST APPLIES. FOR TERMS/CONDITIONS/ 1 AIRLINE LUGGAGE POLICIES AND OTHER SVCS. SEE WWW.TTA.TRAVEL THIS ITIN. MAY BE SUBJECT TO CABIN INSECTICIDE SPRAYING PRIOR TO FLIGHT OR WHILE ON THE AIRCRAFT. FOR A LIST OF COUNTRIES REQUIRING THIS SEE W W W.TZELL411.COM THANK YOU. DEBBIE TUNSTILL 317 805 5762 ------------------------------------------------------------------------ AIR TRANSPORTATION 331.16 TAX 46.64 TTL 377.80 PROCESSING FEE 35.00 SUB TOTAL 412.80 CREDIT CARD PAYMENT 412.80- TOTAL AMOUNT 0.00 i z HOM.EWOOD 10450 S.Eastern Ave. • Henderson,NV 89052 SSUITES Phone(702)450-1045 • Fax(702)450-1046 ES Reservations Nam-&A Id''�Jsi I I Hilton honlewoodSUIIeS.00111 or 1-800-CALI.HOME Mead, David I ! Room 203/QHWN 1511 Oueensboroug Drive Arrival Date 3/3/2013 12:59:OOPM �� Departure Date 3/8/2013 Carmel, IN 46033 US Adult/Child 2/0 Room Rate 149.00 RATE PLAN LV2 HH# AL: BONUS AL: CAR: CONFIRMATION NUMBER : 80826466 3/8/2013 ,PAGE 1 I � i DATF REFE'RENCE DESCRIPTION AMOUNT 3/3/2013 501306 GUEST ROOM $149.00 3/3/2013 50I 306 ROOM TAX $17.88 3/4/2013 501460 GUEST ROOM $149.00 3/4/2013 501 460 ROOM TAX $17.88 3/5/2013 501637 GUEST ROOM $149.00 3/5/2013 01163'7 ROOM TAX $17.88 3/6/2013 018118 GUEST ROOM $149.00 3/6/2013 50 18118 ROOM TAX $17.88 3/7/2013 $02047 GUEST ROOM $149.00 3/7/2013 102047 ROOM TAi $17.88 WILL BE SETTLED TO $834.40 EFFECTIVE BALANCE OF $0.00 EXPENSE REPORT SUMMARY 1 00:00:OEB 12:00:OOAM 013 12:00:00A M13 12:00:OOAM ROOM&TAX $166.88 $166.88 $166. 8 $166.88 DAILY TC TAL $166.88 $166.88 $166. 8 $166.88 i I 1 P0:00:00 STAY TOTAL ROOM&TAX $166.88 $834.40 DATI:Or CIIARGr FOLIO NO./Clir_CK No. IIXPR : ' ' CHI;CK--OUT III 118584 A Gaud \Turning I NN", hGlpe y el,joycd youj stay. With Express Check Out AUTHORIZATION INITIAL there is nu need st Ip Ilat the Fro t Desk to clwck out. I I ' • Please review this statement. It is it record of your charges as of late last cvcnina. PURCHASES,Yc SERVICES • For any chamcs after\,our ac o m was prepared,you may: pay at the time of plurchase. TAXES charge purchases to your ac mot, then stop by the Front Desk for an updated statemcnL or request an updated stater c t c mailed to you within two business days TIPS g MISC. Simply call the Front'Desk fr r i your room and tell us when you are rea y to depart. Your account will be automatically checked out and you may us� this 'I'O'I'r\L AMOUNT statement as your receipt. Feel r e to leave your key(s)in the room. Please call the Front Desk if y n Iwish to extend your stay or if you have any 0.00 guestiom ahout,your account. P.\1r\1ENT 11 11F;U 1—iN ECF.11'T-1.5%1'ER MONTIi INTEREST CIL\KGE WILL BE APPLIED TO ALL PAST DUE INVOICES. I H.QMEWOOD 10450 S.Eastern Ave. • Henderson,NV 89052 Phone(702)450-1045 Fax(702)450-1046 SUITB Reservations Name,&Addl-ess }Iilton homewoodsuites.com or 1-800-CALL-HONIE I ' ' Mead, David .I Room 203/QHWN 1511 Queensbq ougfM Dnve Arrival Date 3/3/2013 12:59:OOPM Departure Date 3/8/2013 Carmel, IN 460 3 US Adult/Child 210 I Room Rate 149.00 RATE PLAN LV2 HH# AL: BONUS AL: CAR: CONFIRMATION NUMBER : E08 6466 3/8/2013 PAGE 2 DATE REFERENC• I DESCRIPTION AMOUNT DAILY TI TAIL $166.88 $834.40 Ur i TAX SUMMARY I Cf RGE TOTAL ROOM T NX ROOM&TAXI $745.00 $8940 TOT AI Pp lE $745.00 $8940 I I I I CH EXPR ;S' ' TC OUT DATE OF CHARGE- r-oLlo NO./CHECK No. Goad klornin�g ! We lope)' el,lo)'ed ��our�stay. With Express Check Out 118584 A - 1 Al1TNORl'ZATION INrIIAL there is no needito Stop at the b ro t Desk to check out. • Please rcvicxv his stal Let Lent. It is I record of )our charges as of late last evening. �� P p PURCHASES&SERVICES ° For any char iltcr\,our ac o m was rc ar d }'ou may: 11 I I I pay al the tune of purchase. V I TAxrS charge purehiises t�your ac o In then stop Jy�thc Front Desk for an 0 uI dated statelmentj +or request in,ilpdaLed Staten c it e mailed to you within two business days I'll's��wsC. Simply call the Front:Desk I? I your room and tell us when you are ready to depart. Your account will be AIR checked out and you may uS this TOTAL AMOUNT statement as your receipt. Feel r-c lo leave your key(s)in the room. Please caul/the /rout.Desk if a islr to extend your stay or if yon have any 0.00 questions about your account. PAY NIENI'DUE IA'0 ECEIPT-1.5%PER MONTH INTEREST CIIARGE wl A,BE APPLIED TO ALI,PAST DUE INVOICES. - ----- ------ ----- - ---- ----- --- ---------------- Centel' rnr Center for Public Safety Excellence, Inc. 4501 Singer Court,Suite 180 Invoice Public Safety Chantilly,VA 20151-1734 `J Date Invoice# Excellence 6 Ce ( 6)866 23..4 0111612013 OS-6734 Terms Due Date Net 30 Days 02/15/2013 I Bill To �— Carmel Fire Department 2 Civic Square Carmel, IN 46038 i i Amount Due _Enclosed $2,025.00 >< Please detach top pornon and return with%our pa)'mern Order# 13170 � Activity Quantity Rate • 2013 Excellence Conference March 4-7,2013 in Henderson, NV Amount •David Mead.Chris Ryan&Joel Heavner i 3 j 675.00 2,025.00 i i t � i i � I I i ! I ' I I r i i i i To make your payment by credit card,please call our main office at f 1-866-866-2324 and ask for Jessica. Thank you, Total $2,025.00 Account Activity ------------------------------ ------------- https://cards.chase-com/cc/A ccount/Activity/293197925 CHASE P mow. sou i�rrr[sr.ca�r Account Info Payment Info Current 7ballance $ Temporary Authorizations Trans Date Tyae Desc`_ 03/10/2013 Pendinq MARATHON PETRO102962 Amount $45.96 Posted Activity Since Last Statement Trans Date Poste Tvpe Description 03/08/2013 03/102013 Sale Amount HOMEWOOp SUITES HENDSN HENDERSON,NV 890520000 US -$834:40 In-person transaction 03/08/2013 03/102013 Sale TEXACO 00352291 HENDERSON,NV 890520000 US $25.00 In-person transaction I 3/11/2013 9:50 AM 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)) $1,224.40 $25.00 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. — ALLOWED 20 Dave Mead IN SUM OF $ $1,249.40 ON ACCOUNT OF APPROPRIATION FOR �I Carmel Fire Department Board Members �PO#/ ept INVOICE NO. ACCT#ITITLE AMOUNT g1120 43-430.02 $1,224.40 1 hereby certify that the attached invoice(s), or 42-314.00 $25.00 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 MAR 112013 �I �I Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund