HomeMy WebLinkAbout219705 05/07/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 367131 Page 1 of 1
ONE CIVIC SQUARE DOUG DOLEN
CARMEL, INDIANA 46032 C/O FIRE DEPARTMENT CHECK AMOUNT: $75.03
CHECK NUMBER: 219705
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 75 . 03 OTHER EXPENSES
CITY OF CARMEL
FIRE DEPARTMENT
DATE: May 3, 2013
TO: Cindy Sheeks
FROM: Matthew Hoffman, Fire Chief
Attached you will find a claim for reimbursement for Deputy Fire Marshal Keith Freer and Doug Dolen.
The Department sent both of them to a Public Education Conference in Denver CO. Their flight was due to
come back on Thursday, April 18`', however to due to a severe winter storm,their return flight was
cancelled and they did not arrive back in Indianapolis until Friday, April 19`h. Please reimburse their
expenses.
If you have any questions, please feel free to contact rne.
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIAN?=
EMPLOYEE NAME:7�ov, \a DEPARTURE DATE: TIME: AM
DEPARTMENT. sz- So- RETURN DATE: TIME: ` AM / M
REASON FOR TRAVEL:�v`� �o , �v�` 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
4/15/13 $0.00
4/16/13 $10.701 $26.83 $37.53
4/17/13 $16.12 $16.12
4/18/13 $6.82 $14.56 $21.38
4/19/13 $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 $0.00 $0.00 $10.70 $22.94 $41.39 $0.00 $0.00 $0.00 e
DIRECTOR'S STATEMENT: I h e at II nse -conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
MAY X 6 2013
City of Carmel Form#ER06 Revision Date 5/2/2013 Page 1
Snyder, Denise W
From: Debbie Tunstill [Debbie.Tunstill @thetravelagentinc.com]
Sent: Tuesday, January 29, 2013 4:01 PM
To: Snyder, Denise W
Subject: Confirmed Flight for Douglas Dolen
SALES PERSON:A09DT ITINERARY/INVOICE NO. ITIN DATE:JAN 29 2013
ACCOUNT CPD X4QPME PAGE:01
FOR:
DOLEN/DOUGLAS LEE
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
-----------------------------------------------------------------------
15 APR 13 -MONDAY MILES- 977 ELAPSED TIME-2:39
AIR LV INDIANAPOLIS 341P FRONTIER AIR FLT:619 COACH CLASS CONFIRMED
AR DENVER 420P NONSTOP FOOD TO PURCHASE
AIRLINE CONFIRMATION:F9-AZWIQH
18 APR 13-THURSDAY MILES- 977 ELAPSED TIME-2:22
AIR LV DENVER 354P UNITED FLT:3544 UNITED ECON CONFIRMED
AR INDIANAPOLIS 816P NONSTOP
RESERVED SEATS 11D
AIRLINE CONFIRMATION:UA-IT62SS
TICKET IS NONREFUNDABLE. TO RECEIVE AIRLINE CREDIT-FLIGHTS
MUST BE CANCELLED PRIOR TO DEPARTURE. CHANGE FEES WILL APPLY
UNITED CONF IT62SS
FRONTIER CONF AZWIQH
"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/
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 WWW.TZELL411.COM
THANK YOU. DEBBIE TUNSTILL 317 805 5762
------------------------------------------------------------------------
AIR TRANSPORTATION 188.84 TAX 35.96 TTL 224.80
PROCESSING FEE 35.00
SUB TOTAL 259.80
CREDIT CARD PAYMENT 259.80-
TOTAL AMOUNT 0.00
BAGGAGE ALLOWANCE
ADT
F9INDDEN OPC
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Fire& Life Safety Educators Conference of the Rockies
Register Now!
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I
April 16-18, 2013
Estes Park, Colorado
I _
NAME ,��� �01e /' TITLE ��/GVIC�S
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ORGANIZATION
ADDRESS 2 Q 01C— -<22I)64
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CITY �'fjjCr�E(�� STATE �� ZIP
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PHONE �'/7—�"� Z FAX
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EMAIL a � �' Cz— ,-/!l
^/ Registration Fee (if postmarked, emailed or faxed by 3/30/13): $250.00
r Registration Fee (if postmarked, emailed or faxed after 3/30/13): $275.00
(— Check here if this is the third registration from an organization -your registration fee is $100
On Site Registration Fee: $300.00
Daily Registration Fee: $125.00
I I
Tuesday, April 16 Wednesday, April 17 �`/Thursday, April 18
Total Amount Due ''e_ PO Number v
2�
I
Please make checks payable to: Fire & Life Safety Educators of Colorado
Mail your registration form(one per attendee)and check or PO to: Einar Jensen
FLSE Conference
9195 E. Mineral Avenue
I Centennial, CO 80112
You also may fax your PO and registration form to 720-989-2073.
I
Contact Rocky Mountain Park Inn for lodging (mention your participation in the conference): $79 / Night
Reservations: 800-803-7837 — www.rockymountainparkinn.com
For Transportation to Estes Park from Denver International Airport:
Estes Park Shuttle —970-586-5151 or www.estesparkshuttle.com Discount Code:FIRE 1
I
The registration fee covers the conference and all related classes, breakfasts on Wednesday and Thursday (April
17 and 18), lunches on Tuesday,Wednesday and Thursday(April 16-18), and your"buy-in"to Casino Night on
Tuesday night. Each dinner, although some options may be pre-arranged,will be on your own.
* Each attendee must submit his or her own registration form; please mail them together for the"Buy 2 Get 1
for$100"option. If an agency does pay for two registrations, the third may be given to a different agency or
entity from the same community, coalition or county.
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Fire& Life Safety Educators Conference of the Rockies
On behalf of the Fire & Life Safety Educators of Colorado, I invite you to attend our 20th Annual
professional development conference April 16-18, 2013. We are returning to Estes Park, Colora-
do, the beautiful and welcoming gateway to Rocky Mountain National Park. This conference is
the premier professional development conference for fire and life safety professionals in the
Rocky Mountain Region and it is among the top conferences of its kind in the nation. Our speak-
ers,who hail from across North America, will bring us innovative programs, information on new
technologies, techniques for reaching our target audiences better and ideas for developing suc-
cessful programs in spite of shrinking budgets. The networking opportunities alone make this
conference worthwhile.
Speaking of shrinking budgets, the registration fee for this 3-day conference is only $250. All of
us are challenged with doing more with fewer resources even though fires and injuries don't
take a vacation during economic downturns. Keeping our registration fee to this minimum level
is our attempt to help you afford this valuable training. Additionally, an agency that pays for
two registrations gets a third for only $100. We also will be able to offer scholarships for registra-
tions thanks to the generous support of our sponsors, some of whom are listed on the cover.
Our Conference Team — Patrick Love, Scott Pringle, Micki Trost,Jane Zook, Scott Pribble, Brian
Nichols,Janet Werst, Sabrina Iacovetta, Sherrie Leeka and Deanna Harrington — has been.work-
ing hard to produce what promises to be an enjoyable, educational and amazing conference. I
thank them for their exceptional efforts.
We hope you'll join us in Estes Park.
Einar Jensen, Conference Chairperson
Who should attend ? Why should you attend ?
Fire & Life Safety Professionals
Firefighters and Fire Officers Innovative Programs
EMTs and Paramedics Technology Tips
Community Police Officers Teaching Techniques
Child Car Seat Technicians Best Practices
Hospital Injury Prevention & Resources
Community Outreach Staff Networking
Emergency Managers New Ideas for Existing Problems
Private Sector Risk Managers Continuing Education Units
Teachers
oto-
Fire&Life Safety Educators Conference of the Rockies
Date [Jan 29, 2013
Carmel Fire Department Invoice
Bill To: 2 Civic Square
Carmel, IN 46032 Invoice# A13-003
PO Number 124427 Due Date April 15, 2013
Quantity Description Rate Total
2 Registration Fee for FLSE Conference �- $250 $500
Grand Total $500
Make checks payable to: Fire & Life Safety Educators of Colorado
c/o Einar Jensen
9995 E. Mineral Avenue
Centennial, CO 80112
QUESTIONS: call Einar Jensen 720-989-2273
For special lodging rates, contact Rocky Mountain Park Inn at 800-803-7837 (mention this conference).
For transportation to Estes Park from Denver Intl Airport, contact Estes Park Shuttle at 970-586-5151.
Discount Code: FIRE 1
04-19-13
keith Freer Folio No. Room No. 231
1413 N Fairview Ave A/R Number Arrival 04-18-13
Alexandria IN 46001 Group Code Departure 04-19-13
us Company : Conf. No. 66606928
Membership No. Rate Code IGM01
Invoice No. : Page No. 1 of 1
Date I Description I Charges I Credits
04-18-13 'Room Charge 123.12
04-18-13 State Tax-2.9% 3.57
04-18-13 City Tax- 10.75% 13.24
04-18-13 RTD Tax- 1.1% 1.35
04-19-13 141.28
Total 141.28 141.28
Balance 0.00
Guest Signature:
I have received the goods and/or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person,company,or associate fails to pay for any part or the full amount of these charges. If
a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
Owned and Operated by DIA HIX, LLC
Holiday Inn Express&Suites-Denver Intl Airport
6910 Tower Road
Denver, CO 80249
Telephone: (303)373-4100 Fax: (303)373-4750
Rocky
MOUNLUN
PAnk INN
C; e
Keith Freer Room Number: 226
carmel fire dep 2 civic square Arrival Date: 04-15-13
Carmel,IN 46032 Departure Date: 04-18-13
United States Conf. Number: 21221042
Guest Name: Page No: I of I
INFORMATION INVOICE
A/R No:
Folio No:
04-18-13
Date Description Reference Charges Credits
04-15-13 Room 79.00
04-15-13 State Sales Tax 7.5% 5.93
04-15-13 Local Marketing Tax 2% 1.58
04-16-13 Room 79.00
04-16-13 State Sales Tax 7.5% 5.93
04-16-13 Local Marketing Tax 2% 1.58
04-17-13 Room 79.00
04-17-13 State Sales Tax 7.5% 5.93
04-17-13 Local Marketing Tax 2% 1.58
04-18-13 259.53
Total 259.53 259.53
Balance 0.00
SIGNATURE:
Rocky Mountain Park Inn. 101 South Saint Wain Avenue Estes Park Colorado 80517
Tel.(970) 586-2332.Fax(970)586-2038. RockyMountainPark[nn.coin
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))
Denver CO $75.03
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Doug Dolen
IN SUM OF $
$75.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1 120-851.00 I $75.03 1 hereby certify that the attached invoice(s), or
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
MAY 6 2B 13
w �,
�r ,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund