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Home My WebLink About224870 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 359334 Page 1 of 1 ONE CIVIC SQUARE C BENJAMIN FISHER CHECK AMOUNT: $692.40 CARMEL, INDIANA 46032 C/O CPD CHECK NUMBER: 224870 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 692 .40 TRAINING SEMINARS CITY OF CARMEL Expense Report (required for all travel expenses) '' /HOIANP- EMPLOYEE NAME: C. Ben Fisher DEPARTURE DATE: 9/15/2013 TIME: 1800 AM / PM DEPARTMENT: Carmel Police RETURN DATE: 9/20/2013 TIME: 1230 AM/ PM REASON FOR TRAVEL: K-9 recertification DESTINATION CITY: Valparaiso, Indiana EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Date Transportation Gas/Tolls/ Lodging Meals Misc. Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 9/15/13 $88.48 $25.00 $113.48 9/16/13 $88.48 $50.00 $138.48 9/17/13 $88.481 $50.00 $138.48 9/18/13 $88.48 $50.00 $138.48 9/19/13 $88.48 $50.00 $138.48 9/20/13 $25.00 $25.00 $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 $0.001 $0.00 $0.00 $0.00 $442.40 $0.001 $0.00 $0.00 $0.001 $250.00 $0.00 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 9/21/2013 Page 1 gg« s e•:pt'Tw"�-Kip:' O t` p 2 09-20-13 Q� Ic�her Folio No. Room No. 206 3 Civic Sq. A/R Number Arrival 09-15-13 Carmel IN 46032 Group Code NAP Departure 09-20-13 us Company NAPWDA Conf. No. 66365418 Membership No. Rate Code Invoice No. Page No. 1 of 1 Date Description I Charges I Credits 09-15-13 `Accommodation 79.00 09-15-13 Sales Tax-Room 5.53 09-15-13 Occupancy Tax- Room 3.95 09-16-13 "Accommodation 79.00 09-16-13 Sales Tax-Room 5.53 09-16-13 Occupancy Tax- Room 3.95 09-17-13 'Accommodation 79.00 09-17-13 Sales Tax-Room 5.53 09.17-13 Occupancy Tax- Room 3.95 09-•18-13 *Accommodation 79.00 09-18-13 Sales Tax-Room 5.53 09-18-13 Occupancy Tax- Room 3.95 09-19-13 'Accommodation 79.00 09--19-13 Sales Tax-Room 5.53 09-19-13 Occupancy Tax- Room 3.95 09-20-13 Visa 442.40 Total 442.40 442.40 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. r Holiday Inn Express Hotel&Suites 1251 Silhavy Road Valparaiso, IN 46385 Telephone: (219)464-9395 Fax: (219)464-9365 i Citi® Credit Cards - Account Activity Page 1 of 3 OPEN AN ACCOUNT CARD MEMBER AGREEMENT RATES I LOCATIONS CONTACT US HELP Search... I GO SECURITY iti Payments Benefits 8 e s Go to Citi.com Sign Off elcome CHARLES B FISHER Login:September 30, 0 54 My Profile I Secure Messages AtYI @fk8n�1@8� Account Activity Citis Platinum Select®/AAdvantage&Visa Signature®-6855 Use the menus below your card summary to sort your account activity or to search for a specific purchase or credit. If your account is eligible for an Annual Account Summary,please scroll to the bottom of this page to Request or View it. CIO&Platinum Select°/AAdvantage®Visa Signatures Download Your Statement Current Balance G Minimum Payment Due Payment Due Oct.1,2013 namirmummom $0.00 Late Payment Warning i AmedcanAMlneY Statement Balance-09105/13 — Available Revolving Credit Ate. Line G Next Statement Closing Date: Oct.4_2013 AAdvantage®miles Total Revolving Credit Line CIIIINKIIEP earned on last Activity Since Last Statement statement Payments/Adjustments/CrediliMOMM Last Payment Date Sep.23,2013 Purchases Last Payment Amount MOM Cash Advances Past Due Amount View Special Total Payments in Progress Offers as of View/Edit Scheduled Payments View your Paperless Letters online in the Document Center View All Account Activity Create a Report Download Your Statement Temporary Authorizations T View Al Temporary Authorizations 1 1 Your Temporary Authorizations are temporary and subject to change.Only Posted Transactions can be disputed. Transaction Date Description Amount 09/30/2013 I 09/29/2013 09/26/2013 09/27/2013 09/28/2013 Select Time Period. Transaction Type Since Last Statement . All Transactions Transaction Details as of 09/30/2013 Sale Date Description Amount 09/26/2013 IMIJ all a, 1111M too 09/26/2013 09/25/2013 09/25/2013 EL fob i Citi® Credit Cards - Account Activity Page 2 of 3 09/25/2013 aw 09/23/2013 �� 09/22/2013 09/22/2013 09/21/2013 HOLIDAY INNVALPARAISOVALPARAISOIN $442.40 Transaction Type: 2 Post Date: 09/21/2013 Reference Number: RT11BPS5 Person: CHARLES B FISHER nt Category: HO Inquire About Or Dispute This Charge 09/20/2013 S Get the lower price,even after your purchase.See More. 09/19/2013 09/19/2013 09/19/2013 09/18/2013 09/18/2013 { 09/18/2013 Goo 09/18/2013 09/17/2013 09/17/2013 DIN 09/17/2013 09/17/2013 09/17/2013 09/16/2013 09/16/2013 09/16/2013 09/16/2013 IN 09/16/2013 09/16120131, I � 09/15/2013 09/1412013 � r 09/14/2013 09/12/2013 09/12/2013 ja �� Gap 09/10/2013 c' 09/10/2013 1 gala 09/09/2013 09/08/2013 09/07/2013 09/06/2013 09/05/2013 09/05/2013 R do APflnt This Page Request an Annual Account Summary To help with your personal financial planning and record keeping,request an Annual Account Summary-it recaps your Citi card spending by month and category.Spreadsheet and delimited formats are available from February 1-December 31.PDF formats are available February 1-October 31. Available Summary,2012 2013 NAPWDA Indiana Fall State Workshop September 16th- 20"'5 2013 REGISTRATION FORM (PLEASE PRINT LEGIBLE) Name: C kAA2(—t`J Home Address: City: {- State: Zip Code: Home Phone: E Mail: cc '�he r-P rnr��i Agency: C�R.u,r-.. Po r.r-C Agency Address: S `j Q.w'arz E City: C as lkAr-- State:T Q Zip Code: L(6 a3 z- Work Phone: NAPWDA Workshop Waiver: The undersigned participant recognizes the possibility of injury occurring as a result of his/her participation in the K9 Workshop. I furthermore state that my canine and I are in a physical condition necessary to be able to participate in the events, as needed for training and certification purposes. I hereby waive and relinquish the North American Police Work Dog Association, further referred to as NAPWDA, the Valparaiso Police Department and the County of Porter, City of Valparaiso, their employee's, affiliates, sponsors, organizers, and or all participants, for any injury, mental or physical, to myself or my canine. I also agree to abide by all rules and regulations as set forth by NAPWDA and the event organizers. I furthermore will accept responsibility for any damage caused bypy canine or myself to any and all property, persons and to include the hotel ac com o training_yenue. Date: �' / t I_Zat 3 Sign Name: Print Name: ,4A9LE; Current NAPWDA Member? Yes No K9 Breed: S to f-Pj-r O K9 Name: bJ K9 Age: Type K9 (check all appropriate descriptions) Patrol _2�-,Nareotic n. Explosive` Cadaver SAR _ K9'S Working Ability: Beginner_ Intermediate x Advanced_ Handler's Ability: Beginner *,<- Intermediate_Advanced _ Purpose of Attending Workshop (check at least one): Training Certification (New) Certification (Renewal) X If certifying, LIST ALL areas of certification you will be attempting: 4("AQ Workshop Fee: The cost of the workshop is $125.00 per K9 team. A K9 team is 1 handler with I dog. There is air additional workshop fee of$75.00 per additional dog for any K9 Handler wishing to train or test with an additional dog. Make workshop fee checks payable to Valparaiso Fraternal Order of Police Lodge #76. Mail checks and completed Registration Form in before September 1, 2013. Alo refunds at all after September 1, 2013. Mail Registration to: Valparaiso Police Department 355 Washington St Valparaiso, IN., 46383 Attention: Todd Kobitz Mail checks and completed Registration Form in before September 1, 2013.1Vo refunds at nll nf%nv r M ? 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)) 10/03/13 K9 recertification $692.40 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 VOUCHER NO. WARRANT NO. C. Benjamin Fisher ALLOWED 20 IN SUM OF $ $692.40 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 210 -570.00 $692.40 1 hereby certify that the attached invoice(s), or I I I bill are n correct(s) is (are) true and co ect and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, October 03, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund