225813 11/05/2013 \1
CITY OF CARMEL, INDIANA VENDOR: 00351022 Page 1 of 1
f ONE CIVIC SQUARE JEFFERY FUCHS CHECK AMOUNT: $175.00
CARMEL, INDIANA 46032 4285 N 400 E
GREENFIELD IN 46140 CHECK NUMBER: 225813
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 175 . 00 EXTERNAL TRAINING TRA
of A
\ CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: DEPARTURE DATE: TIME: AM /
DEPARTMENT: ���-- RETURN DATE: TIME: 3 AM f
REASON FOR TRAVEL: DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE y TRAVEL REIMBURSEMENT TRAVEL PER DIEM ✓
Transportation Gas/Tolls/ Meals
Date Lodging Misc. Total
Parkin
Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
10/20/13 $25.00 $25.00
10/21/13 1 1 $50.00 $50.00
10/22/13 $50.00 $50.00
10/23/13 $50.00 $50.00
$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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $175.00 $0.00
DIRECTOR'S STATEMENT• I hereb ffir that-all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
NOV 42013
City of Carmel Form#ER06 Revision Date 11/1/2013 Page 1
Red Roof Inn Mishawaka -Notre Dame
1325 East University Drive Court
Granger, IN 46530 US
Phone: 574-271-4800
® Fax: 571-271-0956
Email: i0629 @redroof.com
Printed: 10/23/2013 6:38:04 AM
Folio (Detailed)
Name: FUCHS, JEFF Confirmation Number: 629-311444
Room: 120 Room Type: NS2Q, NON-SMOKING STANDARD 2 QUEEN BEDS
Nights: 3 Guests: 1/0
Rate Plan: BAR Daily Rate: $59.99 + $0.00 Tax GTD: 900 - CASH
Arrival: 10/20/2013 (Sun) Departure: 10/23/2013 (Wed) X000( )000( )000(
Room Rate:
10/20/2013 (Sun) - 10/22/2013 (Tue) $59.99 + $0.00 Tax per night.
Date Code Description Amount Balance
9/9/2013 901 CHECK # 223624 ($179.97) ($179.97)
10/20/2013 100 ROOM CHARGES $59.99 ($119.98)
10/21/2013 100 ROOM CHARGES $59.99 ($59.99)
10/22/2013 100 ROOM CHARGES $59.99 $0.00
Summary.
Room Tax F&B Other CC Cash DB
$179.97 $0.00 $0.00 $0.00 $0.00 ($179.97) $0.00
B Shifter- Schedules & Sign Ups Page 2 of 3
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I y Schedules & Sign Ups �; , . ; • :;
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M. Im
41h Annctat Brunacini MMIAM 0 RM
Raza:rd Zone
Management
Conference Event 2013 Brunacini Hazard Zone Management and Leader
October 21.2 , 2013 Dates: Start: 10/21/2013 End: 10/23/2013
Location University of Notre Dame
-University of Notre Dame DeBartolo Hall
Notre Dame, IN 46556
Description
4TH ANNUAL BRUNACINI HAZARD ZONE MANAGEME
AT THE UNIVERSITY OF NOTRE DAME, IN
The Brunacini's have collaborated again with the leading
Annual Hazard Zone Management and Leadership Confe
2013 at the beautiful University of Notre Dame campus in
The conference as always will feature a Hazard Zone Ma
latest in hazard zone management, decision making, leac
tactics, strategy, incident command, and fire fighter safety
feature:
Fire Chief Alan Brunacini— No Brainer Management
Gordon Graham— Risk Management
Chief John Norman FDNY—Midrise building fire tactics
Chief Vincent Dunn FDNY—Tactics for the two most coi
Dan Madrzykowski NIST— NIST Ventilation studies
Lt. John P. Ceriello and BC George Healy FDNY-Imple
dept
Nick Brunacini— Managing Effective Mayday Operation:
John Brunacini—Managing Effective Fireground Commi
This year's conference will also host a Health and Safety
Greg Collier- National Fallen Firefighters and the 16 He
Tim Dietz—Public Safety Psychologist on mental wellne
Gordon Graham—Occupational Safety
Peter Van Dorpe/James Dalton— UL research -What'E
Chris Martin —Clay Fire— New NFPA PPE standards ar
Also speaking at conference is: Fire Chief Terry Garrison
Listowel FD, Ontario Canada, with more speakers to be a
today!
$400.00 standard registration fee
$250.00 Blue Card Instructor registration fee(please call
https://www.bshifter.com/SelectRlueC:arciC onini,ind.aspx?view=ViewDetail&eventguid=la... 6/4/2013
B Shifter- Schedules& Sign Ups Page 3 of 3
Blue Card Office 855-872-5822 (US Toll Free)or 574-27;
Instructor Rates.
Ask us about our 1/2 price offer on the Blue Card 50 Hour
Notre Dame Hazard Zone Management Conference Regi
Hotel Infonnaliun:
When booking your hotel room, please state that reserval
Management Conference.
Fairfield Inn & Suites at Notre Dame
1220 East Angela Boulevard
South Bend. IN 46617
Phone: 574-234-5510
htti)://cwp.marriott.com/sbnnd/brunacinihazardzone
Inn at St. Mary's
53993 Indiana SR 933
South Bend, IN 46637
Phone: 800-947-8627
www.innatsaintmarys.com
Hilton Garden Inn
53995 SR 933
South Bend, IN 46637
Phone: 574-232-7700
www.hiltongardeninn3.hilton.com
Total 281
Seats:
Seat Cost: $400.00
Copyright B Shdter LLC.2011 All Rights Reserved
http-,://www.h-,hifter.com/SelectRlueCardCommand.aspx?view=ViewDetai I&eventguid=l a... 6/4/2013
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))
$175.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jeff Fuchs
IN SUM OF $
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I I 43-430.02 I $175.00 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
NOV 42013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund