No preview available
HomeMy WebLinkAbout231278 04/08/14 CITY OF CARMEL, INDIANA VENDOR: 354777 ® ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $....***350.00* CARMEL, INDIANA 46032 ATTN:TOM KUHLENSCHMIDT-ISOA TREASU CHECK NUMBER: 231 278 PO Box 1016 CHECK DATE: 04/08/14 CROWN POINT IN 46308 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 350.00 TRAINING SEMINARS INVOICE P.O. Box 1016 Crown Point, IN 46308 Kuhlaid50@yahoo.com DATE: MARCH 31, 2014 To: Carmel PD FOR: Attn: Pat Young 2014 ISOA Conference Registration PO 31936 DESCRIPTION Amount Price Subtotal Conference Registration 2 175 $350.00 Brady Myers Shane Collins TOTAL $350.00 Make all checks payable to ISOA If paying by credit card, please contact Nick Kokot@219-397-9500 to arrange payment Payment is due within 30 days. If you have any questions concerning this invoice, contact Tom Kuhlenschmidt at (219) 488-4421 Thank you for your support! FOR OFFICIAL USE ONLY PITT wu REGISMATION h t 11th Annual Conference May 4th-6th f i 175 Conference Fee ❑$20"Junkyard Shootout"Match , I ❑$25 Late Fee(After April 18,2014) Total:$ :00:_:: ❑Additional Banquet Tickets @$50 each An application form must be submitted for each and every attendee FIRST NAME . LAST NAME r AGENCY ASSIGNMENT/RANK/TITLE CC.r'AeI kr"_9 L%12 t AGENCYADDRESS CITY STATE ZIP CODE 3 Ct-VIS s ��� ��, r T/r yl�o3a MAILING ADDRESS(OTHER THAN AGE CY CITY STATE ZIP CODE f.Lnwooc� lane C4rr�e l I'� ��0�3 E-MAIL ADDRESS PHONE SCo11�nSeCa�j-mej. gin . 9p� 317 571- aSs 7 I affirm that the above information is true and accurate. Further, I authorize the Indiana SWAT Officers Association to contact my employer and verify my employment and assignment, if necessary. SIGNATURE DATE IMPORTANT. Will you be attending the banquet? 6ES LINO Number of additional tickets requested:_ Federal Tax ID Number. 57-1177923 You are considered pre-registered if your registration form* and payment (agency purchase order, check, credit card*, DOJ voucher, or money order) are received prior to April 18, 2014. Any registration form received after April 18, 2014, will result in a $25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be purchased for$50.00 per ticket(limited quantity available). *Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and banquet dinner on Monday, May 5th, and lunch on Tuesday, May 6th *There will be a$3.00 additional processing fee for credit card payments If you are pre-registered and cancel prior to April 18, 2014, your registration fee will be refunded less a $50.00 administrative charge. No refunds will be issued after April 18, 2014. However, suitable substitutions will be allowed. If paying by credit card, please complete the following: ❑ VISA ❑ ❑ mxl CREDIT CARD NUMBER EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE NAME ON CREDIT CARD AUTHORIZATION SIGNATURE ADDRESS CITY STATE ZIP CODE IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA. /Please include the billing address where the monthly statement is sent. PLEASE CHECK.' Jr FULL-TIME ❑ PART-TIME ❑ RETIRED ❑AUXILIARY/RESERVE ❑ACTIVE MILITARY ❑RESERVE MILITARY OORo a 0 D ®A ® m © 0 O W, W P®1 NiTj 1 ND ' . 0 i FOR OFFICIAL USE ONLY ATTENDEE Jt�, 9 � •�� Rj- 1 '� 'L (,IJ TRIA i7710Nj S r. 11 th Annual Conference May Y 4th-6th k' `1 B-6175 Conference Fee ❑$20"Junkyard Shootout"Match LJ$25 Late Fee(After April 18,2014) Total:$ l 00 ❑Additional Banquet Tickets @$50 each An application form must be submitted for each and every attendee FIRST NAME .- t M.I.._ - _ T LAST NAME -___-_ - _- -___..-._ ____ __--- __-____ AGENCY 1 ASSIGNMENT/RANK/TITLE I L AGENCY ADDRESS CITY J� STATE ZIP CODE MAILING ADDRESS(OTHER THAN AGENCY) CITY' STATE ZIP CODE (J- - -- --- t.J�s �l Z�j E-MAIL ADDRESS i PHONE _ cil I t �_�_0 5 `� �o _ C-o���� . r n. �� i I affirm that the above information is true and accurate. Further, I authorize the Indiana SWAT Officers Association to contact my employer and verify my employment and assignment, if necessary. SIGNATURE � I DATE ,._, IMPORTANT: Willng y be atten ithe banquet? UlfiS ❑NO Number of additional tickets requested: Federal Tax ID Number: 57-1177923 You are considered pre-registered if your registration form' and payment (agency purchase order, check, credit card*, DOJ voucher,or money order) are received prior to April 18, 2014. Any registration form received after April 18, 2014,will result in a $25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be purchased for$50.00 per ticket(limited quantity available). *Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and banquet dinner on Monday, May 5th, and lunch on Tuesday, May 6th *There will be a$3.00 additional processing fee for credit card payments If you are pre-registered and cancel prior to April 18, 2014, your registration fee will be refunded less a $50.00 administrative charge. No refunds will be issued after April 18, 2014. However, suitable substitutions will be allowed. If paying by credit card, please complete the following: ❑ VISA ❑ ❑ I MS,�7 ---------- ------- ------------ CREDIT CARD NUMBER I EXPIRATION DATE i 3 DIGIT AUTHORIZATION CODE NAME ON CREDIT CARD -- I AUTHORIZATION SIGNATURE � - ADDRESS CITY STATE Z PI C - ODE 1 I IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA. Please include the billing address where the monthly statement is sent. PLEASE CHECK. FULL-TIME ❑ PART-TIME ❑ RETIRED ❑AUXILIARY/RESERVE ❑ACTIVE MILITARY ❑RESERVE MILITARY 0 0' 0 0 Tf 0pISURE 0 B�OXX 101 GROWN ' oNPW�, WWWRIA,446304! 1,111,F111111, NAME: S/(rh,L �o I�i hS AGENCY: 1000 to 1500 ISOA Junkyard Shootout YES-I will be participating �NO-I will not be participating PRIORITIZE YOUR SELECTIONS 1 THROUGH 5 '0800 to.4200. ,-'l 1 0800.to 1700. ,�, ...... Below 100-For Patrol/Tactical Operations Valone ...... Covert Lock Defeating Darrow Counter-Terrorism&Emerging Threats Spicer GE Dynamic Pistol Techniques Milionis/Krupa ...... High Risk Handgun Disarms Blankchtein ...... EP-Walking Formations&Attacks Hollis/Emery Leading Specialized Units Lomax High Risk Warrant Execution Planning Wall/Fourkiller ...... M4/AR15 Operations/Mechanical Instruction Watts Hostage Rescue Room-Clearing Techniques Odle Selection,Training&Deployment Hadley/Stradling Introduction to Precision Entry Ayala ...... Weapon Manipulation&Malfunctions Pannone ® ...... Leadership,Planning&Decision-Making DiTomasso Patrol Response to Active Shooter Killer Periatt ...... Performance Gunfighting Reston Plainclothes/UC Vehicle Containment Gizzi7Friedrich 1300 to 1700 ;' Police Sniper Operations Bartlett ...... Armored Vehicle Live-Fire Mescenf odd Practical Pistol Applications Vogel Ballistic Shield Range Dynamics Segreti ..... Principles of CO Engagements Selden ..... Intro to Combative Carbine with SACP DurazoRural Area Small Unit Tactics Trivino Policy&Legal Issues Ramirez ..... Sniper Basics Gilliland ..... Tac-Med Raisbeck Training Management&Risk Mitigation Watt Wound Ballistics Boone ..... Two Man Team Tactics Joseph ...... Wound Ballistics Workshop Snyder NOTE.• Please make sure to choose five (5) courses, with the number one (1) being your top choice. We need the other four (4) choices in case your first, second, third, or fourth selection is already filled. This form must be submitted with your Conference Registration Sheet Please Note: All courses will be limited to two (2) attendees per agency. If there are additional openings after April 18th, we will do our best to accommodate your course preferences based on the order in which applications have been received. .z NAME: S � �,'/?S AGENCY: CYt• .. PRIORITIZE YOUR SELECTIONS 1 THROUGH 5 osoo.to�faoo .,-": asot%ta 100 .:,•: ...... Armored Vehicle Live-Fire Mescan/Todd •••••• Covert Lock Defeating Darrow Ballistic Shield Range Dynamics Segreti a) Hostage/Barricade&High Risk Warrants Zell o ...... Covert Carry Concepts Trivino •••••• Hostage Rescue Room-Clearing Techniques Odle Intro to Combative Carbine with SACP Durazo 0 Introduction to Precision Entry Ayala ® ...... Policy&Legal Issues Ramirez •••••• Leadership,Planning&Decision-Making DiTornasso Reality of Police Combat&How to Train Watt 0 Patrol Response to Active Shooter Killer Periatt ...... Self-Aid/Buddy-Aid Soltys ...... Performance Gunfighting Reston Wound Ballistics Boone 0 Plainclothes/UC Vehicle Containment Gizzi/Friedrich ..... Practical Pistol Applications Vogel Principles of CQ Engagements Selden ..... Sniper Basics Gilliland Tac-Med Live-Fire Raisbeck/Pannone Tactical Team Leader Development Wall/Fourkiller o ...... Below 100-For Patrol/Tactical Operations Valone Tactical Vision Bartletl Counter-Terrorism&Emerging Threats Spicer ..... Two Man Team Tactics Joseph ...... Fundamental Carbine Trivino Vehicle Ambush/Vehicle Engagement Sheridan ' ' Leading Specialized Units Lomax © Winning Mindset&Survival Tactics Hollis/Emery ...... M41AR15 Operations/Mechanical Instruction Watts rr Selection,Training&Deployment Hadley/Stradling ...... Self-Aid/Buddy-Aid Soltys SWAT Ground Tactics Blankchtein NOTE: Please make sure to choose five (5) courses, with the number one (1) being your top choice. We need the other four (4) choices in case your first, second, third, or fourth selection is already filled. This form must be submitted with your Conference Registration Sheet Please Note: All courses will be limited to two (2) attendees per agency. If there are additional openings after April 18th, we will do our best to accommodate your course preferences based on the order in which applications have been received. Sunday, i ATTENDEE CONFERENCE1 I . ,May 5th NAME: (1���Q S AGENCY: 'Sunday, May'4th 1000 to 1500 ISOA Junkyard Shootout YES-I will be participating NO-I will not be participating Monday, May 5th - Eight (8) Hour Blocks PRIORITIZE YOUR SELECTIONS t THROUGH 5 0800 to 1200 0800 to 1700 ...... Below 100-For Patrol/Tactical Operations Valone ...... Covert Lock Defeating Darrow Counter-Terrorism&Emerging Threats Spicer Dynamic Pistol Techniques Milionis/Krupa ...... High Risk Handgun Disarms Blankchtein ...... EP-Walking Formations&Attacks Hollis/Emery Leading Specialized Units Lomax High Risk Warrant Execution Planning Wail/Fourkiller ...... M4/AR15 Operations/Mechanical Instruction Watts ...... Hostage Rescue Room-Clearing Techniques Odle Selection,Training&Deployment Hadley/Stradling Introduction to Precision Entry Ayala ...... Weapon Manipulation&Malfunctions Pannone •.•••• Leadership,Planning&Decision-Making DiTomasso Performance Gunfighting Reston ...... Plainclothes/UC Vehicle Containment Gizzi/Friedrich Police Sniper Operations Bartlett 1300 to 1700 Practical Pistol Applications Vogel ...... Armored Vehicle Live-Fire Mescan/Todd Principles of CQ Engagements Selden Ballistic Shield Range Dynamics Segreti .•.•. Rural Area Small Unit Tactics Trivino ..... Intro to Combative Carbine with SACP Durazo Sniper Basics Gilliland Life-saving LE Medical Tactics Raisbeck .•... Training Management&Risk Mitigation Watt ..... Policy&Legal Issues Ramirez Two Man Team Tactics Joseph Wound Ballistics Boone ...... Wound Ballistics Workshop Snyder NOTE.• Please make sure to choose five (5) courses, with the number one (1) being your top choice. We need the other four (4) choices in case your first, second, third, or fourth selection is already filled. This form must be submitted with your Conference Registration Sheet Please Note: All courses will be limited to two (2) attendees per agency. If there are additional openings after April 18th, we will do our best to accommodate your course preferences based on the order in which applications have been received. Tuesday, IEE CONFERENCE CHOICESTuesday, NAME: �s AGENCY: Gi ��' ��c'e_ Tuesday, PRIORITIZE YOUR SELECTIONS 1 THROUGH 5 0800 to 1200 0800 to 1700 ...... Armored Vehicle Live-Fire Mescan/Todd •••••• Covert Lock Defeating Darrow 0 Ballistic Shield Range Dynamics Segreti = Hostage/Barricade&High Risk Warrants Zelt © ...... Covert Carry Concepts Trivino •••••• Hostage Rescue Room-Clearing Techniques Odle Intro to Combative Carbine with SACP Durazo 0 Introduction to Precision Entry Ayala ...... Policy&Legal Issues Ramirez •••••• Leadership,Planning&Decision-Making DiTomasso Reality of Police Combat&How to Train Watt 0 Performance Gunfighting Reston ...... Self-Aid/Buddy-Aid Soltys •••••• Plainclothes/UC Vehicle Containment Gizzi/Friedrich Wound Ballistics Boone Practical Pistol Applications Vogel ..... Principles of CO Engagements Selden Sniper Basics Gilliland Q ..... Tac-Med Live-Fire Raisbeck/Pannone Tactical Team Leader Development Wall/Fourkiller 1300 to 1700 ••... Tactical Vision Bartlett ...... Below 100-For PatrollTactical Operations Valone Two Man Team Tactics Joseph Counter-Terrorism&Emerging Threats Spicer 0 Vehicle Ambush/Vehicle Engagement Sheridan © ...... Fundamental Carbine Trivino Winning Mindset&Survival Tactics Hollis/Emery Leading Specialized Units Lomax ...... M4/AR15 Operations/Mechanical Instruction Watts Selection,Training&Deployment Hadley/Stradling ...... Self-Aid/Buddy-Aid Soltys SWAT Ground Tactics Blankchtein NOTE: Please make sure to choose five (5) courses, with the number one (1) being your top choice. We need the other four (4) choices in case your first, second, third, or fourth selection is already filled. This form must be submitted with your Conference Registration Sheet Please Note: All courses will be limited to two (2) attendees per agency. If there are additional openings after April 18th, we will do our best to accommodate your course preferences based on the order in which applications have been received. INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION M2=14 Indiana SWAT®fflcerAssocl2tion Carmel Police Department VENDORRTom Kuhlonschmidt -ISOA Troasurer SHIP 3 Citric Squam TO P.O. Bost 10% Carmol, IN am Croton Point, IN 4I (317)671 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-670.00 2 Each training $175.00 $350.00 Sub Total: $350.00 t 4r J ,' s dl p i jqy211 # " � •" N Ise �S c' for Sit. Shane Colilns S I � n I �y+ - n Fort Wayne, IN Carmel PollcG Department Attn: Pat Young 3 Civic Squ Carmol, IN 4d PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. PAYMENT MO.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS t HEREBY CERTIFY T//AT THERE IS AN UNOBLIGATED BALANCE IN • SHIP REPAID. THIS APPROPRI T-18'SUFFICIENT TO PAY F0,R THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ,,,�q •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i16'R OF P011CID AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 9 3 6 A.P,V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.___—WARRANT ND—__- ALLOWED 20___ |NTHE SUM OF$ / ONACCOUNT{}FAPPROPRIATION FOR ^ Board Members PT | hereby certify that the attached invoioo(e). or bill(s) is (ane) true and correct and that the materials o/services itemized thereon for which charge iomade were ordered and neoeivodex�e�� ' . - ' - ' . . ' Signature ' Title ' ` ' ` � Cost ummmmmn claim paid motor vehicle highway fund __ VOUCHER NO- WARRANT NO. ALLOWED 20 Indiana SWAT Officer Association Tom Kuhlenschmidt - ISOA Treasurer IN SUM OF $ P.O. Box 1016 Crown Point, IN 46308 $350.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31936 -570.00 $350.00 I hereby certify that the attached invoice(s), or A - 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 Wednesday, April 02, 2014 4Z, Chief of Police 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)) 03/31/14 ISOA conference $350.00 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