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241999 2 /10/2015 4y u,C�p�f CITY OF CARMEL, INDIANA VENDOR: 369097 ® aj• ONE CIVIC SQUARE HOTEL FORT WAYNE CHECK AMOUNT: $*******321.48* CARMEL, INDIANA 46032 305 E WASHINGTON CENTER ROAD CHECK NUMBER: 241999 FT WAYNE IN 46825 CHECK DATE: 02/10/15 t iOtl gyp• DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 321.48 TRAINING SEMINARS INVOICE Date: February 6, 2015 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Payment for lodging for Chaplain Michael Drake, Mar 8 - 10, 2015 Hotel Fort Wayne, Ft. Wayne, IN Confirmation # 38649 Room Tax Total $282.00 $39.48 $321.48 TOTAL DUE $321.48 Please make check payable to: Hotel Fort Wayne 305 East Washington Center Road Fort Wayne, IN 46825 Taught by well trained, experienced, and Please Print Clearly/Block Lettering sought after instructors, this training seminar Region 4 ICPC Member?(Yes/No):Y?S Title: n t offers several Basic,Enrichment, and an Ad- Regional Training Seminar T vanced Course. Conference Schedule Name: // *Required for Basic Credentialing Address/042✓`-(-�i� 4el D e'M-W(o Preferred Lodging: Sunday,March 10,2015 ' Hotel Fort Wayne 6:00 pm - 8:00 pm Pre-Registration CityCAM o :e I State: �1( 305 East Washington Center Road // — L'3(7) X63 & f-00 7:00 pm - 9:00 pm Hospitality Room � Zip: ll/Q�hne:o Fort Wayne, IN 46825 1-855-322-3-3224 Monday,March 9, Email:/�EAy ► 2015 `*a e1d ra.4Ce�haA,0uy�,ec.a�ac (Ir 8:00 - 8:30 Registration i�iAY'e[�� RdeC YOU WILL NEED TO MAKE YOUR OWN 8:30 - 10:00 BO1—Intro To LE Chaplaincy* Agency you serve: Gp RESERVATIONS WITH THE HOTEL EO 1--Caring for the Muslim Person Volunteer_Paid Officer Chaplain Other_ A01—ASLST—Suicide Intervention—ALL DAY 10:15 -110:45 Opening Ceremony(Marquis Room) Basic/Enrichment Member:$150.00* Mention ICPC Regional Training Seminar 11:00 -112:30 B02 Death Notification* Basic/Enrichment Non-Member:$220.00* when contacting the hotel. Room Rate E02—Suicide After-Care ;' Advance Member:$165.00* $94.00+ tax � �" Advance Non-Member:$250.00* 12:30 - 1:45 Lunch/Business Meeting Spouse/Guest Banquet:$35.00 1:45 - 3:15 B03—Stress Management* 8 Conference Feeso After 2/25/2015 Add:$25.00 E03—Understanding Autism w TOTAL ENCLOSED$ Member Non-Member 3:30 - 5:00 B04—Ceremonies and Events* c spouse/ a e jjj>7C 0, ! � Basic/Enrichment $150.00* $225.00* E04—Tactical Thinking for Chaplains w Nom e 6:00 - 7:00 Mixer in Hospitality Room X I have dietary restrictions: Advance �- $165.00* $250.00* Tuesday,March 10,2015 a+ I need mobility assistance: *Includes Monday Night Mixer and Tuesday 8:001-19:30 BOS--Confidentiality/Legal Liability* *Includes Monday Night Mixer and Tuesday Evening Banquet Evening Banquet E05—Domestic Violence A01—Continues—Until 3:45 P.M. To make payment with Visa/MasterCard fax Spouse Activities Available 9:45 -111:15 B06—Ethics* registration form,contact name and phone number to: E06--CIT for Youth 850-654-9742 11:15 - 12:30Lunch Please indicate your class selection: Spouse/Guest Banquet: $35.00 da Tuesday: 12:30 -12:00 B07—Responding to Crisis Situation* � Advanced—All y, E07—Excited Delirium onday and Tuesday.Other _B05 or_E05 After February 25,2015 Add$25.00 2:15 -13:45 B08—Law Enforcement Family* classes may be selected Tues- _B06 or_E06 day at 4:00 and all day _B07 or_E07 E08—Fatal Crash Investigation ; Wednesday. _BOB or_E08 EARLY REGISTRATION 4:00 -15:30 1309—Substance Abuse* _B09 or_E09(4:00) E09—Understanding Self-Mutilation Basic/Enrichment: Lunch provided by Monday: Wednesday: Brotherhood Mutual Insurance 7:00 -19:00 Banquet and Awards Ceremony —B01 or_E01 _B10 or_E10 and Thrivent Financial Wednesday,March 11 2015 _B02 or_E02 _Bll or—Ell for the first 150 registrants. 8:00 - 9:30 B10—suicide* _B03 or E03 _B12 or_E12 B04 or_E04 E10—Disguised Dangers 9:45 - 11:15 B 11—Officer Death or Injury* Make Checks Payable To: RTS Contact' El I—Child Abuse Case Study ICPC-Region 4-2015 RTS Chaplain Richard L. Hartman 11:15 - 12:30 Lunch 12:30 - 2:00 B 1Mail Retistration and Fee To: 260-615-0192 2—Sensitivity and Diversity* � Chaplain Michael Henricks pastor@epiphanyfw.com E12—Active Shooter Plan 9656 West State Road 48 2:00 - 2:15 Closing Ceremony Bloomington,IN 47404 2:15 Go Home and SERVE VOUCHER NO. WARRANT NO. 'ALLOWED 20 Hotel Fort Wayne IN SUM OF$ 305 East Washinton Center Road Ft Wayne, IN 46825 $321.48 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 -570.00 $321.48 I 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 Friday, February 06, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 02/06/15 Lodging-Chaplain Drake $321.48 I hereby certify that the attached invoices 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