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Home My WebLink About242006 2 /10/2015 CITY OF CARMEL, INDIANA VENDOR: 00352848 CHECKAMOUNT: 5*******165.00*(9, ONE CIVIC SQUARE ICPC-REGION 4-2015 RTSCARMEL, INDIANA 46032 C/O CHAPLAIN MICHAEL HENRICKS CHECK NUMBER: 242006 9656 WEST STATE ROAD 48 CHECK DATE: 02/10/15 BLOOMINGTON IN 47404 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 32760 165.00 TRAINING INVOICE February,5, 2015 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 International Conference of Police Chaplains Regional Training Conference March 9— 11, 2015. Ft Wayne, IN Chaplain Drake $165.00 TOTAL AMOUNT DUE: $165.00 Please make check payable to: ICPC—Region 4-2015 RTS Mail to: Chaplain Michael Henricks 9656 West State Road 48 Bloomington, IN 47404 Taught by well trained, experienced, and Please Print Clearly/Block Lettering sought after instructors, this training seminar Region 4 ICPC Member?(Yes/No): Title: � offers several Basic, Enrichment, and an Ad- Regional Training Seminar ; vanced Course. Conference Schedule I Name: �D T Preferred Lodging: *Required for Basic Credentialing Address/Y&L21'94,4e !7/e /2l(' ; Sunday,March 10.2015 Hotel Fort Wayne city;Cj4�''�e 305 East Washington Center Road 6:00 pm - 8:00 pm Pre-Registration /,, //22 7:00 pm - 9:00 pm Hospitality Room ; Zip: (YQ�Phone: (N) 565 Q. FAD Fort Wayne, IN 46825 Monday.March 9. 2015 1-855-322-3224 EmailAe(/1;W4'114oeId1-1ee6 haAjA%h'PeC0ft 8:00 - 8:30 Registration ; ��reI jW Fd,C J _ 7 8:30 - 10:00 BO1—Intro To LE Chaplaincy* � Agency you serve: Fd,?,.e YOU WILL NEED TO MASE YOUR OWN EO1---Cuingfor the Muslim Person ; RESERVATIONS WITH THE HOTEL Volunteer Paid Officer_Chaplain Other_ A01—ASIST-Suicide Intervention—ALL DAY 10:15 -110:45 Opening Ceremony(Marquis Mention ICPC Regional Training Seminar Room) Basic/Enrichment Member:$150.00* 11:00 -112:30 B02—Death Notification* ; Basic/Enrichment Non-Member:$220.00* when contacting the hotel. Room Rate $94.00-I- tax E02—Suicide After-Care � `..rAdvance Member:$165.00* 12:30 - 1:45 Lunch/Business Meeting Advance Non-Member:$250.00* Spouse/Guest Banquet:$35.00 Conference Fees 1:45 - 3:15 B03—Stress Management* fi After 2/25/2015 Add:$25.00 E03—Understanding Autism TOTAL ENCLOSED$ Member Non-Member 3:30 - 5:00 B04—Ceremonies and Events* c Spouse/ a �' D �' Basic/Enrichment $150.00* $225.00* E04—Tactical Thinking for Chaplains �> 6:00 - 7:00 Mixer in Hospitality Room I have dietary restrictions: ♦y 0/� Advance $165.00* $250.00* Tuesday,March 10,2015 I need mobility assistance: /V10 *Includes Monday Night Mixer and Tuesday 8:001-19:30 B05—Confidentiality/Legal Liability* *Includes Monday Night Mixer and Tuesday Evening Banquet D E05— omestic Violence Evening Banquet A01—Continues—Until 3:45 P.M. To make payment with Visa/MasterCard fax contact name and phone number to: 9:45 -111:15 B06—Ethics* registration form,co Spouse Activities Available E06---CIT for Youth 850-654-9742 Spouse/Guest Banquet: $35.00 11:15 -112:30 ILunch Please indicate your class selection: 12:30 -12:00 B07—Responding to Crisis Situation* ; Advanced—All day, Tuesday: E07—Excited Delirium onday and Tuesday.Other _B05 or_E05 After February 25,2015 Add$25.00 classes may be selected Tues- _B06 or_E06 2:15 - 3:45 B08—Law Enforcement Family* day at 4:00 and all day _B07 or_E07 EARLY REGISTRATION E08—Fatal Crash Investigation Wednesday. _B08 or_E08 4:00 - 5:30 B09—Substance Abuse* ; _B09 or_E09(4:00) E09--Understanding ; Basic/Enrichment., Lunch provided by gCeremon Self-Mutilation Monday: Wednesday: Brotherhood Mutual Insurance 7:00 - 9:00 Banquet and Awards Ceremony _B01 or_E01 _1310 or_E10 and Thrivent Financial esday.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 804 or_E04 ( E10—Disguised Dangers ; 9:45 - 11:15 B 11—Officer Death or Injury* Make Checks Payable To: RTS Contact' E 11—Child Abuse Case Study ; ICPC-Region 4-2015 RTS 11:15 - 12:30 Lunch Mail Reeistration and Fee To: Chaplain Richard L. Hartman ; 12:30 - 2:00 B 12—Sensitivity and Diversity* ' 260-615-0192 ; a pastor@epiphanyfw.com E12—Active Shooter Plan pl Chplain Michael Henricks West State Road 48 z:oo - 2:15 Closing Ceremony Bloomington,IN 47404 2:15 Go Home and SERVE ¢ f� INDIANA RETAIL TAX EXEMPT PAGE i I' of Carmel CERTIFICATE NO.003120155 002 0� 1.i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32780 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 X2015 Inl@tnation Canro.mneo Of P011CO ChaplAInS Ca�id Pollco Depaft ent VENDOR SHIP Civic SgUZFe PO Box 5590 TO Cannel, IN 40032 D@sfl 1, Flb ---40 (W)9571-2.559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00.6701Y 1 Each training $105.00 $105.00 Sub Total: $105.00 All `r! i �s Chaplain Drake -2015 ICPC Cantbrenco/IrW��ty� �0�' 1 IIn Ft.�� Send Invoice To: "` `t 4 I Camel Police Departmant Attn: Rat'young 3 Civic Square Carmel, IN 46M2- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT Carmel Police Dept. �i�.w PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI TIOi SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. / Chief of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO- 32760 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR e� Board Members PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT 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 20 Signature --- �--- Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Internation Conference of Police Chaplains C441—a 61-� mu(16UL IN SUM OF$ % S6 IA/. SA C& D ,vT $165.00 I ON ACCOUNT OF APPROPRIATION FOR I CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members -570.00 $165.00 I hereby certify that the attached invoice(s), or 32760 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 i 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 Conference/training Chaplain Drake $165.00 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