HomeMy WebLinkAbout253896 01/26/16 CITY OF CARMEL, INDIANA VENDOR: 370232
4 ONE CIVIC SQUARE ICPC-REGION 4-2016 RTS CHECK AMOUNT: $*******150.00*
9 /q; CARMEL, INDIANA 46032 CHAPLAIN MICHAEL R HENDRICKS CHECK NUMBER: 253896
9656 WEST STATE RD 48 CHECK DATE: 01/26/16
BLOOMINGTON IN 47404
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 150.00 TRAINING SEMINARS
All twelve (12)Basic Core Courses and Region 4 Please Print Clearly/Slock Lettering
twelve (12) Enrichment Courses will beICPC Member?Y_N_ Title c-v P Al
2016 Regional Training`Seminar ,
offered at this training event. Conference Schedule Name ;Ctia�eL
Preferred Lodging: *Required for Basic Credentialing Address: (�,�,� �c��,p, 0,21&
Sunday,March 6th City/State: ;4)eWel
Bavarian Inn Lodge .-00pm - 8:00pm 15egistration ' Zip: –76-7t Phone:`�!7-'����
Monday, gp
March 7th �
& Conference Center 7:00 - 2:00 Registration EmaiIveei//J17,`' 4,eazgLe
1 Covered Bridge Lane 7:30 - 7:45 Welcome and Announcements Agency you serve:17,9ejw,0` 1V,,
Frankenmuth, MI 48734 8:00 - 9:30 B01—Intro To LE Chaplaincy* ,
Toll Free-844-264-9023 EO 1—Disaster Spiritual Care Officer?Yes_No_ Chaplain?Yes No_
9:45 - 11:15 B02—Death Notification* Type of Chaplaincy?Volunteer_ Paid_
Room rates start at: E02--Church Security
99.00 + taxes 11:15 - 1:00 Lunch Provided—Business Meeting CONFERENCE FEES
1:00 - 2:30 B03—Stress Management* Member Non-Member Amount
11X88B
Mention Code: E03—Dealingwith Infant Deaths
� Basic/Enrichment $150.00* $225.00*
Reservations MUST be made directly with the
2:45 - 4:00 B04--Ceremonies and Events*
E04—The Role of a Chaplain in a Pursuit a After 2/19/16 add$25.00
hotel. Group rates valid through 2/5/16. Veri- s:oo - 7:0o Dinner on your own `o sous Guest Banquet—$35.00
fy hotel cancellation and refund policy. 7:001-18:30 Dessert Mixer w p
Tuesday
March 8th TOTAL ENCLOSED
Includes free parking, Wi-Fi, four pools,two 7:30 - 7:45 Devotions *Includes Monday Dessert Mixer and Tuesday Banquet.
water slides, and other amenities. 8:00 - 9:30 BOS--Confidentiality/Legal Liability* M "9w
E05--Combat First Aid for Ride °' ;oTo make regtstrahon paytnent with Visa/
�+ 8 �at i�in d.�.�
Conference Fees Alon Cha tains MasterCard,send�reglstratibn farm via:
9:45 - 11:15 B06—Ethics* : Fam 812-$76
Member Non-Member E06—Police Chaplaincy and 1 C In,milcehen,rices@gmail Com
Religious Pluralism , 5 ee `
Basic * * - h Spous Guest Name: ,
$150.00 $225.00 11:15 12:30 Lunc
Enrichment 12:30 - 2:00 B07—Responding to a Crisis* ; Indicate#of meal types:
E07 Pitfalls in Chaplaincy ; Beef Chicken Ve getable Kosher
Add$25.00 after February 19,2016 2:15 - 3:45 B08—Law Enforcement Family* g
E08—Understanding the I need mobility assistance:
Spouse/Guest Banquet $35.00 Hmong Community '
6:00 Banquet and Award Ceremony Please indicate your class selection:
*Includes Monday Dessert Mixer and Tuesday Wednesday,March 9th
Evening Banquet 7:30 -17:45 Devotions Monda Tuesday Wednesday
8:00 - 9:30 B09—Substance Abuse* BO1 E01 I B05 05 B09 E10
Spouse activities are planned, fees will be paid E09—Understanding the CAUTION
on site. Pro am B02 0 B06 E06 B10 E10
9:45 - 11:15 B10-Suicide* B03 E03 07 E07 11 E11
RTS Contacts: E10—Losing One's Soul—the Battle
with Depression B04 EO B08 E08 B12 E12
Chaplain Bill Sanders 11:15 -112:30 Lunch '
989-674-2421 12:30 -12:00 BI I—Officer Death and Injury* Make Checks Payable To:
Chaplainbill4msp@aol.com El l—Law Enforcement Funeral Protocols ICPC-Region 4-2016 RTS
2:15 - 3:45 B12—Sensitivity and Diversity* Mail Reizistration and Fee To:
Registrar Michael Hendricks E12—Workingwith a K-9 Officer
g Chaplain Michael R.Hendricks
812-876-5142 Updates and Course Descriptions: 9656 West State Rd. 48
chaplainmikehendricks@gmail.com http://www.icperegion4.com Bloomington,IN 47404
Page
C3t INDIANA RETAIL TAX EXEMPT - .I of I ,
CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER -
"
y , .(o arme
FEDERAL EXCISE TAX EXEMPT 33370:
ONECIVIC SQUARE 35x6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032=2584 VOUCHER,DELIVERY MEMO;PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE .
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF.CARMEL-1997. . .
PURCHASE ORDER DATE DATE REQUIRED
REQUISITION NO. VENDOR NO: DESCRIPTION
1/21/2016 370232
ACK-REGION 4.-2016 RTS Camel Police
VENDOR :'CHAPLAIN MICHAEL R HENDRICKS 'SHIP :3 Civic Square
9656 WEST STATE RD 4.8 Carmel,:IN. 46032-
T
-BLOOMINGTON, IN :47404"-
CONFIRMATION• BLANKET CONTRACT. PAYMENT TERMS FREIGHT
QUANTITY UNIT,OF MEASURE - DESCRIPTION UNIT PRICE EXTENSION.
epa. ment: .1110 Account:. 43-570.00 gIt�il) nulME6EjW&AN
1 Each Regional Training$eminar.
• 4150.00. $150,00 O.
Sub Total $150.00
Send Invoice To:
Carmel Police Chaplain Drake=Training Seminar 316-3/9:in Frankenmuth, MI
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNQJS
NT_
PAYMENT -. $150:0.0
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT'UNLESS THE P.O. NUMBER IS MADE A-"
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THEFROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN'UNOBUGATED BALANCE IN
T.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUV ICIENT.TO PAY.FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABS
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOFAND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33370. CLERK-TREASURER