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>� ;• - CITY OF CARMEL, INDIANA VENDOR: 034261
�1 ONE CIVIC SQUARE TREASURER OF STATE OF INDIANA CHECK AMOUNT: $*******220.00*
*. ?Q CARMEL, INDIANA 46032 CAMP ATTERBURY-DRM CHECK NUMBER: 302285
PO BOX 5000 CHECK DATE: 08/22/16
EDINBURGH IN 46124-5000
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 16028 220.00 TRAINING SEMINARS
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
TREASURER OF STATE OF INDIANA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CAMP ATTERBURY-DRM IN SUM OF$ CITY OF CARMEL
PO BOX 5000 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
EDINBURGH, IN 46124-5000 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$220.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
16028 43-570.00 $220.00 1 hereby certify that the attached invoice(s),or 7/20/16 16028 Camp Atterbury range usage fees $220.00
1110 210 1110 210
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
Tuesday,August 16,2016
Tim Green
Chief of Police
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
f
DEPARTMENT OF THE ARMY
ATTERBURY-MUSCATATUCK TRAINING CENTER
PO Box 5000 Bldg.245
Edinburgh,Indiana 46124-5000
NGIN-AMR
INVOICE# 16028 20 July 2016
Carmel Police Department
Attn: Shane VanNatter
3 Civic Square.
Carmel,IN 46032
Description:Usage Fees for Camp Atterbury Facilities, 17-18 May 2016.
Training Area Price Per Day Number of Days. Total Due
Range 11 110.00 1 110.00
Range 4 110.00 1 110.00
TOTAL AMOUNT DUE$220.00
Enclosed is the Atterbuiy/Muscatatuck Occupancy Agreement along with a copy of the
facilities&strength report for your use at Camp Atterbury.
Please sign the Atterbury/Muscatatuck Occupancy Agreement.
Return the signed agreement with a copy of this invoice and your payment.
PLEASE NOTE: PAYMENTS CANNOT BE PROCESSED WITHOUT THE SIGNED
OCCUPANCY AGREEMENT.
If you have any questions please call me at(812)526-1102.
Make check payable to: TREASURER OF THE STATE OF INDIANA
TAX ID#35-6000158
REMITT TO:
Treasurer of the State of Indiana
Camp Atterbury-DRM
PO Box 5000,Bldg 245
Edinburgh,IN 46124-5000
Mary C 'co
Purchasing Administrator
ATTERBURY/MUSCATATUCK OCCUPANCY AGREEMENT
THIS AGREEMENT IS MADE BY AND BE, THE ADJUTANT GENERAL'S AGENCY OF THE STATE OF INDIANA
(hcrcinafter referred to as"State"),and CARMEL PD(hereinafter referred to as"User")by and through its authorized Representative SHANE
VANNATTER
In consideration of the mutual promises made herein,the parties to the agreement hereby agree as follows:
1. Purpose: The State agrees to furnish the subject military property(or portion of a military facility set forth in paragraph 6)for the purpose of
training.The rental portion of the military property also includes access to,and use of,the restroom(in rentals of military facilities)and parking
areas. No other areas shall be accessible unless specifically provided for in this Agreement. i
2. Term: This Occupancy Agreement will commence on the 03 day of November 2015 at 7:30 o'clock AM/PM and will terminate on the 03 day
of October 2015 at 6:00 o'clock AM/PM.
3, Total Rental Payment: The User agrees to pay the State for rental of said military property/facility,the sum of$220.00.Said payment is to be
made payable to the Treasurer of the State of Indiana.Payment is to be made within 30 days of invoice date. f
4. Covenants and Conditions:
A. In case said military property/facility,or any part thereof,shall be destroyed or damaged by fire or by any other cause,or if any
casualty,unforeseen occurrence or military necessity shall render fulfillment of this Occupancy Agreement by the Lessor impossible,
the said State shall not in any case be held responsible to the User for any damage or loss caused thereby.
B. In renting a portion of said military property/facility to the User,the State does not relinquish the right to control the management and
operation of the remainder of the properly/facility.The Representative of the State and his deputies may enter the property/facility at
any time and on any occasion. The State also reserves the right,through its Representatives,to eject any objectionable person
or persons from the said property/facility.
C. The User shall not damage or deface said property/facility and shall not permit the said property/facility to be in any manner injured.
The User shall be responsible for all damage to the property/facility caused by it or by persons permitted to enter the property/facility
for the purpose of this Occupancy Agreement. The User also assumes full responsibility for the character,acts,and conduct of
all persons admitted to said property/facility under this Agreement.
D. Any Occupancy Agreement involving alcoholic beverages requires an Alcoholic Beverage Commission Permit(temporary permit for
an individual renting the property/facility or an off premises permit for a licensed caterer)and proof of sufficient insurance coverage
to protect the liability of the State(such determination shall be made by the Adjutant General's Office). The Occupancy Agreement
accompanied by the Alcoholic Beverage Commission Permit and proof of insurance must be forwarded to The Adjutant General's
Office for approval no less than ten(10)business days prior to the rental. Failure to comply with this provision may constitute
immediate and automatic cancellation of this Occupancy Agreement.
E. This Occupancy Agreement may be terminated,in whole or in part,by the State whenever the State determines that cancellation is in
the best interests of the State or the Indiana National Guard. Said determination is final and conclusive,and not subject to appeal.
Termination of the Occupancy Agreement shall be effected by oral representation made by the Representative of State to the User or
by delivery to the User of a Termination Notice at least twenty-four(24)hours prior to the termination effective date,specifying the
extent to which such termination becomes effective.The State will not be liable for damages or claims made by the User as a result of
an effective termination made under this section.
5.The User aa_rees to indemnify,defend,and hold harmless the Slate,its agents,officers,and employees from all claims and suits including court
costs,attorney's fees,and other expenses caused by any act or omission of the User and/or its occupants,in the performance of this Occupancy
Agreement. The State shall not provide such indemnification to the User or any other party.
6. TOTAL RENTAL FEE: $220.00 ADJUTANT GENERAL'S OFFICE ADMUNISTRATIVE FEE: N/A
IN WITNESS OF THIS AGREEMENT,the said parties have set their hands hereto on the day of 20 . This written
agreement constitutes the entire agreement between the parties. It maybe amended only by a written instrument signed by each of the parties.
STATE OF INDIANA: CAMP ATTERBURY USER(Print):
By: Mary Carrico Sign:
Sign Address:
Date: Phone:
Approved By The Adjutant Oeoaal
I