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307207 1/20/17
CIT ,�y .e+°`• Y OF CARMEL, INDIANA VENDOR: 00350792 �: +;` FIRE SEMINAR-VEHICLE CHECK AMOUNT: $`*""*775.00* g ONE CIVIC SQUARE 857 TALLEVAST ROAD CHECK NUMBER: 307207 _� CARMEL, INDIANA 46032 SARASOTA FL 34243 CHECK DATE: 01/20/17 �pN PO NUMBER INVOICE NUMBER AMOUNT T DESCRIPTION DEPARTMENT ACCOUNT EXTERNAL INSTRUCT FEE 1120 4357004 1653 « » 2 < « o - 73 O $ � m k c § § ¥ a 2 > $ 0 n i 0 0 r- K % g > < $ R q $ - \ / \ a w m c G 0 © 0 I E q 4 S 3 k § m k £ T o ¢ -n x a /� O/ / » § & n ƒ 7 � $ >_ 2 /3 0 2 -n > 0 0 @ � | @ § m \ 8 w % k ¢ $ i 7 I / 0 k g CD ƒ / $ J i CD o n -nv• m o a f _ & \ } s # Of 3 § [ k E § - C U m _ E 0 CD 3 / £ @ o ° CL a E - / § 2 / \ y ® E f - k ƒ § . � CD � [ Q f 7 - a > \� a m \ \ D / /$ 3 \ 0 g nk _ C0 � k 0 aC � \ k ƒ \ � C o 2 ) 0 D ƒ \ 2 | k i k k k &� a 2 2 0. \ \8 _ / a O > to CD 7CD C) > e/ } o « g3 / r / f 2 \ n / / / j _E ƒ \ r 0 3 \ CD (j) C % o c ' § }_ $ 0 § E ° CD2: / 7 (DM § 0 \ 7 \ ]2 # r CR cn . \ \ § E _ 2 & § / w g . ) § CD S ¥ k Invoice Fire Seminar-KY Invoice Number: 857 Tallevast Rd. 1653 Sarasota, FL 34243 Invoice Date: USA Dec 8,2016 Due Date: March 6,2017 Registration For: Anthony Keaton Carmel Fire Dept 2 Civic Square Carmel,IN 46032 Pre-paid fees are fully refundable until February 13, 2017; thereafter individual registrants may be substituted but refunds will not be made. This registration is NOT a reservation but a commitment to attend and pay for the training program.Registrants who do not cancel or transfer their registration by March 6, 2017 will be charged a$200 "No Show"fee. Description Amount National Fire,Arson and Explosion Investigation Training Program- March 13-16,2017 775.00 Program Handouts 50.00 Discount for Early Registration -50.00 Payment Subtotal $ 775.00 Reference: Payment Received TOTAL $ 775.00 Please return the bottom portion with your payment For: Keaton,Anthony Check or Money Order in US Funds Only Balance: $ 775.00 Visa,MasterCard,American Express,Discover Invoice Number: 1653 Account Number: Please remit payment to: Expiration Date / Fire Seminar-KY 857 Tallevast Rd. Billing Zip Code CV V# Sarasota,FL 34243,USA Telephone:941-355-9079 Card Holder Signature: Fax:941-351-5849 Card Holder Name: Tax ID:36-6071438