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Home My WebLink About308078 02/13/17 qY €� CITY OF CARMEL, INDIANA VENDOR: 368009 ONE CIVIC SQUARE CITY OF LEWISVILLE CHECK AMOUNT: $*******210.00* CARMEL, INDIANA 46032 KTA SYMPOSIUM CHECK NUMBER: 308078 PO BOX 299002 CHECK DATE: 02/13/17 LEWISVILLE TX 75029-3704 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 210.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 368009 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CITY OF LEWISVILLE IN SUM OF$ CITY OF CARMEL KTA SYMPOSIUM 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. LEWISVILLE, TX 75029-3704 Payee $210.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Fire 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 0 43-570.04 $210.00 1 hereby certify that the attached invoice(s),or 2/2/17 0 Reeves,Reecer,Paddock $210.00 1120 101 1120 101 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 03,2017 David Haboush Fire Chief 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Print and Mail Completed Form to the Address Below. Email form if paying by credit card. You will be contacted for credit card information. 2017 KTA Symposium Registration The 2017 Registration Fee for KTA is$70 per attendee. Checks must be made payable to City of Lewisville. To pay by credit card please include a daytime phone number; you will be contacted to get the necessary information. YOU WILL NOT BE REGISTERED UNTIL WE RECEIVE YOUR PAYMENT! Each participant MUST complete the form. Please choose between Pipes and Drums or Honor Guard,but not both. Our symposium is for active or retired firefighters.The event is not open to the general public or personnel who do not serve as firefighters. ** PRINT ONLY ** Name Neil Reeves Department Name Carmel Fire Department Department City Carmel Department State IN Cell# 317-645-6343 Email Address rugby5683@att.net Home Address 117 Rush Court City Fishers state IN zip 46038 Please circle the auTpriate response: What are you signing up for(Choose One Only) HONOR GUARD Honor Guard Commander Team Member PIPES Beginner Intermediate Advanced DRUM Snare Tenor Bass Beginner Intermediate Advanced Will you require transportation from the airport: Yes: No: XX (Please fill-out flight information on the next page.) Print and Mail Completed Form to the Address Below. Email form if paying by credit card. You will be contacted for credit card information. 2017 KTA Symposium Registration The 2017 Registration Fee for KTA is$70 per attendee. Checks must be made payable to City of Lewisville. To pay by credit card please include a daytime phone number; you will be contacted to get the necessary information. YOU WILL NOT BE REGISTERED UNTIL WE RECEIVE YOUR PAYMENT! Each participant MUST complete the form. Please choose between Pipes and Drums or Honor Guard,but not both. Our symposium is for active or retired firefighters.The event is not open to the general public or personnel who do not serve as firefighters. ** PRINT ONLY ** Name Jason Reecer Department Name Carmel Fire Department Department City Carmel Department State IN Cell# 317-519-8669 Email Address jreecer@carmel.in.gov Home Address 13375 E. 266th Street city Arcadia state IN zip 46030 Please circle the appropriate r -sponse: What are you signing up for(Choose One Only) HONOR GUARD Honor Guard Commander Team Member PIPES Beginner Intermediate Advanced DRUM Snare Tenor Bass eginne Intermediate Advanced Will you require transportation from the airport: Yes: No: XX (Please fill-out flight information on the next page.) Print and Mail Completed Form to the Address Below. Email form if paying by credit card. You will be contacted for credit card information. 2017 KTA Symposium Registration The 2017 Registration Fee for KTA is$70 per attendee. Checks must be made payable to City of Lewisville. To pay by credit card please include a daytime phone number; you will be contacted to get the necessary information. YOU WILL NOT BE REGISTERED UNTIL WE RECEIVE YOUR PAYMENT! Each participant MUST complete the form. Please choose between Pipes and Drums or Honor Guard,but not both. Our symposium is for active or retired firefighters.The event is not open to the general public or personnel who do not serve as firefighters. ' ** PRINT ONLY ** Name Dean Paddock Department Name Carmel Fire Department Department City Carmel Department State IN Cell# 317-517-7248 Email Address dpaddock@carmel.in.gov Home Address 10005 Miranda Circle __.-----._- _----__.. ._ -__._. city Fishers state IN zip 46038 Please circle the appropriate response: What are you signing up for(Choose One Only) HONOR GUARD Honor Guard Commander Team Member PIPES Beginner Intermediate Advanced DRUM Snare Tenor Bass Beginner ntermediate Advanced Will you require transportation from the airport: Yes: No: XX (Please fill-out flight information on the next page.) 1/27/2017 Lewisville Fire Department Pipes&Drums KTA 2017 I , 01 • • A. µ 2017 Keeping Tradition Alive Honor Guard, Pipes & Drums Symposium May 4-5, 2017 Keenina Tradition Alive 2017 Mav 4-5, 2017 2017 Keeping Tradition Alive Symposium is May 4-5, 2017 in Lewisville, TX. Last year we were filled to capacity and we expect the same this year. The event will be the same format as last year. Thursday will be opening ceremonies followed by a full day of instruction. Friday will be instruction all day followed by the Old Town Concert at City Hall. The host hotel is the Hilton Garden Inn. Rooms are Double $116 King $109. You can click HERE to take you directly to our reservations page or contact the Hilton Garden Inn and make reservations referencing Keeping Tradition Alive at 1-972-459-4600. If you are flying into DFW or Love Field and require transportation from the airport I will need you flight itinerary. Please let me know if you have any other passengers flying with you so we can account for the space. Your space is not guaranteed until etre have received payment! We cannot offer refunds. If you must cancel prior to the event I can transfer your registration to 2018. Thank you for your understanding. 2017 Keeping Tradition Alive Pipe® Drums Honor Guard Symposium Host Hotel: Hilton Garden Inn 785 SH 121 Bypass Lewisville, TX 75065 (972) 459-4600 If we are picking you up from the airport we will communicate with you via text message. The default pick up area will be curbside at your designated http:/Afdpipesanddrums.com/ 1/2