310355 04/18/17 1�m c�yyf
>; E' CITY OF CARMEL, INDIANA VENDOR: 362616
ONE CIVIC SQUARE MIKE BRISCO
CARMEL, INDIANA 46032 CHECK AMOUNT: $**.....292.50*
CHECK NUMBER: 310355
CHECK DATE: 04/18/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER
1120 4343002 AMOUNT DESCRIPTION
292.50 EXTERNAL TRAINING TRA
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Invoice
Fire Seminar-KY Invoice Number:
857 Tallevast Rd. 1659
Sarasota, FL 34243 Invoice Date:
USA Dec 8, 2016
Due Date:
March 6,2017
Registration For:
Michael Brisco
Carmel Fire Deptartment
2 Civic Square
Carmel,IN 46038
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 Alarch 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 50.001
Discount for Early Registration -50.00
i — -
Payment Subtotal $ 775.00
Yn►
Reference: Payment Received
TOTAL $ 775.00
Please return the bottom portion with your payment
For: Brisco,Michael Check or Money Order in US Funds Only
Balance: $ 775.00 Visa.MasterCard,American Express.Discover
Invoice Number: 1659 Account Number:
Please remit payment to: Expiration Date
Fire Seminar-KY
857 Tallevast Rd. Billing Zip Code CVV#
Sarasota,FL 34243, USA
Telephone:941-355-9079 Card Holder Signature:
Fax:941-351-5849
Card Holder Name:
Tax ID:36-6071438
Roliday
Express
&Suites
03-16-17
Tony Keaton Folio No. Cashier No. 12 Room No. 102
7655 Madden Ln A/R Number Arrival 03-12-17
Fishers IN 46038.1303 Group Code Departure 03-16.17
United States Company BUSINESS Conf. No. 60818924
Membership No. PC 675956264 Rate Code : IMGOV
Invoice No. Page No. 1 of 1
Date Description Charges I Credits
03-12-17 Deposit Transfer at Check-In check#307245 507.12
03-12-17 *Accommodation 115.00
03-12-17 State Tax-Room 7.18
03-12-17 Tourism Fee-City 3.45
03-12-17 Tourism Fee-State 1'15
03-13-17 *Accommodation 115.00
03-13-17 State Tax-Room 7.18
03-13-17 Tourism Fee-City 3.45
03-13-17 Tourism Fee-State 1.15
03-14-17 *Accommodation 115.00
03-14-17 State Tax-Room 7'18
03-14-17 Tourism Fee-City 3.45
03-14-17 Tourism Fee-State 1.15
03-15-17 *Accommodation 115.00
03-15-17 State Tax-Room 7'18
03-15-17 Tourism Fee-City 3.45
03-15-17 Tourism Fee-State r°r<< 1.15
Thank you for staying with us! Qualifying points forth will a�tgmatic�lly be credited o Total 507.12 507.12
your account. Please tell us about your stay by writln "view►i4e-wwrr:'4Jfg.com/review .
We look forward to welcoming you back soon. P' `
Balance 0.00
Guest Signature:
I have received the goods and/or services in the amount! heron. I agree that i or this bill is not waived and agree to be held
personally liable in the event that the indicated person,cony, associ
mpaate fai}�S{ any part or the full amount of these charges. If
a credit card charge,I further agree to perform the obligations set fo the cardho_�r s�agreement with the issuer.
Independently Owned and Operated by Sima Ventures,
Holiday Inn Express Hotel&Suites Richmond
1990 Colby Taylor Drive
Richmond, KY 40475
Telephone: (859)624-4055 Fax: (859)623-8775