Loading...
HomeMy WebLinkAbout312835 6/16/2017 CITY OF CARMEL, INDIANA VENDOR: 034261 ONE CIVIC SQUARE TREASURER OF STATE OF INDIANA CHECK AMOUNT: S'""""220.00' CARMEL, INDIANA 46032 CAMP ATTERBURY-DRM CHECK NUMBER: 312835 9'"ror EDINBURGH000 46724-5000 CHECK DATE: 06/16/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 17017 220.00 TRAINING SEMINARS o _ q %q o D / O k Q 002 2 m o c g & ° 0 2 � c # 9 q 7 \ X k z $ , z 2 q O m ] \ ® 2 X Cl) \ -4 � k � oa E m \ $ E O § > o m -n 2 � qE0 CD q 0 f § \D CL 2 0 2 7 z O ; # 2 O 7 ) / m | � 8 § Sr ) & g 9 g z > e E 0 ( / 2 ? § % i { E F 2 0 m m C ? a -n 0 E A § 7 § - G � 2 f � ; - ® E k Ch : k n 4 � m - § 7 =r CO C- ■ E 8 K I § CD k o m f k m ; R 7 ƒ CD- k 4 { = \ 0 / CL § - k ƒ § a o / K7 2 mo f ƒ kƒ \ j m \ P � rr D l< �/ - 3 \ nK � I a 0 G g §§ j Q E ] O g g f o a 2 q ƒ 7 C o ( \ } / / »E i i § �0 7� � D �ƒ § A / C. �o \ ) � a E > m gm ° 0 CL f X 0 @ n / 2. j E / =PD r- 0 E ƒ \ * z \E ] $ C Q ( c CD =ML 0 § [. k f 2 CDm / m ] CD \ / \ ( 0 \ CL > \ § 69K 7 0 . § ® k DEPARTMENT OF THE ARMY ATTERBURY-MUSCATATUCK TRAINING CENTER PO Box 5000 Bldg.245 Edinburgh, Indiana 46124-5000 NGIN-AMR INVOICE# 17017 31 May 2017 Carmel Police Department Attn: Shane VanNatter 3 Civic Square Carmel, IN 46032 Description: Usage Fees for Camp Atterbury Facilities, 9-10 May 2017. Training Area Price Per Da Number of Das Total Due Ran e 4 110.00 2 220.00 TOTAL AMOUNT DUE $220.00 If you have any questions please call me at(812) 526-1102. Make check payable to: TREASURER OF THE STATE OF INDIANA TAX ID# 35-6000158 REMITT TO: Treasurer of the State of Indiana Camp Atterbury-DRM PO Box 5000, Bldg 245 Edinburgh, IN 46124-5000 Mary Ca o Purchasing Administrator - L Camp Atterbury Utilization Report Overhead Cost(OC)/Identifiable Incremental Cost (ICC) Checklist Instructions: This form will be used tar all units/organizations that may be charged OC/ICC costs and be filled out after each unit/organization clears. This form and any other documentation will be forwarded to CA-DRM no more than 5 working days after training event. J Unit/Organization Name: Lah PU�u rte f Training Date: O ` V fflou 7 1 f Unit/Organization Address: Unit/Organization Telephone Number: +� Unit/Organization Point of Contact: Unit/Organization POC E-mail Address: Questions Yes No • Does the Unit/Organization have a current MOU? 14 [ ] • Does the Unit/Organization have a current Certificate of Insurance? • Does the Unit/Organization have an Event Release? • Did the Unit/Organization submit the Liability Waivers? 0 Did the Unit/Organization use specialized ranges/facilities(special cost)? Did the Unit/Organization use other ranges? • Did the Unit/Organization use training areas? Did the Unit/Organization submit a strength report? • Does the Unit/Organization expect to have ICC charges? [ [ ] 6 Does the Unit/Organization have MIPR/other financial Instrument on file? [ [ ] Documents to be attached: Yes No • Strength Report [ [ ] 0 Approval for waiver of Overhead Costs • DocumentatZM: o ranges a d training areas used [ ]Y ,, qh Date Forwarded to D By 2 \ � e \ \ . z _yy § . w ��} 2 �d / : \ uj - < ) Ix \ E �2 v z § I in / L § 0 . \ vk wze � 3 _« m oo � e y / k \ / 3 MS § \ LL : z LU Z Lk j k §jz IL LL g LL \ \ § 2 Ak P � z 2 # z$ w • a§ e z § / D� v) < « \ � � d m w �� R \ ui z ui Q - 2y o { �� c k d 2 < - � $ � g \ a w � � L 0 E � * - Co m D 2zz R �« e 66 § �y u ac. ay . y > LU ) E 2\© \ / IQ < k $ E i `«« LL_ ° m ) k «aze � yo0z ° $ >� e rm g < : tG� w 2 § � \ <65 } % § E jWz § \LU k © mow g .� \ `Y § LL e 2 § § GG .......... �a \ o ow 3 I ° I \ � o � 2 �W-: « 2 - - Jr- It It IL / f tu § / w\ § / Wit$ § CAw A.T. mT)Ry JoiNT MWNmv R TRAuma Cmm Daily Sfiangth RapOilt (bslmcfon forcomPIt:&gtbis form onreveasa or maybe obiainedfrom scbedullngBningb) l Office use. Date-, Reporting Unit/Organization: Nl >� !r,1A � Aduh-oss: 3 Telephone: 1 .5--71 2260 onPostHgBldgNo: rastphvae&L. Unit (D)VIC S�sg Tbtgf *Raining status to [AT.. ODS _ /f - 1 B....................._Auuvat Toining IDT...........Inactive D*fvr Training MOB...............................Mobilization DM033........................Demobilization AM...............MOB/DaMOB Support AC...................................Active Duty (Notw(f or Reserve) OTA..........................................Other ((IV'of wNOI-nuiiitaq') SAD..................Statc&F d Bmergenoy FTS................ .....dill Time Snppatt aSU&Tenant ONLY) Cer0cadon: �jl n Y�cit/A/t!� �j 11 • Printed Namc/Rank -. %�S gna pa Receiveciliy: PdnDectNamclitenlc M netum Aato CAWCYornm 14(25 MAY 2005 OBSOLETE) 23 OCT013XM 2006 CAMP ATTMTJRY 70INT MANBUVBR TRA 4MG CENTER Dazly St eligth Repot (hftcdon for eomple ft ffls f a ou rewn4 or may be 43WRined from SehedulingBranch) Ofce use. Date: ? ty � i �.Zepoxtingl7nitlOxgalYization: Cho-tiaG� Pa�,tG Address: [iv,z 5cc� �ZG ti�v32 Telephone: VC)• c�l k-?SOO On Bost Hq Bldg No: Post Phone]fit: Unit (D)UIC g Total 'Training Status CODE C CitAT.............................A&M-Ualft3ltnng )ODT.......,...Inactive Duty for T�$iniag MOB...............................Mobilization DMOB.......................Demobilization NW...............MOB/DeMO)3 Support AC...............:................... etivo Duty (Not No oxliesetva) OUL...........................................Other (CIV other NON m'liiazp) RAD..................State/Red Emergency FTS.......................Full Time Support (BU&Tenaat ONLY) Certification: A,�, -, k. vSw,Pw C Ut nuc - S t io Zul'l PtulfeelName�Rank a�,(Received By. �'� CLl Prb,tcd3damelRank Signahtre Date CA;MTC)Form 14(2.5 MAY 2005 OBSOME) 23 OCT-ODER 2006