HomeMy WebLinkAbout324825 05/04/18 r.egp
CITY OF CARMEL, INDIANA VENDOR: 354931
.; � l• ONE CIVIC SQUARE GREGORY DAWSON
CHECK AMOUNT: $*******427.35*
?p; CARMEL, INDIANA 46032 3747 BRASSEUR DRIVE CHECK NUMBER: 324825
9M_ CARMEL IN 46033 CHECK DATE: 05/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 427.35 TRAINING SEMINARS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 354931 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GREGORY DAWSON IN SUM OF$ CITY OF CARMEL
3747 BRASSEUR DRIVE An invoice or bill to be property 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.
CARMEL, IN 46033
Payee
$427.35
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
0 43-570.00 $427.35 1 hereby certify that the attached invoice(s),or 4/27/18 0 hotel-live fire shooter training $427.35
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, May 1,2018
Jim Barlow
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Dawson, Gregory F
From: LEANN_8806@OUTLOOK.COM
Sent: Friday,April 27, 2018 9:49 AM
To: Dawson, Gregory F
Subject: Order Confirmation
BLACK BEAR LODGE NORTH LLC
725 PERIWINKLE TURN
BOURBONNAIS, IL 60914
815-985-9371
Order Results
Profile Name: BLACK BEAR LODGE NORTH LLC
Transaction ID: 270418E3E-0739A478-66B2-46C9-B505-4D1BF194DD78
Date/Time: 04/27/2018 08:49:10 AM
Transaction Type: SALE
Approval Message: APPROVAL
Approval Code: 027711
ECI:
Order Section
Card Numbe ************7635
Amount: $427.35USD
Customer Co 19
Sales Tax: $42.35USD
Invoice Number: 1044
Billing Address
Company: Carmel Police Dept(IN)
First Name: Greg
Last name: Dawson
Address' : 3 Civic Square
City: Carmel
State/Province: IN
Postal Code: 46032
Country: United States
Phone: 317-995-8706
Email Address: gdawsona-carmel.in.gov
The information contained in this e-mail and in any attachments is intended only for the person or
entity to which it is addressed and may contain confidential and/or privileged material. Any review,
retransmission, dissemination or other use of, or taking of any action in reliance upon, this information
by persons or entities other than the intended recipient is prohibited. This message has been
scanned for known computer viruses.
Email secured by Check Point
i
Dawson, Gregory F
From: jimkauber@thesitetraining.com
Sent: Friday,April 27, 2018 9:49 AM
To: Dawson, Gregory F
Subject: New Order #AB 1044
Order Confirmation
Greg Dawson ,
This email confirms that your reservation payment was received at BLACK BEAR LODGE NORTH. Contact
us if you have any questions about your upcoming stay.
Thanks for using BLACK BEAR LODGE NORTH.
Order Information Additional Information
Order number:AB1044 Account Info
Order Date:4/27/2018 Login:gdawson@carmel.in.gov
Pass:******
Billing Address
Payment Information
Greg Dawson -- --
Carmel Police Dept(IN) Payment Method
gdawson carmel.in.gov Online Credit Card
317-995-8706
3 Civic Square
Carmel, IN 46032 US
Order Summary
F-1 01 BBLN Reservations $385.00 x 1 $385.00
Shipping To Shipping Method
Greg Dawson Carmel Police Dept(IN) Free Shipping
3 Civic Square Carmel, IN 46032 US
Subtotal:$385.00
Discount: $0.00
Shipping: $0.00
Sales Tax: $42.35
Total: $427.35 --
1
-EGM.: :� r�► ��%e. .:
Evcrgreen'Mouotailn,LLC •�OUR.S� RE��sT
- : . : .
. - - _ --. :,`-: ----- - � 'pAT10N-- -•- - :_- --' -'r:-- RANK/AS9GN.MENT/TITLE---- •••-- ..
-
Zrjq Q50�� ' _ c!/ }IR�SON f ikL4w-Fnfiforcement i7Milltdry�Other• - -
.. PREFERRED ADDRESS'. ...—•
3 G►�, CITY � SE P ODE-
�pov .
Ybo31�2
• PREFERRED TELEPHONE lIUIdBER - - - : PREFERRED E-MAIL ADDRESS
Q
LIISOJfJ J19C�r'
-Goir
-AGE
-AGE-;Y/RASE ADD _ CITY EiDE
097eln-
tsi.
. .AGENCY/EASE TUPNONE NUMBER _ EKIFNSION AGENNCY/BASF,E-MAIL ADDRESS - - —-
Evergreen lU1ouptaln,f:LC:iequires alfhan-DOD'orLaw Enforcement personnetto'subniif appropdate ID-
_ eatdriller§Jirense.OR, :O Passport:OR. O'.Any.c(irre►it ID tFiat proves US citiienslrip _. .
C0UR5EA*M1NAR:RUCTION: 'Price is per sfuclent: .
D Bas►c N( ht Vision Course" Da �
g (3' . y)($6o0) Is• rr o; '
O-Principles.of Urban•C6n flirt(3 Aay)-$6ofl)(4-pqY 68ob). O.Carbine/Pfstol•Coiarse(#66o qdy) .a1
O.Rurai.Ared.Srhall•Unit Tactics 2'09100 O W•er C urse:( z• '
($ . /. y p . o $•oo/day
..'-0 Tactical-Team Leader Course(,'Day}($t,000) 0 Leadership Serhirigr.-($85)': :' • : - a
LOCATION-' .• ' COURSE GATE(S) .• .
-.� • : •. neo// L..: . .
- y
- '". •'.' = . �Iuh�_�-: .. :.:-�� J�.:
By Signing and subiniiting this:r gistrafion foiiit,:1 understand end agree to lb following:-
Q. t7hat.the credentials inc luited:Wkfi.this regRi tion form meef the requ)rements.as aped fied:6y Eveigreen Mountiin,'LL4 and .:
thatliwilllie iequfred.to-"showptbofof.IdintlfrcatI6hon'thefirst'dayafthe'tburse%seminpr.
' �INhere'applicabie;:that Evergreen MouiEtairi,LLC'courses will'depend upon'the careful:control o f deadly weapons)by me,, '
, ..
therefore/ I.understand pad agree that my partTdpatr6h may:fie;terminated at-any:tlFne during:the zoiirse:if#he:staf
ihstF abr,deems my behpvlpr,conduct o�•weapon hindling Mdlii-to be unsatisfaodry.
That 1 will•abide meticulously by ariy and all safety procedures as butllned anitspecif tecf by,Eve.?en, ountalri,LCC and.that I
will agree to 51gningd IfabPlity.waivei form ielea'sing'Eyergreen IUountain,LLC f rom ariy(rljUry:•I may sustdI lurlb-tliecourse.'
' •!understand,that m de oslt is non refundable and non-trans fergble..However;in the'cQs'e of an emergency,ivnderstand'- ,
:y P
that:Evergreen Mountain;I1C'wiil wprk:toprogide a fair-rind equitablesolution forboth•parthi:
if paying by:credit card,:please complete-the following:
WSA
R4ME
AS FriIPPEARS ON CRIDR-CAIR• -AURt JUZW0H SIGNATURE
-- -: .. '•• - iEKPIpATION DATE I 1 7 DIGTrAUTNQZATION CODEcRDCARD NUMBER,
='
•_ f Wil.-:_- _: 1. --- -- '�'-----•--
.INIPORTAN.T: Your:credit'card will be charged the day your registration fbim Areceh, Please include the bfX4_ ': •-
` 'Ing addresswhere the.rriontFily stuterrrent-is sent..
-ADDRESS•..' f CRY .I STATE LP coot:
PLEASE • • • TO: MOUNTAIN, :
SCAN • • ' • FORM ► •• • IDENTIFICATION • •' ' • • • i
OR MAIL REGISTRATION F •' OF IDENTIFICATION, AND PA • :.
EVERGREENMOUNTAIN, B• � • • i
BLACK BEAR LODGE NORTH
10999S.D'ixon Rd
Mount Carroll,IL 61053-
Phonez3609410280
jimkauber@thesitetr"aining.com
Email secured by Check Point
2
Black BearL odge North. .
10999 S Dixon:Rd.:
Mount.Carroll,4L 61053
www.blackbearlodgenorth.com
20.18
Registration Form ..
NAME CONTACT #':IN CHECK-IN . : CHECK-OUT 3 MEALS.@ Room Request
NUMBER/EMAIL PARTY DATE. DATE $55 er,da Single. Double Cabin
YesNo. $80 $5'0 $150:,(2)
. . . . . . . .
$2.75 3+
Greg:Dawson, gdawson@carmel.i 1 5/1/2018 5/4/2018, X X
n:gov 317=995- .- . .
8706 .
'The main lodge has.11.r.00m9,c6nfigured for. 2occupants.(bunk,beds) and 2 rooms configured.for.4-occupants (2 sets of bunk beds)::.
Clients can request one of the double occupancy:rooms:as a single for themselves:ai the.rate of,$80 per night or if you don't mind:rooming
with a friend�orfamily member;at the rate'of°$50 per person per:night There are 4 available:cabins, each':having a capacity for4
individuals. Cabinxatess are$150.per night for two or.$275.per night for.3=4 (per cabin,not-individual).
Check in time is between 5 =91'M. Please plan your.traveI accordingly: If you have to.arrive.later than,9:P.M,check the room:assignment
Todge layout board just inside the main lodge.entry.for your room/cabin.assignment.
Meal breakdown: 3 meals.per day$55.00. Breakfast$15.00;,Lunch $20.0,0, Dinner M.N.-
NOTE:
20:00:NOTE:Dinner will not be served on.the evening.preceding the first day of the scheduled training.
g
Please email com leted form to iimkauber@thesitetrainrn .com ,: .