183833 03/29/2010 voided CITY OF CARMEL, INDIANA VENDOR: 354557 Page 1 of 1
ONE CIVIC SQUARE HOLIDAY INN EXPRESS LAWRENCEBENECK AMOUNT: $1,175.85
CARMEL, INDIANA 46032 765 W EADS PARKWAY
LAWRENCEBERGIN 47025 CHECK NUMBER: 183833
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 1,175.85 TRAINING SEMINARS
INVOICE
Date: March 25, 2010
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Payment for lodging for Scott Moore, Troy Smith, Katy Malloy and Dave Kinyon on
September 12 17, 2010 in Lawrenceburg, IN
Confirmation #63195435
Room Rate Tax. Total
$69.99 $8.40 $78.39 x 5 $391.95 Moore
$69.99 $8.40 $78.39 x 5 $391.95 —Malloy
$69.99 $8.40 $78.39 x 5 $391.95 Smith
TOTAL DUE: $1,175.85
Please make check payable to:
Holiday Inn Express
765 Eads Parkway, US 50
Lawrenceburg, IN 47025
2010 INDIANA NAPWDA STATE WORKSHOP
September 13 -17, 2010
REGISTRATION FORM (PLEASE PRINT LEGIBLE)
NAME: tAQC V I Aqt)
HOME ADDRESS: 3 C t d tL St�UA�t�
CITY: CAP- I�I�E� STATE -T-A ZIP CODE 403
E Mail \1 oh (3 C eM-4 -k .,th h nJ
AGENCY CR►� Po U CE DEPT
AGENCY ADDRESS 3 N le. A �R
CITY CRNNI L STATE ZIP CODE ybD3Z
WORK PHONE C3L 5 I Z'�fO 0 HOME PHONE
CURRENT NAPWDA Member? Yes No
K9 BREED SN-*PAV?-C� K9 NAME 1 1. K9 AGE
TYPE OF K9:
PATROL NARCOTICS DUAL PURPOSE
EXPLOSIVES SAR
K9'S WORKING ABILITY:
BEGINNER INTERMEDIATE ADVANCED
HANDLER'S ABILITY:
BEGINNER INTERMEDIATE ADVANCED
PURPOSE OF ATTENDING WORKSHOP:
TRAINING
CERTIFICATION (NEW) CERTIFICATION (RENEWAL)
If Certifying: areas of certification you will be
attempting:
T -SHIRT SIZE:, (Additional Shirts will be for sale at workshop)
Will you be attending the Hog Roast Sept. 16 If so, how many will be
attending, including yourself?
2010 INDIANA NAPWDA STATE WORKSHOP
September 13 17, 2010
REGISTRATION FORM (PLEASE PRINT LEGIBLE)
NAME:
DOME ADDRESS: C 1G 'QQ�,k�t
CITY: CMMa- STATE Z�A ZIP CODE 3Z
E Mail
AGENCY CIS KMEL
AGENCYADDRESS C 1JIC �y
CITY CN?-M� STATE ZIP CODE bo3Z
WORK PRONE 3( L"1 )S� ZSao HOME PRONE
CURRENT NA FDA Member? Yes No
I{9 BREED S� d K9 NAME irk Cj K9 AGE
TYPE OF K9:
PATROL NARCOTICS DUAL PURPOSE
EXPLOSIVES SAR
D9'S WORDING ABILITY:
BEGINNER INTERMEDIATE ADVANCED
HANDLER'S ABILITY:
BEGINNER INTERMEDIATE ADVANCED
PURPOSE OF ATTENDING WORKSHOP:
TRAINING
CERTIFICATION (NEW) CERTIFICATION (RENEWAL)
If Certifying: areas of certification you will be
attempting:
T -SHIRT SIZE: (Additional Shirts will be for sale at workshop)
Will you be attending the Hog Roast Sept. 16 If so, how many will be
attending, including yourself
:r 2010 INDIANA NAPWDA STATE WORKSHOP
September 13 -17, 2010
REGISTRATION FORM (PLEASE PRINT LEGIBLE)
NAME: oy b M `TA
HOME ADDRESS: ZS 'L H RIB`
CITY: STATE tJ ZIP CODE -41-0 0 3D
E Mail Srvl t 5 S a C- brn
AGENCY CA RME L PD -ICE bEP T.
AGENCY ADDRESS CIVI SQ u k E�
CITY LAZMEL STATE ate ZIP CODE 03 Z
WORK PHONE C3 61' 2500 DOME PHONE 1 S o
CURRENT NAPWDA Member? Yes �C No
K9 BREED S k N CKD K9 NAME 6 F- t4 K9 AGE 3
TYPE OF K9:
PATROL NARCOTICS DUAL, PURPOSE
EXPLOSIVES SAR
K9 WORKING ABILITY:
BEGINNER INTERMEDIATE ZADVANCED
HANDLER'S ABILITY:
BEGINNER INTERMEDIATE ADVANCED
PURPOSE OF ATTENDING WORKSHOP:
TRAINING X
CERTIFICATION (NEW) CERTIFICATION (RENEWAL)
If Certifying: areas of certification you will be
attempting:
T- SH11RT SIZE: L (Additional Shirts will be for sale at workshop)
Will you be attending the Hog Roast Sept. 16` If so, how many will be
attending, including yourself?
2010 INDIANA NAPWDA STATE WORKSHOP
September 13 17, 2010
REGISTRAT h ION FORM (PLEASE PRINT LEGIBLE)
NAME:
HOME ADDRESS: WCJS r
CITY: W �.5t kij STATE ZIP CODE a7
E Mail C
AGENCY �aVIM I
AGENCY ADDRESS 3 Ct y i' L J
CITY 6ymd STATE ZIP CODE Y66.3Z
WORK PHONE (EJ T OU HOME PHONE
CURRENT NAPWDA Member? Yes No
K9 BREED S K9 NAME K9 AGE_
TYPE OF K9:
PATROL NARCOTICS DUAL PURPOSE
EXPLOSIVES SAR
K9 WORKING ABILITY:
BEGINNER INTERMEDIATE ADVANCED
HANDLER'S ABILITY:
BEGINNER INTERMEDIATE ADVANCED
PURPOSE F ATTENDING WORKSHOP:
TRAINING
CERTIFICATION (NEW) CERTIFICATION (RENEWAL)
If Certifying: areas of certification you will be
attempting: P&CA
T -SHIRT SIZE (Additional Shirts will be for sale at workshop)
Will you be attending the Hog Roast Sept. 16 If so, how many will be
attending, including yourself?
Prescribed by State Board of Accounts City Form No_ 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Holiday Inn express Purchase Order No.
765 Eads Parkway, US 50 Terms
Lawrenceburg, IN 47025 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/25/10 payment for lodging for Officer Scott Moore Officer 1,175.85
Troy Smith, Officer Katy Malloy and Officer Dave
Kin on while attending the Indiana NAPWDA State
Workshop on September 13 17 2010 in Lawrencebur
IN
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
d
ALLOWED 20
H oliday Inn Express IN SUM OF
765 Eads Parkway, US 50
Lawrenceburg, IN 47025
1,175.85
ON ACCOUNT OF APPROPRIATION FOR
c ont :�edufund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 1,175.85 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
March 25 2 0 10
Signature
Chief of P61ice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund