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HomeMy WebLinkAbout184585 04/15/2010 �w CITY OF CARMFL, INDIANA VENDOR: 355078 Page 1 of 1 ONE CIVIC SQUARE RYAN JELLISON CHECK AMOUNT: $327.00 CARMEL, INDIANA 46032 CHECK NUMBER: 184585 CHECK DATE: 411512010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 210 4357000 327.00 TRAINING SEMINARS G` c Q RT t NEgp CITY OF CARMEL Expense Report (required for all travel expenses) i WO" i EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 3/24/2010 TIME: 830 AM PM DEPARTMENT: Carmel Police RETURN DATE: 3/28/2010 TIME: 1800 AM PM REASON FOR TRAVEL: Training DESTINATION CITY: Fayetteville, NC EXPENSES ARE FOR (check ail that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Transportation Gas/Tolls! Meals Date Parkin Lodging Misc. Total- Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 3/24/10 $65.00 ;:$65.06 3/25/10 $65.00 16,5:00 3/26/10 $65.00 465.00 3/27/10 $65.00 77, 3/28/10 $2.00 $65.00 $67.00 $0.00 $0:00 $0.00 $0.00 $0.00 :.:$0.00 $a.ao $0.00 $0.00 $o:oa $0.00 $0:00 `$0:00 $0:oa $0.00 0.00 Total $0:00 $0:00. $0x00 $2.001.', $0 00 $0.00 $0.00 $0 a0 $o oa ,$325:00 $o ao t DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 3/31/2010 Page 1 "v"I K" "I N G T I CS"' I P C CERTIFICATE OF COMPLETION AWARDED TO: 4y-an Jellls ®n for sccess3fully completing the: �Vi gf- Tactief Nigf Fighter Course urS ys quay- Varina., NC 25 -27 March, 2010 -f! Kyle E—Lamb, President t�s Viking Tactics, Inc. www. Vi kingTacties.com OEM t Viking Tactics, Inc. 3725 Heatherbrooke Drive Fayetteville, NC 28306 -9718 PHQNE: (910) 987 -5983 FAX: (910) 425 -0700 www.VIKINGTACTICS.COM Registratio an for Tra ininc� Viking Tactics, Inc. Team VTAC, Inc. IN ACCORDANCE WITH ITAR REGULATIONS, ONLY U.S. CITIZENS WILL BE ACCEPTED TO PARTICIPATE IN VTAC COURSES First Name i`-►ar. MI Last Name Email Address; r. �1\ S a,� w' ct_ r- Date of Birth: Age: Home Address: S 5 ��s a r City: State _Z7- Zip Lia La_ Occupation: P; iz o7 -e p_. Military or LE Affiliation: R ank: '2. _f Work Address: 3 C. v ST e-. City: t State :V— Zip IU u Home Phone 722 Work Phone: 5' 7 Former Student: f No If yes, provide prior dates: _1. C r -/0 Weapon Information, If Civilian, Pistol License Number, State of Issuance and Expiration Dale: Primary Weapon Type add Caliber: i� r� G' Z• Z Pistol License Number: Secondary Weapon Type and Caliber: State of Issues Expiration. Date: COURSE.DATE:. 111< :3 2"? COURSE NAME, �j� f T� Pre Requisites MetLY'O No Eme €gencyName: 1 tzt 4 V Tc__ 6 s Emergency Phone: r 7 7`f(, �'9 LE1Military Only Courses: Must include credentials verifying;active LE status or active Military ID. An application without one of the options below will be rejected. There are NO exceptions. VTAC reserves the absolute right to refuse training for any reason whatsoever to any applicant. Submission of this application indicate's,your Giber understanding of'this requirement. Credentialing Policy: VTAC has a strict credentialing 'policy. A photocopy or completion of ONE of the following options should accompany your application, LE/Military: Select one of the following options. c Certificate of Good Conduct (from your local Police Departmer) "ti Active Duty Police Id; Police Dept/Unit L e r n-- c r 1 u C Badge 1 r v G Active Duty Military; (No ID copy required) Unit Branch of Service If Civilian Provide Either: r PistokLicerise No. (any state) or'CCW Permit No. Exp. Date— State of Issue A current copy a Criminal Record History, Check from your state of residence within twelve (12) months of training course date showing no criminal activity. Payment Information: SEE VTAC INSTRUCTION PAGE AND FAQ PAGE FOR UPDATED INFORMATION A deposit is required fo reserve your:seat. Refer loathe Course. Announcement'for the amount. y Course Cancellation Policy: We require the full tuition up` front to reserve your slot. If you cancel outside`of 30 days, we will refund 100% of your tuition. If you cancel inside;o.f 30 days, and we cannot fill your slot, We retain 50% of your tuition. Deposit is waived for PO remittances.and Mil Orders. Payment method; Check Purchase Order Credit Card Amount (add 5% to course fee) If paying by credit card` MAKE CHECKS PAYABLE TO: Viking Tactics, Inc. (Note an additional 5% will be added to course fee for processing CC payments)" Send Payments to: Payment Information; Viking Tactics, Inc. Name on Credit Card: 3725 Heatherbrooke Drive Credit Card Number: Fayetteville, NC 28306 Expiration Date of Card: Code: of CAq�F� CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 3/24/2010 TIME: 830 AM PM DEPARTMENT: Carmel Police RETURN DATE: 3/28/2010 TIME: 1800 AM/PM REASON FOR TRAVEL: Training DESTINATION CITY: Fayetteville, NC EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM X Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 3/24110 $65.00 3/25/10 $65.00 445:00 3126110 $65.00 3/27110 $65.00 $f 5.00 3128/10 $2.00 $65.00 W ...$67.,00 ;$0;00 $0 00 0.0 ry.. $0 x "$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 0.0 Total $0 0© $0 00 $0:00 $2:00 $o.00 R$0, 00 $q.:0o $o:oo $0:00 ;`:$325.00 $O :oU i DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 3/31/2010 Page 1 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 R yan D. Jellison Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/1/10 reimburse Sgt. Ran Jellison for meals and tolls 327.00 while attending Night Fighter training on March 25 27, 2010 in Fayetteville, NC 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. ALLOWED 20 R yan D Jellison IN SUM OF 327.00 ON ACCOUNT OF APPROPRIATION FOR cont e fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT_ I hereby certify that the attached invoice(s), or 21.0 570 327.00 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 April 1 20 10 Signature Chief of POlice Title Cost distribution ledger classification if claim paid motor vehicle highway fund