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Home My WebLink About185363 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 354347 Page 1 of 1 ONE CIVIC SQUARE BRADY MYERS L 3 1' CHECK AMOUNT: $198.25 CARMEL, INDIANA 46032 CHECK NUMBER: 185363 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 43.25 GASOLINE 210 4357000 155.00 TRAINING SEMINARS r FO? OFF +GAL USE ONLY ATmDEE O N rR;1iSTM 1 7 r �i 7th Annual Conference May 2nd 41t iJ $100 ISOA Member J $10 "Steelyard Shoot" Match X $150 Non Member' J $25 Late Fee (MemberlNon Member) Total: 1 L .00 J $150 Glock Course Fee C Additional Banquet Tickets $25 each An application form must be submitted for each and every attendee FlRST NAME LAST NAME AGENCY ASSIGNMENT /RANK /TITLE I AGENCY ADDRESS CITY STATE' ZIP CODE `a^ I•�i a J 1� E4 1 MIILlNG ADDRESS (OTHER THAN AGENCY) CITY STATE ZIP ....� / E-MAIL ADDRESS v!'!'v'i f _CclrM„�.(...i.rA.._.' s._. ..�` I affirm that the above information is true and accrate. Further I authorize the Indiana SWAT Officers Association to contact fny employer and verify my employment and assignment, if necessary. SIGNATURE DA y I.'1 S IMPORTANT: Willu ttend/ the banquet? YES lJ NO Number of additional tickets requested: Federal Tax ID Number: 57 1177923 You are considered pre registered if your registration form' and payment (agency purchase order, check, credit card', DOJ voucher, or money order) are received prior to April 9, 2010. Any registration form received after April 9, 2010, will result in a $25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be purchased for $25.00 per ticket (limited quantity available). 'Registration fee includes: Attendance at Conference, vendor appreciation day, lunch and banquet dinner on Monday, May 3rd, and lunch on Tuesday, May 4th. *There will be a $3,00 additional processing fee for credit card payments If you are pre- registered and cancel prior to April 9, 2010, your registration fee will be refunded less a $50.00 ��VJJ administrative charge. No refunds will be issued after April 9, 2010. However, suitable substitutions will be allowed. If paying by credit card, please complete the following: n VISA J CREDIT CARD NUMBER EXPIRATION DATE i 3 DIGIT AUTHORIZATION CODE I NAME ON CREDIT CARD AUTHORIZATION SIGNATURE ADDRESS CITY :STATE ZIP CODE IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA. Please include the billing address where the monthly statement is sent. PLEASE CHECK: J FULL -TIME PART -TIME iJ RETIRED AUXILIARY /RESERVE LJ ACTIVE MILITARY IJ RESERVE MILITARY 0 l l O A I I ATTENDEE CONFERENCE CHOICES NAME: r S AGENCY:;.:- ;.Allay, 2nd 1000 to 1500 ISOA Steelyard Match 0 YES i will be participating NO I will not be participating if l?nday May 3`rd i Tuesday May 4th PRIORITIZE YOUR SELECTIONS 1 THROUGH 5 PRIORITIZE YOUR SELECTIONS 1 THROUGH 5 04 to .1To0 1 0904 t¢ -130Q o Physical Conflict Resolution Ce:r Krav Maga Worldwide a Tactical Respiratory Protection G; °a Active Shooter Movements Selection and Training ,o:, Iranian Embassy Seige (1980) Debrief Dynamic Room Clearance Tactics SMG Applications Q High Performance Pistol ?Ai.J.';:,rs Advanced Assault Tactics 0800 to 1700_', }i D #c_ 1800 ALS Tech. Chemical Mun. Instruct. f. -kr z ALS Tech. Diversionary Device Instruct. Emergency "Self -Aid" E<a Glock Armorer's Course ($150 Fee) "Multi- Breach Point Strategies r Edged Weapon Deployment 'Def -Tec NFDD Instructor Certification Close Protection for LE (VIP Details) ej), 'Def -Tec Less Lethal Instructor ft;;;ri;r,i, -r "Chemical Munitions Instructor Fr r,;al: Operational Overview Planning rr:PP41i The Sniper Program High Speed Tactical Shotgun t, i! TFTT 2 -Man Team Tactics TFTT 2 -Man Team Tactics };r, Rapid Deployment Pistol Operator Ballistic Shield Deployment iXht: �;d, 0: Tactical Casualty Management Tactical Casualty Management i ri;<; Explosive Breaching Explosive Breaching V, .i r Officer Down Rescue is ±ri rr, Urban Rifle Urban Rifle; CTS NFDD Instructor Certification 3#0 W11700 One Shot Sniper Seminar 7 !c9 Physical Conflict Resolution „1304 fn 1700 Active Shooter Movements Le5r?;'? Krav Maga Worldwide F "rr °;.crick era Dynamic Room Clearance Tactics j.n;', High Performance Pistol This form must be submitted with your Registration Form Please Note: Paul Howe's "Selection Training" on Monday, May 3rd and Phil Singleton's "Iranian Em- bassy Seige (1980) Debrief" on Tuesday, May 4th have no restrictions. All other courses, unless indi- cated with an above, are restricted to two (2) persons per agency. If there are additional openings after April 9th, we will do our best to accommodate your course preferences based on the order in which applications have been received. T Cq'y Q �TtiE{�� C CITY OF CARMEL Expense Report (required for all travel expenses) ��ti!OIANa EMPLOYEE NAME: Brady Myers DEPARTURE DATE: 5/2/2010 TIME: 5:00am AM/PM DEPARTMENT: Carmel Police RETURN DATE: 5/4/2010 TIME: 6pm AM/PM REASON FOR TRAVEL: SWAT Conference DESTINATION CITY: Ft. Wayne, IN 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 512110 $50.00 $5,0:0.0 5/3/10 $50.00$50,100 5/4/10 $43.25 $50.00 1I,�493125 40.':00 $0:.0.0 so $000 $0.00 $0:00 k $0,00 $0:00 $0A0 $O:OiO $0'00 'Woo -no. 0 ��x ht, oov x. Total$Q 00 ,E$0:00 :'..$000' 43 25 '',$0'00 $0:0 000 5 ,.$,0 00 .$0. "0;0 :150 00 N 0:00 DIRECTOR'S STATEMENT: I herebbX 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 4 ii fev ision Date 5/7/2010 Page 1 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER z 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 Brady R. Myers Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5110110 reimburse Sgt. Brddy Myers for meals parking and 193.25 g asoline while attenidng SWAT training on May 2 4 201.0 in Ft. Wayne, 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. ALLOWED 20 B rady R. Myers IN SUM OF 193.25 ON ACCOUNT OF APPROPRIATION FOR cont ed f un d p olice genera fund Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 210 570 155.00 bill(s) is (are) true and correct and that the 1110 314 43.25 materials or services itemized thereon for which charge is made were ordered and received except May 1.0 20 10 Signature Chief of POlice Title Cost distribution ledger classification if claim paid motor vehicle highway fund