186928 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00353043 Page 1 of 1
ONE CIVIC SQUARE SCOTT LONG CHECK AMOUNT: $163.48
s4�;r CARMEL, INDIANA 46032
CHECK NUMBER: 186928
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 163.48 TRAINING SEMINARS
+`,.'a 3s� tt dU k a k'd p Y x Y,.•f f S' r a^p.'n�}c s .k d _i M k t d. 8'.� y, .Yy.,r 1
r r• -F t m s sY"'„ s '„k• 7 ><ti' P v Ts F a. "xy"s� t ytd`§ "`��•ivs P A F v s: ti t a
+,f g •+4f...• {r tz� ..�.'a t- F'n,0..�,5 ��sr d' iJ .r3 rv� t ck�[.*� 5:
l o S�A� o 'i n '•Y1t'� s D 1 f a "'P i s 9 4 Fk 4 9 C+ �Ik k 7 'ba. rJ
4 x 'RCS P v c y 7..- i,,, ,r k y 9a �-�,;y .}.ar rc�r �o rY �su Rr tf+ 8E a.r-� c'�*'�`�d't,� a
K" t^'`, u� �a nd cr ?f F n+ a# �i?'",•^�
yr 0.3 h tk ��ars�'3 0. A> Shx». ar t7 4• .y n k �a�`�� �1 i a �axM"§k`�`O a�., i ,7 a x q��7
TR; n �y a �b r•Y� S�4fr ,t, Yy 1 �r t 3.
a.t3 w¢+` yi'�,.� sr. r ✓p. (^'i, ti x «r ex .s a 3
�i r fkr J. 25 ��0` a v t es''" d i u k y y' 'q .7 a
A GOA -It 0 V1G6Z
ya. b'� 4: y s a Sd °R a.'S p},. 5'✓»J` -'S s y�iC"""".«* x✓ t ydr r x ti
�'L 4 y d �'4 n ci a`.�k� 1 Y> �Y a y �r �e' r ✓t a 1 f �L i� �„f .R1, �5 i ri
"'W ;n i 'ak d.' (S f S` C JI i k t f i .�,3# t
8. y �YLa aY a 9 m.."'� r. 41� .t��5 r t I�J, s•+� e� 4 e k' x "i v �ki�, h.'..a 3 1� �'?i
31 �'u.. 1 Fi da 75 ��a�.r r 4 F'�lr� ripQ. r8� SY•� i� .,z r ��K t zjr
m r �9��.�'7. �',,y +t a�;W a a. �w,.'�, e�+'�" n,�a�.��,"'trF°'.���` •N� 3 f t� s., �r� r �4, 5
.t ��s i •h a! a..�, •...r as ..'r t. L c M 74 e .r r rk ro
•11
s :1
11
11
Re.c istration Form Page 2 of 2
P
E -mail Address slong @carmel.in.gov
BILLING INFORMATION(check one box only)
Paid with Personal Check Paid with Agency Check
Bill Agency Using PO#
Bill to Master card or visa Card Expiration
This authorizes Team One Network to submit a bill for payment, for all specified fees related to the training and education of the student listed above.
Cancellation Policy
Ail cancellations must be made two weeks prior to beginning of course. A full tuition penalty is charged for unattended courses cancelled less than two weeks
prior to course start date. Tuition is refundable before the two week period less a $100 administrative fee.
Team One Network reserves the right to cancel classes in the event of insufficient enrollment. If this class cancels, you will be notified prior to the class start
date. All fees will be reimbursed.
How did you hear about Team One Network?
Google Search
Magazine Advertisement
Friend or colleague Told Me
Other
Submit Reset
https: secure. netsoIhost. com/ teamonenetwork. com /teamoneFCgistrationform.htmi 2/15/2010
,i
111 06 -02 -10
Scott Long Folio No. Room No. 221
3 Civic Square AIR Number Arrival 06 -01 -10
Carmel, IN 46032 Group Code Departure 06 -02 -10
us Company Passing thru Conf. No. 63218045
Membership No. Rate Code IMSTI
Invoice No. Page No. 1 of 1
Date I Description I Charges I Credits
06 -01 -10 Room Accommodation 79.00
06 -01 -10 State Tax Room 5.53
06 -01 -10 Occupancy Room Tax 3.95
Total 88.48 0.00
Balance 88.48
Guest Signature:
I have received the goods and or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held
personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If
a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.
Holiday Inn Express Gas City Indiana
4914 Beaner Blvd
Gas City, Indiana
Telephone: (765) 674 -6664 Fax: (765) 674 -6661
OF Cggy
X
F
CITY OF CARMEL Expense Report (required for all travel expenses)
��M01 AN P
EMPLOYEE NAME: Scott Long DEPARTURE DATE: 6/1/2010 TIME: 20:00 AM l
DEPARTMENT: Carmel Police Department RETURN DATE: 6/2/2010 TIME: 20:00 A III�
REASON FOR TRAVEL: SWAT Less Leathal Certification DESTINATION CITY: Hartford City, In
EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN PER DIEM x
Transportation Gas/Tolls/ Meals
Date Lodging Misc Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diemf
6/1110 $25.00 x$25.0,0
6/1110 $88.48 `:$88:48
6/2110 $50.00;$50:0,0
s.`. $000
$0:00
§ff"$0
$0 00
t o 4 $o.00
o
0.00
a;$0oa
m.$:O:oo
5 9 0
10 WO
=w$o:oo
$0:00
0:00
$ozoo d,$o:oo $s8x $0 00u$o:oa ::,$o_ oo .$o:oo x$75 00 o 00
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: I> Date: /P
City of Carmel Form ER06 Revision Date 6/9/2010 Page 1
Prescribed by State Board of Accounts City Form No. 261 (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
Scott D. Long Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/14/10 reimburse Officer Scott Long for meals and lodging 163.48
attending the Sage Less Lethal Ordance System
Instructor school on June 1 2 2010 in Hartford
City, 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 a
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
S cott D. Long IN SUM OF
163.48
ON ACCOUNT OF APPROPRIATION FOR
c ont ed fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 570 163.48.; 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
June 1.4 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund