The URL can be used to link to this page

Home My WebLink About188326 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 100000 Page 1 of 1 ONE CIVIC SQUARE DWIGHT D FROST CARMEL, INDIANA 46032 CHECK NUMBER: 188326 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 113.00 GASOLINE 1110 4237000 14.89 REPAIR PARTS 210 4357000 442.15 TRAINING SEMINARS SUPER 8 RICHFIELD 4845 BRECKSVILLE ROAD RICHFIELD, OH 44286 US Phone:330- 659 -6888 Fax: 330-659-6857 Email: super8richfield @gmail.com Printed: 7/19/2010 8:43:44 AM F® Detailed) Name: DWIGHT, FROST Confirmation Number: 59464572 Account Number: 093 103692 Address: CARMEL POLICE CARMEL, IN 46032 US Room: 305 Room Type: NQQ1, 2 QUEENS NSMK Nights: 1 Guests: 2/0 Rate Plan: RACK Daily Rate: $40.00 $6.00 Tax GTD: CA CASH Arrival: 7/18/2010 (Sun) Departure: 7/19/2010 (Mon) Room Rate: 7/18/2010 (Sun) 7/18/2010 (Sun) $40.00 $6.00 Tax per night. Date Code Description Amount Balance 7/18/2010 CA CASH ($46.00) ($46.00) 7/18/2010 RM ROOM CHARGE $40,00 ($6.00) 711812010 TAXI LOCALTAX $1.20 ($4.80) 7/18/2010 TAX2 COUNTY TAX $2.20 ($2.60) 7/18/2010 TAX3 STATE TAX $2.60 $0.00 Summary Room Tax F &B Other CC Cash DB $40.00 $6.00 $0.00 $0.00 $0.00 ($46,00) $0.00 By signing below, I agree to these terms and conditions. Guest Signature: (1) Regardless of charge instructions, the undersigned acknowledges the above as personal indebtedness. (2) This property is privately owned and management reserves the right to refuse services to any one, and will not be responsible for injury or accidents to guests or loss of money, jewelry or any personal valuables of any kind. "We or our affiliates may contact you about goods and services unless you call 888- 946 -4283 or write to Opt Out/Privacy, Wyndham Hotel Group, LLC, 22 Sylvan Way, Parsippany, N1 07054 to opt out. View our website about privacy." 3 em t1N a 001 Ftv 2008 F ACTORY SC H O OL R EGISTRATioN FO RM Please complete ALL information for each attending student Print legibly Registration: To tentatively reserve your seat this registration form must be completed and mailed or faxed to Remington Arms Company, Inc., and the Host Agency (fax number can be found et www.remingtorle com J. Tuition must be paid in full in order to guarantee a seat in the class. This form may be reproduced as necessary; however, a separate copy is required for each attending student. Course Dates Requested:, �v 2 0 f�2 3 d Student's Full Name: bi 1, f it c9 S "`Please provi a valid email address as Confirmation will be sent via Email. Email: c jj r-o S 4 _L rrn, l. I n q0 PROFESSIONAL INFORMA DeptiRgency Name: r-r e- Malting Address: a City: C.Q ote /Province: Zip /Postal Code:. Valid Work Phone: S 7l- 9 Occupati q 1 r o u z P AYMENT $7Z5,00 ALL PAYMENTS MUST BE RECEIVED 45 DAMS PRIOR TO CLASS LATE PAYMENTS I REFUNDS: Requests for refunds must be submitted in writing no less than 30 days prior to scheduled class. There will be a S100.00 administration fee for any cancellations received less than 30 days prior to the scheduled class. Failure to show for the scheduled class will result in a charge for the entire tuition, Payments received less than 45 days prior to class will result in a late payment fee of $50.00 Students must attend the entire course and payment must be received in order for the Student to receive his/her Certificate, C RED rr CARD CHECK ENCLOSED 0 E LECTRONIC Fl1NDS TRANSFER Billing Address (if different from Dept mailing address Name on Card: Type of Card: Card Number: Card Expiration: Purchase Order Number: 4(1319 Authorization for Student to Attend Armorers Course and Guarantee Payment- Print Name Signature *REGISTRATION FORMS MUST BE FAXED TO BOTH REMINGTON 315- 895 -3661 TH H AGENCY ALL CORRESPONDENCE AND PURCHASE ORDERS, SHOULD BR SENT TO: Remington Arms Co., Inc., Attn: LETrgDiv 14 Hoefler Avenue Phone: 315- 895 -3352 Ilion, New York 13357 Fax: 315 -895 -3661 Payment Terms: All payments are to be in US Funds payable at least 45 days in advance to: Remington Arms Co., Inc., P.O. Box 503810, St Louis, MO, 63150 -3810 Remington's Tax ID #51- 0350935 V xs�rkyi C CITY OF CARMEL Expense Report (required for all travel expenses) 'JN01 pNP.. EMPLOYEE NAME: Dwight Frost DEPARTURE DATE: 7/18/2010 TIME: 4 AM E DEPARTMENT: Carmel Police RETURN DATE: 712412010 TIME: 1 AM REASON FOR TRAVEL: Training DESTINATION CITY: Ilion NY EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL_ REIMBURSEMEN TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Totaf Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem 7118110 $3.00 $46.00 $32.50 $81.50 7119/10 $65.00 $65.00 7/20110 $65.00 ,.$65. 00 7/21110 $55.01 $65.00 (344 7/22/10 $65.00 '$6 7/23110 $61.14 $65.00 $126.14 7124110 $32.50 $32.50 $0.00 $9.00 $0 :00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Yofal $0:00 $'119.15 $46:00 $0.00 $0A0 so.00 $0.00 $390:00 J 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: D ,.City of Carmel Form ER06 Revision Date 7/26/2010 Page 1 Prescribed by Stale Board otACCOUnts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev- 1995) CITY OF CARMEL 4. 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 Dwight D. Frost Purchase Order No. Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) 7/29/10 reimburse Lt. Dwight Frost for lodging, meals tolls 570.04 and gasoline while attending the Remington Arms Factory School on July 20 23, 2010 in Ilion NY:? 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 Dwight D. Frost IN SUM OF 570.04 ON ACCOUNT OF APPROPRIATION FOR police general fund cont ed fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 314 113.00 bill(s) is (are) true and correct and that the 1110 370 14.89 materials or services itemized thereon for 210 570 442.15 which charge is made were ordered and received except July 29 2 0 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund