189796 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364690 Page 1 of 1
0 ONE CIVIC SQUARE GLOBAL RISK INNOVATIONS CHECK AMOUNT: $1,840.00
s r CARMEL, INDIANA 46032 PO BOX 534642
ATLANTA GA 30353 -4642 CHECK NUMBER: 189796
CHECK DATE: 9/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 26902683 1,840.00 EXTERNAL INSTRUCT FEE
Brunacini's Hazard Zone Management Conference RegOnline Page 1 of 2
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If you have requested payment via Purchase Order. Please print this invoice and W9 form, insert your PO# and process for
payment.
Checks should be make payable to:
Global Risk Innovations Inc.
PO Box 534642
Atlanta, GA 30353 -4642
Federal Tax ID #68- 0680293
Download the W9 form to provide to your Accounts Payable Dept. here: W9 F orm
Invoice
Registration ID: 26902683
Registration 8/30/2010
Date:
Invoice Date: 8/30/2010
Issued By: Global Risk Innovations
Federal Tax ID #68- 0680293
Event: Brunacini's Hazard Zone Management Conference
Date /Time: Monday, October 18, 2010 8:00 AM Wednesday, October 20, 2010 12:00 PM (Eastern
Time)
Registrants
R egistration Name Company /Organization Type
26902683 Mr. Steven Fr ye Carmel Fire Department Full Registration
26903416 M Adam Harrin Carmel Fire Department Full Registration
26903481 Mr. Jim Buttler Carmel Fire Department Full Regi
26903612 Mr. Jim Tone Carmel Fire Department Full Registration
https: /www.regonline.ca /register /invoice. aspx ?EventId= 851944 &AttendeeLd= LdDyd9RC3 gEYPF... 9/2/201.0
Brunacini's Hazard Zone Management Conference RegOnline. Page 2 of 2
Billing Information
Steven Frye
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
United States
317 -571 -2606
sfrye @carmel.in.gov
Fee Summa
Fee Quantity Unit Price Amount
Full Re istr Event Fee 4 $460.00 _$1,840.00
Subtotal: $1,840.00
Total: $1,840.00
our total includes a group discount savings of $100.00.
Transaction Summa
Transaction Type Date Amount Balance
Transacti Amo unt 8/30/2010 $1,840.00 $1,840.00
Current Balance: $1
Payment Information
Payment Method: P.O.
PO Number: 2010 -4506
Payment Full Registration Only: $485.00 USD
Instructions: ALL REGISTRATIONS INCLUDE THE BLUE CARD COMMAND CERTIFICATION
PROGRAM 50 HOUR ONLINE COURSE
Payment methods accepted:
Credit Card:
Visa, MasterCard, American Express
Other:
Purchase Order (have PO# available for registration process)
Print our W9 fo rm to provide to your Accounts Payable Dept.
Payments should be made to:
Global Risk Innovations
PO Box 534642, Atlanta, GA 30353 -4642
Fed. Tax ID #68- 0680293
Refund Information
No refunds after October 1st, 2010
1
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https: /www.regonline.ca/ register /invoice.aspx ?EventId= 851944 &Attendeeld= LdDyd9RC3 gEYPF... 9/2/2010
VOUCHER NO. WARRANT NO.
ALLOWED 20
Global R_ isk Innovations
IN SUM OF
P.O. Box 543642
Atlanta, GA 30353
$1,840.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 26902683 43- 570.04 $1,840.00 1 hereby certify that the attached invoice(s), or
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
SEP 13 2010
0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
26902683 $1,840.00
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