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Home My WebLink About191544 11/10/2010 c, f CITY OF CARMEL, INDIANA VENDOR: 00352795 Page 1 of 1 0 ONE CIVIC SQUARE AVIS RENT A CAR SYSTEMS INC CHECK AMOUNT: $295.16 %a CARMEL, INDIANA 46032 7876 COLLECTIONS CENTER DRIVE a4 ACCTAV67677 -00- 0000 -5 CHECK NUMBER: 191544 CHICAGO IL 60693 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4343002 U175633496 295.16 EXTERNAL TRAINING TRA AV/S. AVIS AVIS. CENT_ RAL BILLING STATEMENT STATEMENTDATE: 31OCT10 ACCOUNTNUMBER: AV67677- 00- 000,0 -5. BELOW IS SUMMARY OF ALL UNPAID INVOICES 295.16 31OCT10` PREVIOUS BALANCE: 504.77 CITY OF CARMEL :CURRENTCHARGES 295 CINDY SHEEKS CURRENT ADJUSTMENTS ONE CIVIC SQUARE PAYMENTS RECEIVED CARMEL IN 46032 THRU 31 T10 50 A._7_'L— TOTAL AMOUNT DUE 2 9 _5_ -1 E_ DV CARD# i RENTAL NUMBER NAME'. LREFERENCE I RENTAL LOCATION DATE i I 03 99985 j 0175633496 BRANDT,GARY !ORLANDO APO OIOCT10 j i i 03 99985 j U454540343 GRIFFIN,TIMOTHY ANEW HAVEN APO C 18SEP10 250CTIO i i i I 3 *WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION *TO THE BUSINESS COMMUNITY BY SHARING OUR *ACCOUNTS RECEIVABLE INFORMATION WITH DUN AND *BRADS iTREET.*******! *a I i i i i i i I I j i I I SI/I N SIAd SIAV PLEASE WRITE THE RENTAL AGREEMENT NUMBER ON ALL CORRESPONDENCE AND NOTE ANY COMMENTS A v is 1 vo i d ON THIS DOCUMENT. RENTAL AGREEMENT NUMBER: U 17 5 6 3 3: 9 6 FOR BILLING ENQUIRIES: 1-800-959-3300. 3.1 O C.T.1.o RENTED 2 6 SEP 10 14:14 AT:ORLANDO APO FL VEHICLE DATES GP MILES OUT MILES IN DRIVEN RETURNED: 01OCT10 /11:42 AT:ORLANDO APO FL GRY HYUN SONA 4DR E 4804 4868 64 DUE IN: OIOCT10 /15:00 AT:ORLANDO APO FL FL S241UC RENTED BY: RENTAL DETAILS CHARGES BRANDT,GARY ICARMEL FIRE DEPT 120 ONE CIVIC SQUARE 5 DAYS GP E CAR 45.00 PER DAY 225.00 CARMEL IN 46032 NET TIME AND MILEAGE 225.00 CUSTOMER FACILITATION CHARGES 12.50 STATE SURCHARGE 10.00 TIRE AND BATTERY SURCHARGE 0.10 REGISTRATION FEE 3.90 WIZ ENERGY RECOVERY FEE 0.50 PER DAY 2.50 {/ACCOUNT AV67677 -03- 9998 -5 AIRPORT CONCESSION FEE 10.00% 23.15 CREDIT ID# TAXES 6.50% ON 277.15 18.01 Q AWD L8640041 COST CONTROL TOTAL CHARGES USD 295.16 VOUCHER RES 26528721US2 RATE: AD ARC LOCAL PHQNE 317.571.2600 FREO.TRVL DRIVER LICENSE TAXABLE ITEMS RENTAL AGREEMENT NUMBER U175633496 Q PAYMENT DUE UPON RECEIPT. USD 295.16 .l Reservation Phone Number: 1- 800 -627 -8258 Reservation Fax: 407 996 -9119 ZA 9700 International Drive, Orlando, Florida 32819 -8122 http: /iwww. RosenPlaza.com PLEASE VERIFY ALL INFORMATION FOR ACCURACY Guest Information: Room Total 17"1e Stay Rate RH1e GARY BRANDT $675.00 Surcharge Sunday, September 26, 2010 $135.00 CARMEL, iN 46032 USA Taxes Monday, September 27, 2010 $135.00 Tuesday, September 28, 2010 $135.00 Wednesday, September 29, 2010 $135.00 Thursday, September 30, 2010 $135.00 Home Phone: 3178482487 Email Address: gbrandt @carmel.in.gov r N,R,• gyp..; 3 k. Aw ACCOtuINIODATIONS REQUESTp Printed Oil: Thursday, Au ust26 2010 r'^.AUSSOCIADED,WIT ti Hf 7 777 77,73 -t S-u" ARRI,VAL DATE;.F ®EPART GATE #GUEST s GONFIRMATION a �,x' p, x. w•c ,?re 09126/2010 1010112010 2 RR5C184A FDSOA 2010 Annual Meeting 1 All rates are exclusive of 12.5% tax and 1% OCCCD Surcharge Stay Summary: of Rms GTD: YES MAST information that you will need to know King Beds, Connecting rooms, specific locations, and other special requests noted on your reservation are not guaranteed. Rest assured every effort will be made to meet your needs. Rosen Plaza is a smoke -free facility including all guest rooms, restaurants, lounges, meeting rooms and public spaces. Designated smoking areas are available outside of the Hotel. The Hotel will apply a $350 cleaning fee for guests who disregard this policy. All approved major credit 8 debit cards will be accepted. Please note an authorization of one night's room and tax will be taken on your card five days prior to your arrival date_ Debit Canis will show a debit in your account at this time. Any reservation with a declining credit or debit card will be subject to cancellation. In the event that you do not arrive on your requested arrival date listed above, the card given at the time of booking will be charged one night's room and tax, The Hotel has an agreement with the Orange County Convention Center (OCCC) and other properties in the Orange County Convention Center District (OCCCD) to pay one percent of the room rate as a surcharge (not subject to tax exemption). The OCCCD I% surcharge shall be used to promote the Orange County Convention Center and tourist services in the vicinity of the Orange County Convention 5 Day Cancellation Policy This reservation most be cancelled at least 5,days' prior to arrival in order to avoid_d cancellation charge. Dine Where Celebrities Hanor So o ,Second Entree with the purchase of fine adult entree of P P CE equal or greater value Enjoy great steaks fresh seatood surrounded by the world's largest collection of autographed celebrity caricatures Open Niglitly at 5:30 p.tw Reservations 407 -996 -1787 Not Valid with any other offers The Brad Brewer Academy is Here for Your Game! 407 996-3306 www,bradbrewer.com info_@bradbrewer.com Please be aware that there are two Rosen Hotels adjacent to the Orange County Convention Center. The Rosen PLAZA is at 9700 International Drive and the Rosen CENTRE is at 9840 international Drive. Your reservation is at the ROSEN PLAZA. I I IH�'Atom v i �J {4J.�.r i CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 24111' ONE CIVIC SQUARE CARMEL, INDIANA 46032 -2584 THIS NUMBER MUST APPEAR ON INVOICES. FORM APPROVED By STATE BOAR OF ACCOUNTS FOR CITY OF CARMEL 1997 VOUCHER, DEL AND MEMO. PACKING EN SHIPPING LABEL5:4n10 ANY CpRRESPONDEN RCHASE ORDER DATE DATE REOUIRED REQUISITION NO, VENDOR NO, DESCRIPTION 8127MIO FDSOA Cannel Fire Department ENDOR SHIP 2 Civic Square TO P.O. Box 149 Carmel, IN 46032 Ashland, MA 01721 (317).5712622 wFraMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-6 670.04 2 Each Register Conferences $605.00 $1,210.00 Sub Total: $1..210.00 t A X N. F u VN ill,; end Invoice To: Carmel Fire Department 2 Civic Square Carmel, IN 460;32 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Fire Department PAYMENT j vo.00 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDE C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY:? PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE `C AND ACTS AMENDATORY THEREOF AND SUPPLE THERETO. CLERK- TREASURER IOCUMENT CONTROL NO. VENDOR COPY Registration F orm (Register online at www.fdsoa.org) FDSOA Annual Safety Forum Pre- Registration Required NOTE: Use one registration form per person photocopies accepted. Please return completed form, with payment in U.S. funds, to FDSOA, P.O. Box 149, Ashland, MA 01721 -0149. Make checks payable to FDSOA. Save time register online at: http: /www.fdsoa.org. Name: Z y Y t'a rrG' Nickname: Title: G- Agency: -,ter rrc, a� -7 7 7 Address: City: .--N State: J✓ Zip: Day Time Phone: 3 17 i 2, 02 FAX: i 7 7 26" Cell Phone: 5 e/l 6 1 Vii' 66 Email: Conference Registration Fees Member Non Member Amount Safety Forum Only $325.00 $425.00 Safety Forum ISO Academy $425.00 $525.00 [j Safety Forum HSO Academy $425.00 $525.00 ISO Academy Only $200.00 $300.00 HSO Academy Only $200.00 $300.00 ISO Certification Exam 95.00 $195.00 �5 HSO Certification Exam 95.00 $195.00 X FDSOA Individual Membership Dues (Join now to take advantage of the member rate) 85.00 TOTAL AMOUNT DUE $�bos ,mac Payment. Information: (U.S. Funds, drawn on U.S. Bank) Enclosed is a check payable to FDSOA ETEnclosed is an official Purchase Order MasterCard visa Card Number: Expiration Date: Card Holder Signature: Date: Card Holder Name: (Please Print) Cancellations: Cancellations must be made in writing and sent to FDSOA, P. O. Box 149, Ashland, MA 01721 -0149. If received 30 days prior, 75% of Forum Registration only will be refunded; 7 -29 days prior, 50% of Forum Registration only will be refunded. Less than 7 days, no refund is possible. FDSOA Non- Profit Org, P. O. Box 149 U.S. POSTAGE Ashland, MA 01721 -0149 PAID Permit No. 125 Ashland, MA VOUCHER NO. WARRANT NO. ALLOWED 20 Avis IN SUM OF 7876 Collections Center Drive Chicago, IL 60693 $295.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE N0. ACCT #!TITLE AMOUNT Board Members 1120 U175633496 43- 430.02 $295.16 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 NOV ®a 2010 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)) U175633496 FDSOA $295.16 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