193243 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 034261 Page 1 of 1
ONE CIVIC SQUARE US TREASURY CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032 CAMP ATTERBURY -DRM
"rs Po Box 5000 CHECK NUMBER: 193243
EDINBURGH IN 46124 -5000
CHECK DATE: 12/2212010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 11020 40.00 TRAINING SEMINARS
CAMP ATTERBURY
Joint Maneuver Training Center
Post Office Box 5000
Edinburgh, Indiana 46124 -5000
INVOICE# 11020 7 December 2010
Reference MOA between MDI/CPD
Carmel Police Department
Attn: Adam Miller
3 Civic Square TOTAL AMOUNT DUE S
Carmel, IN 46032 S
Description: Usage Fees for Camp Atterbury Facilities, 7 October 2010.`
Enclosed copy of facilities strength report for your use at Camp Atterbury.
R
If you have any questions please call me at (8 12) 526 -1702.
Please make check payable to: US TREASURY
TAX ID# 35- 1286958
Please return a copy of this invoice with your payment.
REMITT TO:
US Treasury
Camp Atterbury -DRM
Post Office Box 5000
Edinburgh, IN 46124 -5000
Steve Labadie
Budget Analyst
-!t �0,00
Camp Afterbui)r TitIzation Report
Overhead Cost (00, Lncremental CA)st (IGQ Check Li
Instructions: This form will be used for a-11 unit/organizations that may bc charged OC C.osfs and be
13
ac,d out after each uni
anizaboo c1tars. This form and and other dom)mcutA on. -,:kU be for-wardtd to
CA-DR-M no more than 3 worl:in2 da) after the uai 2 ev4-
iutc
U D-1 tj 0y- ala
of co.
POC Email Address:
uestions y es lvo
0 Do-- the unit/organ zaaion have a Curren-, MOLT? DI El
c Doe_ the Umitiolaanizarion have a Current CertiEcatc of lasnrancz
Does The unit/orpni 7 U'on'h?vP- an Event Release?
Did 6tii32jVoruPLpm;ifion submit the Liability aiven'? F-I
c, Did The iinA/organiza-tioin use sperlallz�l ranges or fu-3-htd-s {SpeiJal cost)?
c) Did the unitiorcaTli D
ton use other ranges?
Did the umt/orgaaization use training arc-RS' F-I
Did the unit/organization submit a s report? M
---D- _Does the -t) expert to have IJC --liar2es
El El
o Does the uniYor.paizatioii Lave a MIPR/otber financial iusta=cat on Elt'
Documents to be arLacbed: YCS C)
Strength. Repon
Approval for wavier of Overhead Costs
c) Documentation for ranges and training areas used
Date Fom lo CA-D-RM
Bv:
Nov 07 10 09:30a Adam s 317 816 -0939 p.1
CAMP ATTERBURY JOINT MANEUVER TRAIN N0 CENTER
Daily Strength Report
Onshvction .for completingthis form on reverse or maybe obtained from Scheduling Branch)
Office use
hate: 07 Octobcr 2010
Reporting UnitlOrganization: Carmd Polio: Dcpamwnt
Address: 3 Civic Sgnace Carmel, In 46032
Telephone: 317- 571 -2500
On Post Hg Bldg No: N/A Post Phone Ext 0 Y
Unit (D)LTC S Total 'Training Status
CODE
Carmel PD NIA OTH 4 AT .AnnualTrainizlg
i IDT ..Inactive Duty for Training
MOB_ Mobilization
DMOB Demobilization
MSP_ MOBiDeMOB Support
AC .........................Active Duty.
(Not NG or Reserve)
OTH................. ..........................Other
(C1V other NON military)
1
SAD State/ Fed Emergency
TS ........................Full Time support
(CSU Tenant ONLY)
Certification: Sergeant Adana Miller 07 Oct 10
Pnntcd NanwJRmnk Signahue Datc
Received By:
1'rinXd Me
CAIMTC Form 14 (25 MAY 2005 OBSOLETE) 23 OCTOBER 2006
No -01 2 w". W
203163IPD_CARMEL RGO04 SNIPER TRNG FIRE Yes 101712010 9:00
203163.'PD_CARMEL ENVIRONMENTAL 'STD RNG ONLY iNON -FIRE Yes 10/7/2010 9:00
i
f
203163`PD CARMEL !STRENGTH .OTHER EVENT ;NON -FIRE Yes 10 /7/2010 9:00
CARMEL POLICE DEPT.
Special
Date 4 of Pax Fee $10.00[Pax of Days Sub Total Range Total
Usage
7- Oct -10 4 $40.00 1 $40.00 $0.00 $40.00
$0.00
TOTAL $40.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
US Treasury
Camp Atterbury DRM
IN SUM OF
P.O. Box 5000
Edinburgh, IN 46124 -5000
$40.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# 1 Dept. INVOICE NO, ACCT #ITITLE AMOUNT Board Members
210 11020 570.00 $40.00 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
nday, December 20, 2010
z 1 Z Chief of Police
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))
12/07/10 11020 payment for usage fees for SWAT team $40.00
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