HomeMy WebLinkAbout195070 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 365123 Page 1 of 1
0 ONE CIVIC SQUARE HOLIDAY INN PERRYSBURG CHECK AMOUNT: $312.09
CARMEL, INDIANA 46032 10630 FREMONT PIKE
PERRYSBURG OH 43551 CHECK NUMBER: 195070
CHECK DATE: 3/212011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESC RIPTIO N
210 4357000 GEORGE DAVIS 312.09 TRAINING SEMINARS
INVOICE
Date: February 23, 2011
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Payment for lodging for George Davis on March 13 16, 2011 in Perrysburg, OH
Confirmation #60471126
Room Rate Tax Total
$95.00 $9.03 $104.03 x 3 $312.09
TOTAL DUE: $31.2.09
Please make check payable to:
Perrysburg- French Quarter Holiday Inn
10630 Fremont Pike
Perrysburg, OH 43551
THE INTERNATIONAL CONFERENCE OF POLICE CHAPLAINS
REGION 4, REGIONAL TRAINING SEMINAR
LAW ENFORCEMENT CHAPLAINS
Perrysburg, OH
March 14 -16, 2011
PLEASE PRINT CLEARLY Is this your first ICPC training? Yes No
Name: e.. VI y I S NIMS Trained? Yes No _What Level? f f
Street: 7 t CISM Trained? Yes No What Level?
City: Ceti r n Law Enforcement Agency Serving:
State: Size of Agency: wo f
Zip: L l 6 0 3 Z 3 J Faith Organization: 1
Phone No. (Home): 1- 7 q 2 4 j Number of years in chaplaincy:
Phone No. (Office): Are you career full -time chaplain? jt;
Email: If I ctt r +'y� 1 G, V Are you paid part -time chaplain? I/
Last 4 of Social Sec. No. (For Academic C edit): Are you a volunteer chaplain?
ICPC Member: Yes No Spouse's Name: I y
ICPC Credentialed: Basic Senior ZMaster Spouse's first ICPC event? Yes No Not Attending
Diplomat Fellow Spouses: Speaker (Care for the Caregiver) -Trips (Shopping- Art
Museum) Host: Mrs, Sandy Vascik
Banquet Special Dietary Needs: 1. Must Complete Class Selections on reverse side
Gluten Free 2. One Banquet Ticket is included in registration fee.
Kosher 3. Banquet Tickets must be purchased for Spouse or Guests.
Vegetarian Ride Along: Sunday -Yes No _Z Monday: Yes No
Handicap or Special Needs:
Basic Classes PC/ Your
Toledo Airport Information Enrichment Workshop Conference
Arrival Date: Participants Advanced 2 -3 Advance 1 Fees
Arrival Time:
Departure Date: ICPC Member $150.00 $170.00 /50
Departure Date: Non- member $225.00 $240.00
Flight Information:
Guest /Spouse
Banquet Tickets $30.00 each
Checks payable to: ICPC -RTS 2011 Registration Fee
Extra Banquet Meals
Mail this completed registration Late Registration $25.00
form (front back) and fees to: After February 20, 2011
Michele Miller, OH Registrar TOTAL PAID
ICPC -RTS TOTAL DUE
280 Riverside Dr.
Rossford, OH 43460 -1049
VOUCHER NO. WARRANT NO.
ALLOWED 20
Perrysburg French Quarter Holiday Inn
IN SUM OF
10630 Fremont Pike
Perrysburg, OH 43551
$312.09
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
570.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
210 570.00 $312.09
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 24, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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))
chaplains conference in March
02/23/11 payment for Ioding for Chaplain Davis while attending police $312.09
1 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