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197804 05/26/2011
CITY OF CARMEL, INDIANA VENDOR: 362312 Page 1 of 1 ONE CIVIC SQUARE RIO SUITE HOTEL CASINO CARMEL, INDIANA 46032 3700 W FLAMINGOIATTN: RESERVATIONS CHECK AMOUNT: $299.04 LAS VEGAS NV 89103 CHECK NUMBER: 197804 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 299.04 TRAINING SEMINARS INVOICE Date: May 20, 2011 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Payment for lodging for John McAllister on July 20 July 23, 2011 in Las Vegas, NV Confirmation #WPTPK Room Rate fhotal $99.68 $99.68 x 3 $299.04 TOTAL DUE: $299.04 Please make check payable to: Rio All -Suite Hotel Casino 3700 West Flamingo Road Las Vegas, NV 89103 Martial Arts Industry Association: 2011 Martial Arts SuperShow Registration Event Registration Page 1 of 2 Martial Arts Industry Association e rShow UP t 2 011 Martial Arts SuperShow Registration arlal Please fill out the registration form below. If you have any promotional codes, please wait until all fnllairg t!G Irge� m lttr i nhess registrants have been added to apply. Event Date: July 21 23, 2011 Registration Deadline: July 18, 2011 12:01am [Central Time] Venue: Rio All -Suite Hotel Casino I W Sphara Hvu tl L 3700 West Flamingo Road, Las Vegas, Nevada 89103 I l J.!: l 77 �rf G 582 �r vn�r> v�Rd Las Vegas; POYlEREDB Y a J� p C? �I it 1 tvta'p datsr©2{MO,Go"61' Registrant's Information: First Name John Last Name o McAllister Title Sgt. Address e 3 Civic Square City o Carmel State /Province o Indiana Zip /Postal Y 46032 Country United States of America E Phone 317 -571 -2560 Mobile Phone Email jmcallister @carmel.in.gov https: events. membersolutions .com /event_detail.asp ?content id =24757 5/20/2011 Martial Arts Industry Association: 2011 Martial Arts SuperShow Registration Event Registration Page 2 of 2 Additional Information: What is your school's name? (This will be on your name badge) a House of Martial Arts Are you currently a MAIA member? a No Century Account Number How many students are currently enrolled in your school? 0 Have you ever attended a MASuperShow? No "For Office Use Only Agent Name Terms Conditions: R Check this box to indicate that you have read and agree to all of the terms listed below. If you have been given a coupon code to use, your credit card will be charged appropriately when your registration is confirmed. You will receive a confirmation email, including the total amount for your registration. The discounted rate is valid for active MAIA members only. Verification of MAIA membership or international status is required and we reserve the right to charge you the full event price if credentials are not valid. WAIVER OF LIABILITY /PUBLICITY RELEASE: Martial arts and mixed martial arts are inherently dangerous. By submitting this form and agreeing to participate in this training event, participant acknowledges the risks inherent in this activity and knowingly and willingly accepts these risks and the potential consequences of their participation in this training event. By signing this form, each participant agrees to waive any and all claims against the Sponsor (Century, LLC) and each of their respective affiliated companies, subsidiaries, officers, directors, employees, agents, licensees, distributors, dealers, retailers, printers, representatives and advertising and promotion agencies, and any and all other companies, trainers or persons associated with this training event for any injury, damage or loss that may occur, directly or indirectly, in whole or in part, from the participation in the training event. Each participant, by submitting this form, grants to Century and each of their respective designees the right to publicize photographs, video, statements andlor other likeness and in any media now known or he devised, throughout the world, in perpetuity, Direct any inquiries to the following: The Martial Arts SuperShow hotline at 866- 626 -6226 or send email to info @masuccess.com for more information. Review Your Payment Information: Total Fee: $299.00 Please click the continue button below to proceed. You will be able to add more registrants or finalize payment details on the next screen. Continue a required field L J Billing (Inquiries 1.888.777.4408 Pasv'rrdBy Event Manager https: events. membersolutions. com /event_detail.asp ?eontent_id =24757 5/20/2011 VOUCHER NO. WARRANT NO. ALLOWED 20 Rio All -Suite Hotel Casino IN SUM OF 3700 West Flamingo Road Las Vegas, NV 89103 $299.04 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 210 570.00 $299.04_ I 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 Friday, May 20, 2011 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)) 05/20/11 payment for lodging for Sgt. McAllister for training $299.04 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