HomeMy WebLinkAbout198096 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362586 Page 1 of 1
ONE CIVIC SQUARE GEORGE NAE
CARMEL, INDIANA 46032 14598 CLAY TERRACE BLVD. SUITE 160 CHECK AMOUNT: $299.00
i off CARMEL IN 46032 CHECK NUMBER: 198096
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 299.00 TRAINING SEMINARS
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.tune 3. 2011
Cindy Sheeks
Clerk- Treasurer's Office
1 Civic Square
Carmel, IN =16032
Cindy
I am formally requesting that you reimburse George Nae $299.00. The explanation is as follows.
Sgt. John McAllister will be attending a Martial Arts Seminar, the details of which are included
with this request. George Nae, on behalf of Sgt. McAllister has made payments to Member
Solutions which is a business very similar to "PayPal" to cover the cost of Sgt. McAllister's
registration fee to attend this seminar. I have enclosed a record of payments which total more
than the requested $299.00. 1 recognize that this may be somewhat unorthodox but rest assured,
I have verified all the details and can personally guarantee the validity of this claim.
If you have any questions please feel free to contact me at 571 -2527.
Respectfully,
\a es C. Barlow
Assistant Chief of Police
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43117➢ 571t 500 A Nationally Accredited"' nforcement Agency ;I ^Nx (M17) 571- 25112
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SOLUTIONS Account Number: 950919 -1
Proudly Serving membership organizations since 1991
May 23, 2011
Contact Us
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Phone: (888) 277 -4408
George Nae Fax:
14598 Clay Terrace Blvd. #160 Email: custo
custo mem b ersolutions.com
Carmel, IN 46032 Website. https://pay .member _s olutions.com
Mailing Address: Member Solutions
P.O. Box 705, Jenkintown, PA 19046
Office Hours: Mon -Thur 9AM 9P M EST
Fri 10AM 6PM EST
Dear George Nae:
Per your request, we have provided a list of payments that have been applied to your account for services
provided by MSI Seminars.
Date Received Payment Method Payment Location I Amount Received Principal Fees
i 3/23/2011 Dealer Deduction Member Solutions $200.00 $200.00 $0.00
4/20/2011 Dealer Deduction Member Solutions $204.67 $204.67 $0.00
5/20/2011 Dealer Deduction Member Solutions $204.67 $204.67 $0.00
3 Totaling $609.34 $609.34
Sincerely,
The Customer Service Team at Member Solutions
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CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Gc� Ce
Today's Date: 05/02 /2011 Employee: John McAllister- f
Name of School: Martial Arts Supershow
Cost: $299.00 /L r
Location of School: Rio Hotel, Las Vegas (888) 746 -6955
State: Nevada
Topic Subject Matter: This is a seminar that has several practical classes with self defense
techniques, classes range from Drills to develop close quarter combat skills, How to take out
aggressors in less than 10 seconds, Life saving fight techniques and the 12 principals of
legendary teaching. (,ice n
ILEA Course Certification (if available): CC.• �1�
Dates of School: From: 07/21 /2011 To: 07/23/2011 'A/`^ A o L
Contact Person: Call the Martial Arts SuperShow hotline at (866) 626 -6226 or send email to
info @masuccess.com for more information.
Telephone Number: (866) 626 -6226
Instructor: ILEA Instructor #(if available):
How will this School benefit you and the Department? This is a seminar with both lecture and
practical classes. They will provide me with new techniques and drills to implement into our
departments defensive tactics training.
Will you need a rental car? ❑Yes ❑No
Will you need air transportation? ®Yes ❑No
Will you need accommodations? ®Yes ❑No
"OVERTIME COMPENSATION WILL NOT JOE PAID IF YOU VOLUNTEER TO
ATTEND A SCHOOL ONLY IF YOU ARE OADERED TO ATTEND.
Officer's Signature:
Supervisor' Signature: l Date: 5 -C ('"Z- 0 C
Division Commander: 5i Date:.
Training Officer: Date:
*OFFICE USE ONLY BELOW THIS LINE*
2011 -02 -222
Nfartia1 Arts Indt.tstry Associa iota: 2011 Martial Arts SuperShovv Registration I I. -vent Repistratiun Pa )e I
of
Martial Arts Indus i ti
.tiUnrtt2tAds 211 Martial Arts SuperShow Registration
Su ershow r <aa:r: gas sd as Please fill out the registration form below. If you have any promotional codes, please wait until all
registrants have been added to apply
Event Date: July 21 23, 2011
Registration Deadline. July 18. 2011 12:01arn [Central Time]
Venue: Rio All -Suite Hotel CasinoR
3700 West Flamingo Road, Las Vegas, Nevada 89103
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MCrp datai
Registrant's Information:
First dame o John
Last Name McAllister
Title Sgt.
Address 3 Civic Square
City a Carmel
State)Pravince m Indiana
Zip /Postal 46032
Country United States of America s=�
Phone 317 -571 -2560
Mobile Phone
Email jmcallister @carrnel.in.gov
https:��/ events. metiibersol .utiota.s.coiiiJevent detail.asp?eontetit id 24757 5120/2011
Martial arts Industry Association: 2011 Martial arts Super: ?how Registration Event Registration Page 2 of 2
Additional Information:
What is your school's name? (This will be on your name badge) House of Martial Arts
Are you currently a MAIA member? a No ti
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:
l�. 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 and/or other likeness and in any media now known or hereafter 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'
required field
Billing Inquiries 1.888.277.4408 P,r son raey Event Manager
lit ins: //'events.nienibersoIutions.conr, /event detail.asp`:'content id =247 7 5/20/2011
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))
05/23/11 reimburse George Nae for training fee for Sgt. McAllister $299.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Georg Nae
IN SUM OF
14598 Clay Terrace Boulevard, Suite 160
Carmel, IN 46032
$299.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
210 570.00 $299.00 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, June 03, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund