165939 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 355386 Page 1 of 1
ONE CIVIC SQUARE ROSEN PLAZA HOTEL
CARMEL, INDIANA 46032 9700 INTERNATIONAL DRIVE CHECK AMOUNT: $507.36
ORLANDO FL 32819 CHECK NUMBER: 165939
CHECK DATE: 11112/2008
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1120 4343002 507.36 EXTERNAL TRAINING TRA
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DEPART# Hl r R xVzyf' is u
F r: x
SAFETY;
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2009 FDSOA Apparatus Specification Vehicle Maintenance Symposium
REPLY DIRECTLY TO THE HOTEL
Mail To: Rosen Plaza Hotel, 9700 International Drive, Orlando, FL 32819 (407) 352-9700
FDSOA Room Rat Single /Double: $149.00 Plus Tax Cut Off Date: December 11, 2008
Arrival Date: SAF69'Y
NAME:O���J
(800) 345 -2268
ADDRESS:
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CITY: -�y. _ZIP:
WORK PHONE:
ADDITIONAL PERSONS:_ S X
c)
Cut —Off date for reservatic held until 6:00 P.M. unless
accompanied by a deposit ;ard, expiration date and signa-
ture.
Hold until 6:00 P.M. only
Guaranteed by the following credit card: (check one)
MasterCard Visa AMEX
Card Number:
Signature: Exp. Date
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DEPAR
SAFETY
o m o o n `f9,Fl YEA L C \P
/CERS ASSO�
2009 Apparatus Specification
Vehicle Maintenance Symposium
NOTE: Use one registration form per person. 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: CA(J
TITLE: mAll�Gc�ANG� G,l� /E�
AGENCY: CAQn1 EC //ZC OCPA27/hC�
ADDRESS: G &IC .Syc>/1,eE
CITY: CA/zm STATE: -T(J ZIP: y(9o3�
WORK PHONE: 3/ 7 6o G FAX: c? /.S
EMAIL: e I)g;)ycvQs7 P C,42111FC Zt (ool/ CELL PHONE: 3/ 7- G4 o SSA
Symposium Registration ('Registration includes refreshments lunch)
X FDSOA Members $385.00
Non-Member Fee $485.00
Cl FAMA Members $460.00 (If you are a FAMA member but not an FDSOA member)
FDSOA Membership Dues 85.00 (Join now and take advantage of the member rate)
ISO or HSO Certification Exams: A separate registration application and payment is required for Certification
Exams. The application can be downloaded /printed from the FDSOA web site: www.fdsoa.org
Payment Information (U.S. Funds, drawn on U.S. Bank)
rr Enclosed is a check payable to FDSOA
Enclosed is an official Purchase Order
Credit Card: (Master CardNisa Only)
Card Number:
Signature: Exp. Date
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 Conference Registration only will be refunded; 7 -29 days prior, 50% of Conference
Registration only will be refunded. Less than 7 days, no refund is possible.
Save lime! Register on line at wwW* fdsoa.org
VOUCHER NO. WARRANT N
ALLOWED 20
Rosen Plaza Hotel
IN SUM OF
9700 International Drive
Orlando, FL 32818
$507.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 430.02 $507.36 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 10 2008
e
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))
Lodging VanVoorst $507.36
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