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HomeMy WebLinkAbout202122 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 364690 Page 1 of 1 ONE CIVIC SQUARE GLOBAL RISK INNOVATIONS z CHECK AMOUNT: $3,760.00 CARMEL, INDIANA 46032 Po sox 534642 ATLANTA GA 30353-4642 CHECK NUMBER: 202122 CHECK DATE: 9127/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 3,760.00 EXTERNAL INSTRUCT FEE 2nd Annual Brunacini's hazard. Zone Management Conference RegOnline Page 1 of 3 2 9 a a fi Invoice Registration ID: 36330120 Registration Date: 9/13/2011 Invoice Date: 9/13/2011 Issued By: Global Risk Innovations Inc Event: 2nd Annual Brunacini's Hazard Zone Management Conference Date /Time: Monday, October 17, 2011 8:30 AM Wednesday, October 19, 2011 12:00 PM (Eastern Time) Registrants Name Registration Company /Organization Type Mr Jeff Fuchs 36330120 Carmel Fire Department Full Registration Mr Bob Hensley 36329911 Carmel Fire Department Full Registration Mr Frank Vallone 36330343 Carmel Fire Department Full Registration Mr. Tim Conner 36330446 Carmel Fire Department Full Registration Mr. Jeff Steele 36330543 Carmel Fire Department Full Registration Mr. Gar Brandt 36330618 Carmel Fire Department Full Registration Mr Adam Harrington 36330691 Carmel Fire Department Full Registration Mr. Jim Tonev 36330798 Carmel Fire Department Full Registration Billing Information Jeff Fuchs Carmel Fire Department 2 Civic Square Carmel, IN 46032 United States 317 -571 -2606 https: /www.regonline. ca /register invo lee. aspx? EventId 910019 &Attendeeld= 712Jn5kgzzg8Otb9... 9/13/2011 2nd Annual Brunacini's Hazard Zone Management Conference RegOnline Page 2 of 3 jfuchs @carmel.in.gov Fee Summary Fee Quantity Unit Price Amount Fee Full Registration Event Fee 8 $470.00 $3,760.00 Subtotal: $3,760.00 Total: $3,760.00 Your total includes a group discount savings of $200.00. Transaction Summary Transaction Type Date Amount Balance Transaction Amount 9/13/2011 $3,760.00 $3,760.00 Current Balance $3,760.00 Payment Information Payment Method: P.O. PO Number: Steven Frye Payment Instructions ALL REGISTRATIONS INCLUDE THE BLUE CARD COMMAND CERTIFICATION PROGRAM 50 HOUR ONLINE COURSE (Transferable to other department members) Payment methods accepted: Credit Card: Visa, MasterCard, American Express Other: Yes, We can invoice your Department! Pick that method instead of pay by credit card during check out. Purchase Order (have PO# available for registration process) Print our W9 form to provide to your Accounts Payable Dept. Payments should be made to: Global Risk Innovations PO Box 534642, Atlanta, GA 30353 -4642 Fed. Tax ID #68- 0680293 https: /www.regonline.ca /register /invoice. aspx ?EventId= 910019 &Attendee1d =712Jn5kgzzg9Otb9... 9/13/2011 VOUCHER NO. WARRANT NO. ALLOWED 20 Global Risk Innovations IN SUM OF P.O. Box 543642 Atlanta, GA 30353 $3,760.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT /TITLE I AMOUNT Board Members 1120 I I 43- 570.04 I $3,760.00 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 SEP 2 6 2011 1 7 Fire Chief 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)) 1 1 1 $3,760.00 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