202200 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 263200 Page 1 of 1
ONE CIVIC SQUARE KSM HOTELS /RED ROOF INN CHECK AMOUNT: $779.88
CARMEL, INDIANA 46032 1325 E UNIVERSITY DRIVE CT
GRANGER IN 46530 CHECK NUMBER: 202200
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 779.88 EXTERNAL TRAINING TRA
2nd Annual Bru11acu1i'S tfrtZatd Zane Management Coon.Eerettce RegC)ailia�e I'm;e
'4
r
I nvoice
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
DatefTime: Monday, October 17, 2011 8:30 AM Wednesday, October 19, 2011 12.00
PM (;Eastern Time)
Registrants
Name Registration Company /Organization Type
r M r Jeff Fuchs 36330120 Carmel Fire Department Full Registration
Mr Bob Hensle 36329911 Carmel Fire Department Full Registration
r Frank Vallone 36330343 Carmel Fire Department Full Registration
Mr. Tim Conner 36330446 Carmel.F'ire Department Full Registration
Mr, Jeff Steele 36330643 Carmel Fire Department Full Registration
Mr, Gar Brandt 36330618 Carmel Fire Department Full Registration
Mr Adam Harrin ton 36330691 Carmel Fire Department Full Registration
Mr. Jim Toney 36330798 Carmel Fire Department Full Registration
Billing Information
Jeff Fuchs
Carmel Fire Department
2 Civic Square
Carmel IN 46032
United States
317 571 -2606
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2nd AMILial 11runacini's Hazard Zone Management Conference ReoOnlille rage 2 ot.'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
Total: $3,760.0
Your total includes a group disc aunt savings of 5200. 00,
Transaction Summary
T ransaction Type Date Amount Balance
T
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 RFG]STRATIONS INCLUDETHE BLUE CARD COMMAND CERTIFICATION 1 iO HOUR
ONLINE COURSE ffransferable to other department menibers)
17'a vtnent methods acce})tcd:
Credit card
Visa,,MasterCard, Amorican Express
Other:
Yes, We can invoice your M Pick that inethod instend of 1)ay by credit card during chock out,
T'urcliase order (have 1104 available for registration process)
Print otjr to provide to votir AccounLs Payable Dept.
L_ I I
Payrnents should he rnade to:
Global Risk Innovations
PO Box 534642, Atlanta, GA 30353-4642
Fed. Tax 1lN68L.0680293
001 9/11/20 11
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Roof Inn
IN SUM OF
1325 E. University Drive Ct.
Granger, IN 46530
$779.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I 43- 430.02 I $779.88 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
SE P 26 2011
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))
Brunacini Conference $779.88
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
2Q
Clerk- Treasurer