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179122 11/11/2009DEPARTMENT 1110 1110 501 CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, INDIANA 46032 4343004 4343004 5023990 VENDOR: 00352795 AVIS RENT A CAR SYSTEMS INC 7876 COLLECTIONS CENTER DRIVE ACCT AV67677-00-0000-5 CHICAGO IL 60693 ACCOUNT PO NUMBER INVOICE NUMBER U131799732 U142245655 U670034956 CHECK AMOUNT: CHECK NUMBER: CHECK DATE: AMOUNT DESCRIPTION Page 1 of 1 $1,249.42 179122 11/11/2009 299.26 TRAVEL PER DIEMS 405.96 TRAVEL PER DIEMS 544.20 OTHER EXPENSES tot RENTED: RETURNED: DUE IN: RENTED BY: BELL, SUSAN CARMEL FIRE DEPT 120 ONE CIVIC SQUARE CARMEL IN 46032 RENTAL AGREEMENT NUMBER U131799732 Q Avis Invoice 310 CT 0 9 180CT09/13:09 AT:WASH NAT'L APO DC VEHICLE DATES GP 230CT09/11 :58 AT:WASH NAT'L APO DC BLU HYUN SONA 4DR E 230CT09/15:00 AT:WASH NAT'L APO DC NY EBF6485 RENTAL DETAILS Wiz ACCOUNT AV67677 -03- 9998 -5 TOTAL CHARGES CREDIT ID Q AWD# L8640041 COST CONTROL VOUCHER RES# 36398109US6 RATE, 7M ARC 15879323 LOCALPHONE 317 571 2550 EREQ.TRVL DRIVER LICENSE MILES OUT MILES IN 21148 21238 1 WEEKS GP C CAR 229.90 PER WEEK NET TIME AND MILEAGE ENERGY RECOVERY FEE 0.47 PER DAY SURCHARGE AIRPORT CONCESSION FEE 11.11% TAXES 10.00% ON 272.05 PAYMENT DUE UPON RECEIPT. USD 299.26 PLEASE WRITE THE RENTAL AGREEMENT NUMBER ON 'ALL CORRESPONDENCE AND NOTE'ANY COMMENTS ON THIS DOCUMENT. RENTALAGREEMENTNUMBER: U131799732 .FOR BILLING INQUIRIES:. 1-808-959-3380 DRIVEN 90 USD TAXABLE ITEMS CHARGES 229.90 229.90 2.35 14.00 25.80 27.21 299.26 AVIS. STATEMENT DATE: 314 C T 09 ACCOUNT NUMBER: AV67677 -00- 0000 -5 BELOW IS A SUMMARY OF ALL UNPAID INVOICES 299.26 1 DV CARD# 03 99985 03 99985 03 99985 03 99985 310CTO9 PREVIOUS BALANCE 1,218.47 CURRENT CHARGES 22_ CURRENT ADJUSTMENTS PAYMENTS RECEIVED THRU 310C1Q 2 31 TOTAL AMOUNT DUE 1,24.9_42_ RENTAL NUMBER U131799732 U127201406 AVIS CENTRAL BILLING STATEMENT 950.16 31AUG09 I I NAME /REFERENCE BELL, SUSAN BOWLES,ORBIE 014.2245655 OGLE,JASON,W 06700349 -5.6__ BREWER7SCOTT *WE PROVIDE MORE TI ELY AND ACCURATE I *TO THE BUSINESS CO UNITY BY SHARING *ACCOUNTS RECEIVABLE INFORMATION WITH BRADSTREET 51/111 51A CITY OF CARMEL CINDY SHEEKS ONE CIVIC SQUARE CARMEL IN 46032 RENTAL LOCATION WASH NAT'L APO ORLANDO APO FORMATION UR UN AND AVIS DATE 230CT09 25SEP09 270CT09 PHOENIX APO I28AUG09� 'T; .,F GREEN APO 02AUG09- SIAtf AVIS STATEMENT DATE: 3 1 OCT 0 9 CITY OF CARMEL ACCOUNT NUMBER: AV67677 -00- 0000 -5 TOTAL DUE USD AMOUNT ENCLOSED 1,249.42 RENTAL NUMBER U131799732 0127201406 0142 2456S5 U6-7-0.03495.6? SIA V AMOUNT USD 299.26 268.31 405.96 544.20 AVIS REMITTANCE ADVICE *TOTAL UNPAID 30SEP09 AVIS 0001' INQUIRIES. PLEAst CALL: 1 -800- 959 -3300 OR WRITE TO: AVIS CENTRAL BILLING C/S P.O. BOX 62800 VIRGINIA BEACH, VA 23462 PLEASE DIRECT ALL REMITTANCES TO: AVIS RENT A CAR SYSTEM, INC 7876 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 PLEASE RETURN THIS PORTION OF THE STATEMENT WITH YOUR PAYMENT AND INDICATE THE DIFFERENCES IN THE COMMENTS SECTION OR ON THE ENCLOSED INVOICES: NOTE YOUR ACCOUNT NUMBER ON ALL CORRESPONDENCE. PYMTI ADJ1COMMENTS SUBTOTAL DIVISION 03 NEW CHARGES 310CT09 58008PMT 268.31 **********$UBTOTAL DIVISION 03 UBTOTAL DIVISION 03 OTAL UNPAID 31AUGO9 7(OTAL AMOUNT DUE USD$ NETAMT DUE USD 299.26 *299.26 *299.26 .00 *.00 *.00 405.96 544:2.0 950,.16 *950.16 *1,249.42 SIAI SIAL/ A VLs A GL Ci4-V X/S P 7, e Purchase Order No. 17874e C� d �yC� 14 S Cen 74 bpi l/2J Terms A, ea_ i9 =1_. WcvG' Date Due Invoice Date Invoice Number Description (or note attached invoice(s) or bill(s)) Amount id/ i /01 a6& igacO r- &,dic, 21; S' .g 0 Total 8 g 'orescribed *State Board of Accounts Payee 20 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. Clerk- Treasurer City Form No 201 (Rev. 1995) I 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, VOUCHER NO. WARRANT NO. f CAS' q5-temi, J7Jc_ T9 1°1-' ail ca_s o h- (4(4 3 a. ON ACCOUNT OF APPROPRIATION FOR INVOICE NO. ACCT #!TITLE ,jOl Ja 3 PO# or DEPT. 1 �r 60) n -F Cost distribution ledger classification if claim paid motor vehicle highway fund AMOUNT s ALLOWED 20 IN SUM OF Board Members 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 Signature b, e -��rh- u d c S Title CLASS COURSE NAME; COURSE DATE: 4 11„ STUDENT INFORMATION: "J 'RANK /TITLE: M t' t HOMEADDRESS: "�7 i..'X►J- :CITY/STATE/ZIP:- rm E L-= A 1 y,1"0:3 POLICE DEPT._OR.MUN1CIPALITY C7171 oiFCA-e4 L rep LZ1 -E Verification and Confirmation letters should be mailed :to; 1=1 HOME or LK'AGENCYadddd ess? (please check one) •Would you like to receive,:a.free subscription Mounfed magazine YES E❑ NO :PHONE NUMBER: c� 5 1 E -MAIL ADDRESS:. :4%.) A(Af 'PLEASE I :ISTANTSPECIALLREOUIREMEN:TS:' (Please make travel arrangements until youfhave.reeeived; your CONFIRMATION letter from us.) BILLING INFORMATION: Invoices-will be sent:to the bi]Iing:address provided below unless otherwise requested. Please complete' all contactinformation;below and; read the "BILLING CANCELLATION POLICY found in the attached Police Technical Training info ational document CONTACT NAME �JGrS I NK /TITLE: Mr /AS HARLEYDAVIDSON POLICE TECHNICAL TRAINING SCHOOL ENROLLMENT, APPLICATION POLICE DEPT. OR MUNICIPALITY: e( o %ce AGNCYAI)DRESS' ✓'rte CITY /STATE /ZIP;: _i'��'!'�-�.. f a3 'Z.: PHONE.NUMBER:. 17 FAX NUMBER'.; E MAIL ADDRESS: I have read the 'BILLINGBr.CAN POLICY of this program. By my signature below, accept the terms and conditions" of this Lions without a signature will not be accepted). Billlii g-Contact Signatur,: Print Name: PLEASE FAX YOUR APPLICATION TO Fax# (414) 343 -8781 `For mQre information: contact: WENDELL KENDRICK Phone: (414) 343-8234, Email: wendell .kendrick @harley= davidson.com FOR OFFICE USE ONLY: Verification: Confirmation: Invoice Date Due: ❑;PAID: HAOLEY= DAVIDSON MOTOR COMPANY, POLICE AND FLEET SALES Address: PO. Bax 553, Ei4ihv'aukee. W!n532 01 U.S,A: P1one: 1 800 uv`.2ride Uiiline, mi. harlevrciavidsonpclicerno, ors co,ri nri,,,,w w,nariey•thawidson:con FULL NAME t, (n 1 Title: ([gym Lkjs+ FU1 ORGANIZATION NA (an e l I e± 1 1 t 'Yl l ADDRESS.O dude Suite 4 F1oor .Mail Stop}' C a•ui r S &t 1.0- day 7 5T TE:1 POSTAL OR :°ZIP -CODE TN quoSgN BUSINESS`PHONE NUMBER 5 FAX NUMBER 3 l- 1- 9 I E -MAIL ADDRESS; DONGLE NUMBER WORKSHOP LOCATION DATE ;COST t at 1S+ f REGIS AND.,PAYMENT NOTICE: Th W orkshop Registration Form will be promptly processed.and °.you will be contacted to confirm;your reservation: Please note..thatwe cannot`reserve a •in class Withoutcomplete payment information. III CHECK• (Make payable to 0 Inc.) To be 0 Mailed Brought.to Class INVOICE AUTHORIZATION. See required signature below. CONTRACT.NUMBER: PO NUMBER:, O l'a() CREDIT CARD°NUMBER: EXP DATE: NAME ON CARD: Bill Me Now 0 Bill,:Me at' time of Service .,11.your.credit card billing.a> dress:is` different ,from•the- address'above, please provide the.follo information ORGANIZATION: BILLING POC: ADDRESS: BILLING RHONE: BILLING: FAX: CiTY STATE; /,POSTAL'OR ZIP COC BILLING E MAIL AUTHORIZATION Bysrgmngthrs Regis! ration Form on beh'a/f of your organ za.'on, you, certify (i) the: information fs complete anri accurate; and (si)`your organiiation'authorizes'youto :have srgnatu ra authonty forth "e aforementioned obligation; Payment is due•no,tater than 30 days from the'date of the invoice AUTHORIZED1,S1GNATURE: PRINT NAME: DATE: WORKSHOP-CANCELLATION-POLICY: if you cannot attend a workshop you may contact 12 in advance to' transfer to a future workshop or you can send someone to'take:your place. Ifyou need;to•cancet your attendance; i2okill give you a cornplete refund if you cancel pore than =14 calerrdardays before the scheduled course To cancel simply call the i2 Training Coordinator It you cancei less than 14 calendar days advance notice, you may request a 9 courtesy transfer to use at any future i2 workshop:of the.sarne name." The courtesy transfer must be; used :within 6 months,of the originally scheduled workshop il you do not attend a .workshop for which you are confirmed and do not contact i2 to cancel or transfer in advance, you will be. .`charged: the e•tirelvorkshop fee,' 12 Inc Workshop Registration Fax farm to: 70 921 0196 If you do not;wish to.b9 on the i2 Mailing List please check box: 0 i2 Inc.,1430 Spring Hill Rd.,:Ste. 600, McLean; VA 22102 703- 921 -0195 Toll Free: 1-888-546-5242 training©i2inc.com Payee Avis Rent a Car System, Inc. Purchase Order No. 7876 Collection Center Drive Terms Chicago, IL 60693 Date Due Invoice Date Invoice Number Description (or note attached invoice(s) or bill(s)) Amount 10/31/05 car rental payment for- 1=1)1F for Jason Ogle while attending 405.96 The Harley- Davidson Police Technical training school on August 24 27, 2009 in Phoenix, AZ 10/31/05 payment for car rental for Susie Bell while attending 299.26 i2 training on October 19--- in McLean, VA Total 705 .22 Prescribed by State Board of Accounts 20 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. Clerk- Treasurer City Form No. 201 (Rev. 1995) 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. Po# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT L110 430 -03 705.22 V VOl)ICHER NO. WARRANT NO. Avis Rent a Car System, Inc. 7876 Collections Center Drive Chicago, IL 60693 705.22 ON ACCOUNT OF APPROPRIATION FOR police general fund Cost distribution ledger classification if claim paid motor vehicle highway fund ALLOWED 20 IN SUM OF Board Members 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 November 10 20 09 A6040 Signature Chief of Police Title