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169413 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362519 Page 1 of 1 i ONE CIVIC SQUARE E.A.G. INC CHECK AMOUNT: $375.00 CARMEL, INDIANA 46032 YOUR EXECUTIVE SERVICE, LLC PO BOX 3000 CHECK NUMBER: 169413 CHINO VALLEY AZ 86323 CHECK DATE: 3/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357004 20043 375.00 TRAINING Feb 21 09 1215p p.2 I AAM 1 W E.A.G. TACTICAL ®Liinal Invoice E.A.G. General Enterprises Inc Tactical Training 3188 Darden Drive Lake Ridge, VA 22192 -3334 cajZ(a1 o- Sconsu1dna.com_ www.eaetactical.com 718 344 4736 TPIN 1999GO85853 DUNS 069910417 Tax Identification# 13- 3690696 Cage Code IJBW Contract# Invoice# Date: 20 February 2009 To: City of Carmel Police Department Attn: Teresa Anderson 3 Civic Square Carmel IN 46032 FAX (317 )571 -2512 Tuition: Officer Ryan Jellison EAG Tactical 2 Day Level 11 Pistol Course July 8-9,2009 Lebanon IN Cost: $375.00 Please make cheeks payable to E.A.G. Inc MAIL T®: Your Executive Service, LLC l E.A.G. Tactical PO 3000 Chino Valley AZ 86323 Thank You For Your Business! I L.A.G. TACTICAL APPLICATION FOR TRAINING ww *w *swwwwwwwwww *wtwwww If Department of Defense Civilian or U.S. Contractor, Please Contact Us Directly In accordance with International Traffic in Arms (ITAR) Regulations. only U.S. Citizens will be accepted to participale in E.A.G. Tactical courses. Class Requested "i� ��F}G�i CG��' Dy ag 7- Dates 04 17 -0 9 Last Name D�e First Name Rtr g Date of Bid "F 7 Age Name you wish to be called W`7,ll� Occupation (Ul 1 e e- D LE: Affiliation �ier Rank Pig 1-0 ©!'-7 Address S C�'� �9LcGt� -L City Sta Zip Code y(iO3Z_ p Phone Numbers: Home 3 /7 S Z u Work °trd v Email Address R,) e ll S 01 tP P C�',vel Llkov Fax Primary Weapon Type Caliber LEI o �1L 'DG4 1 Secondary Weapon Type Caliber -c.k Z3 yac�, Are you a former Student? /lQ If yes please provide previous dates: Payment Information: SEE EAG APPLICATION PROCESS, POLICIES PAGE, COURSES SECTION FOR REVISED INFORMATION A deposit is required to reserve your seat. Refer to the Course Announcement for the amount. Deposit is waived for PO remittances and Mil Orders. Request invoice and remittent process by contacting Donna at info6E�eagtactical.conn fax (928)636 -6686, or email. If submitting online, fax or email, deposit or payment in ull must be made within 5 days of submission. Payment method: Check Purchase Order Credit Card Amount If paying by credit card, ple s contact us MALE CHECKS PAYABLE TO YOUR EXECUTIVE SERVICE Send Payments to: Your Executive Service PO Box 3000 Chino Valley, AZ 86323 Refund Policy: Up to 30 days prior to class start date, Full Refund Less than 30 days prior to class start date, No Refund Credentialincg Policy: E.A.G. has a strict credentialing policy. A photocopy of ONE of the following must be emailed infogeagtactical.com faxed (928 -636- 6686), or mailed USPS: Pistol License (any state) Active Duty Police Id. or Active Duty Military Id. If Civilian: License No. Exp. Date_ State of Issue LE /Police Only Courses: Must include credentials verifying active LE status An application without one of the above will be rejected. There are NO exceptions. E.A.G. reserves the absolute right to refuse training for any reason whatsoever to any applicant. Submission of this application indicates your clear understanding of this requirement. IN ACCORDANCE WITH ITAR REGULATIONS, ONLY U.S. CITIZENS WILL BE ACCEPTED TO PARTICIPATE IN E.A.G. TACTICAL COURSES INDIANA RETAIL TAX EXEMPT PAGE C ity sane l CERTIFICATE NO.003120155 002 0 o f C 11 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 11t1� 3 ONE {CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, RACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION February 10 2 1 09 i VENDOR Your Executive Service TRIP City of Carmel. Police Department P.O. Box 3000 3 Civic Square Chino Valley, AZ 86323 Carmel, IN 45032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION EAG Tactical 2 -Day Level II Pistol Course for Officer 375.00 Ryan Jellison on August 8 9, 2009 in Lebanon, IN aq CA" A W It ti Send Invoice To: City of Carmel Poii ATTN: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 570 -04 instructional fees PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE RO, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS i HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID, THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED.'� PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. f THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE C hief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. t J i CLERK TREASURER DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VQUCHER NO. WARRANT NO.__ ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. 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 20 Signature Title Cost distribution ledger classification if claim pair) motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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 Your Executive Service, LLC E.A.G. Tactic Purchase Order No. 20043F P.O. Box 3000 Terms Chino Valley, A2 86323 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) p ayment for EAG Tactical 2-day Level II pistol course 375.00 training or Officer Ryan Jellison on August 8 9 200 in Lebanon. IN Total 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. 20 Clerk- Treasurer 1�0,1 VOUCHER NO. WARRANT NO. Y ALLOWED 20 Y our Executive Service, LLC EAG Tact= IN SUM OF P.O. Box 3000 Chino Valley, AZ 86323 375.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 20043F 570 -04 375.00 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 February 25 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund