173767 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 358067 Page 1 of 1
ONE CIVIC SQUARE CIS CONFERENCE
0 CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 IPD CRIMINAL INTERDICTION SECTION
ti, off p" 901 N POST ROAD ROOM 221 CHECK NUMBER: 173767
INDIANAPOLIS IN 46219
CHECK DATE: 6/24/2009
DE PARTMENT ACCOUNT PO NU INVOICE N AMOUN D ESCRIPTION
210 4357000 21030 250.00 TRAINING
INVOICE
Date: June 16, 2009
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
19 Annual Motor Vehicle Criminal Interdiction, Intelligence $250.00
Networking and Training Conference for Officer Mike Miller
On August 17 21, 2009 in Indianapolis
Please make check payable to:
CIS Conference
Sgt. Paul McDonald,
Indianapolis Metropolitan Police Dept.
8650 West Washington Street
Indianapolis, IN 46231
Registration Form
19`" Annual Motor Vehicle Criminal Interdiction, Indianapolis, Indiana
Intelligence Networking and Training Conference August 17 21, 2009
Please read carefully, complete, and forward as directed below:
A Tuition fee of 250.00 will be collected at the time of your arrival.
Tuition fees go toward Conference activities.
Tuition Any remaining funds will be sent to the 2010 Host.
Checks will be accepted for pre registration before July 31, 2009.
Cash, checks, or credit cards (Visa, MasterCard, or Discover only) will be accepted.
Make checks payable to the CIS Conference
Visa, MasterCard, or Discover only. if pre paying by Credit Card see the next page.
Mail, Fax, or E -Mail to Mail, Fax, or E -Mail to:
Registration Sergeant Paul McDonald
Indianapolis Metropolitan Police Department
8650 West Washington Street
Indianapolis, IN 46231
Secure Fax: (317) 831 -3153 (no cover sheet needed) or register online at www.2009diapepic.com
Restrictions :Attendance is restricted to Law Enforcement Personnel, to include affected Federal, State, County, and
Municipal Officials. Identification will be required at check -in.
Reservations Individual attendees must make their own travel arrangements. See Travel Information
Media Media releases are not authorized.
Vendors Vendors are allowed. Please refer to website for Sponsor and Vendor information.
Security Conference ID will be issued at registration. ID must be worn for conference activities.
!'IPA lridical ':;ilt'. E'.t of Ilut you vv h to I i'10(, jed !n file 2009 Ci?!'ietfc iwv Ro sS i. NO S (please circle)
Name (Typ or Print Clearly) Depar or Agency
Telephones include area code Address as you want it on the r oster
(street)
Office ,3i Fax I --3 Ci v� �k.:4r�t
Pager I Cell 3)� 223 -7 95_6 tf (City, ware)
L----------
E Mail /�7 /r M�� `�-Or✓ 7 6 o3 7•- (Zip)
T -shirt size i M L XL 2XL 3XL (Province
Please circle size
Are you an active instructor for DIAPIEPIC? Yes (please circle)
Companion or Guest
If you are attending the Conference with a companion or guest and
want a Conference ID Badge issued (required for conference Companion Name
activities) please provide the name and a Name Badge will be prepared. (as you wish it to appear on their identification badge)
Awards Banquet
A banquet will be held Wednesday August 19 at 6:00 P.M. Your hosts are providing the meal at no charge to registered Conferees.
Should you be traveling with a guest s /he is welcome and encouraged to attend. The banquet meal is offered to your guest for 525.070
Casino Social SpouselGuest Banquet Attendance Meal Preference Baseball Social Tickets
Tickets* 1 will NOT attend the banquet q Z 5teak/Chicken Combo ;Adult Tickets {$101)
j Tickets ($10/) El will attend the banquet (NO guest) Vegetarian Child Tickets ($5l)
I will attend the banquet with a guest ($25) Children under 3 are free
Ex-
'The Indiana Live Casino and the Indiana Excise Police require the names, DOB, and address of all attendees from the conference.
You will be contacted for this information at a later date.
INDIANA RETAIL TAX EXEMPT PAGE C ity C rme l CERTIFICATE NO.003120155 002 0 1 of 1
o ,Ir u�. PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21030
CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
C�R n�'L INDIANA 46052 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
P URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Tirna 16 71719 trainin
VENDOR CIS Conference SHIP City of Carmel Police Department
Sgt. Paul McDonald TO 3 Civic Square
Indianapolis,Metropolitan Police Dept. Carmel, IN 469032
8650 West Washington,Street
CONI IRMATION .4i wQ KIrzn apONTAAtT IN 46231 PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
19th Annual Motor Vehicle Criminal Inderdiction, 250.00
Intelligence Networking and Training Conference
Oft Officer Mike Miller on August 17 21, 2009
in Indianapolis
E
G r F l4
A
City of Carmel Po
Send Invoice To: l rte° alr e
ATTN: Teresa Anderson(
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
210 570 cont ed fund PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. r
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. A Q P• v• COPY SIGN AND RETURN TO CLERK 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 paid motor vehicle highway fund
Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
•CIS: ;Conference
S gt. Paul McDonald Purchase Order No. 21030F
Indianapolis Metropolitan Police Dept.
8 650 W. Washington Street Terms
Indianapolis, IN 46231
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/16/09 paymen t for the 19th Annual Motor Vehicle Criminal
Interdiction, Intelligence Networking and Training
Conference for Officer Mike Miller on August 17 21,
2009 in Indianapolis
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
C IS Conference
Sgt. Paul McDonald IN SUM OF
Indianapolis,Metropolitan Police Dept.
8 650 W. Washington Street
Indianapolis, IN 46231
250.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
2103OF 570 250.00 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
June 16 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund