HomeMy WebLinkAbout174913 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 129163 Page 1 of 1
ONE CIVIC SQUARE HOLIDAY INN EXPRESS RICHMOND CHECK AMOUNT: $834.00
?o CARMEL, INDIANA 46032 1990 COLBY TAYLOR DRIVE
RICHMOND IN 40475 CHECK NUMBER: 174913
CHECK DATE: 7/22/2009
DEPARTMENT ACC OUNT PO N UMBER INV OICE NUMBER AMOUNT DESCRIPTION
1110 4343002 834.00 EXTERNAL TRAINING TRA
INVOICE
Date: July 16, 2009
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Payment for lodging for Mike Pitman on August 2 7 and August 9 14, 2009 in
Richmond, KY.
Confirmation #68123955 August 2 7
Confirmation #68125939 August 9 —14
Room Tax Nights Total
$83.40 x 10= $834.00
Please make check payable to:
Holiday Inn Express Richmond
1990 Colby Taylor Drive
Richmond, KY 40475
POLICE SNIPER TRAINING COURSE
APPLICATION FORM
NAME: A" P
DEPARTMENT: PSP((,
WORD ADDRESS: 3 (e ll i C �Q, v✓4-F
CITY /STATE/ZIP: C�l� me o V6 0,3Z
E -MAID. ADDRESS: C art i,� a
W ORD PHONE: 3/ 1 r-7/ 25'00
Ca
PHONE: 9
DOB: 4 1 2-3 70 HEIGHT: 6 2 WEIGHT: 2-co
SOCIAL SECURITY NUMBER (Records Entry) 7
PHYSICAL CONDITION: POOR FAIR GOOD EXCEL
TOTAL YEARS OF LAW ENFORCEMENT EXPERIENCE Z
TOTAL YEARS OF SPECIAL WEAPONS TEAM EXPERIENCE F L
TOTAL YEARS OF SHOOTING EXPERIENCE 2- c
HAVE YOU EVER ATTENDED ANY OTHER RIFLE OR SNIPER SCHOOLS?
YES _�NO WHERE?
Presc by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
Holiday Inn Express Richmond Purchase Order No.
1 1990 Colby Taylor Drive Terms
Richmond, KY 40475 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/16/09 payment for lodging for Det. Mike Pitman while 834.00
attending the Police Sniper Training Course on August
3 14, 2009 in Lexington, KY
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
H oliday Inn. Express Richmond IN SUM OF
1990 Colby Taylor Drive
Richmond, KY 40475
834.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general f
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -02 834.00 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
July 17 2009
A&
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund