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174916 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363103 Page 1 of 1 ONE CIVIC SQUARE HOMEWOOD SUITES BY HILTON PHOE X CARMEL, INDIANA 46032 11450 W HILTON WAY HECK AMOUNT: $637.10 AVONDALE AZ 85323 CHECK NUMBER: 174916 CHECK DATE: 7/22/2009 DEPARTME u AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343002 637.10 86472775 -OGLE i t INVOICE Date: July 16, 2009 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Payment for lodging for Jason Ogle on August 23 28, 2009 in Avondale, AZ. Confirmation #86472775 Room Rate Tax Total $114.00 $13.42 $127.41 x 5 $637.10 TOTAL DUE: $637.10 Please make check payable to: Homewood Suites by Hilton Phoenix Avondale 11450 West Hilton Way Avondale, AZ 85323 r a. "0 L 'IRIEY,Mi650P P ®LGSROT ®CYi HARLEY- DAVIDSON POLICE TECHNICAL TRAINING SCHOOL ENROLLMENT APPLICA'T'ION CLASS a )C)O COURSE NAME: Yo l�. /t COURSE DATE: STUDENT I NFORMATION: M NAME: A ©6 -yL� RANK /TITLE: M!EZ /Wf C t HOME ADDRESS: Li l� CITY /STATE /ZIP: C c'- EL— atmZAAk 1 y,1.0- POLICE DEPT. OR MUNICIPALITY: C bFCAlRM E1'- poL7L !]Ff�l Verification and Confirmation letters should be mailed to: HOME or NKAGENCY add ess? (please check one) Would you like to receive a free subscription to The Mounted Officer magazine? 12 YES NO PHONE NUMBER: 3 1 I5- 05LL E -MAIL ADDRESS: l_7� fftKM 6 U. &e PLEASE LIST ANY SPECIAL REQUIREMENTS: (Please wait to make travel arrangements until you have received your CONFIRMATION letter from us.) BILLING INFORMATION Invoices will be sent to the billing address provided below unless otherwise requested. Please complete all contact information below and read the BILLING CANCELLATION POLICY found in the attached Police Technical Training infor ational documents CONTACT NAME: Lr� /Sl�! NK /TITLE: rd POLICE DEPT. OR MUNICIPALITY: 0 i9?/,ve( //C Z AGENCY ADDRESS: CITY /STATE /ZIP: �,f3/'/� e 03 Z PHONE NUMBER: vU FAXNUMBER: E -MAIL ADDRESS: `�5 t� -Sy Ao V I have read the BILLING CANCELLATION POLICY of this program. By my signature below, I accept the terms and conditions of this (A tions without a signature will not be accepted). Billing Contact Signature Print Name: PLEASE FAX YOUR APPLICATION TO: Fax# (414) 343 -8781 FOR OFFICE USE ONLY: Verification: For more information contact WENDELL KENDRICK Confirmation: Invoice Phone: (414) 343 -8234, Email: wendell.kendrick harley- davidson.com Date Due: PAID: HARLEY- DAVIDSON MOTOR COMPANY, POLICE AND FLEET SALES Address: P.O. Box 653. Milvnukce, N9 53201 U.S.A. Phone: 1 800 luv•2ride Online: wv% qv. harley- davidsonpolicemotors.com orww%wharley- davidson.com Prescribe by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) �r 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 Homewood Suites by Hilton Phoenix Avondale Purchase Order No. 11450 W. Hilton Way Terms Avondale, AZ 85323 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/16/09 a ent for lodging for Jason Ogle while attending the 637.10 Harley-Davidson Police Technical Trainin g school on August 23 27, 2009 in Avondale, AZ 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 dmewood Suites by Hilton Phoenix Avon IN SUM OF 11450 W. Hilton Way Avondale, AZ 85323 637.10 ON ACCOUNT OF APPROPRIATION FOR p olice general fu Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -02 637.10 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 20 Og Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund