180253 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 355386 Page 1 of 1
ONE CIVIC SQUARE ROSEN PLAZA HOTEL
CHECK AMOUNT: $520.95
�t CARMEL, INDIANA 46032 ORLA FL 32819 DRIVE CHECK NUMBER: 180253
ORLANDO FL 32819
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER A MOUNT DESCRIPTION
1120 4343002 520.95 EXTERNAL TRAINING TRA
R iA N Reservation Phone Number: 1- 800 627 -8258
Reservation Fax: 407 996 -9119
9700 International Drive, Orlando, Florida 32819 -8122
H 0 T E L http: /www.RosenPlaza. corn
PLEASE VERIFY ALL INFORMATION FOR ACCURACY
Guest Information: Room Total Date Stay Rate Rate
ROBERT VANVOORST $459.00 Tax Sunday, January 17, 2010 $153.00
23402 MULE BARN ROAD Monday, January 18, 2010 $153.00
SHERIDAN, IN 46069 USA Tuesday, January 19, 2010 $153.00
Home Phone: 317.664.0958
Email Address: bvanvoorst@carmel.in.gov
AC COMMODATIONS'REQUESTED
Printed On: Thursday, November 12, 2009 Deluxe Double
x
ARRIVAVDATE g t DEPART DATE #GUEST h, CONFIRMATION i'a j °d jASSOCIATED WITH j,
01/17/2010 01/20/2010 1 RR562A64 FDSOA Apparatus Symposium, 2010
Stay Summary: of Rms
1 All rates are exclusive of 12.5% tax and 1 OCCC FEE
GTD: YES VISA
SPECIAL REQUESTS:
King Beds, Connecting rooms, specific locations, and other special requests noted on your reservation are not guaranteed. Rest assured
every effort will be made to meet your needs.
Rosen Plaza is a smoke -free facility including all guest rooms, restaurants, lounges, meeting rooms and public
spaces. Designated smoking areas are available outside of the Hotel. The Hotel will apply a $350 cleaning fee for guests who
disregard this policy.
All approved major credit debit cards will be accepted. Please note an authorization of one night's room and tax will be taken on your
card five days prior to your arrival date. Debit Cards will show a debit in your account at this time. Any reservation with a declining credit
or debit card will be subject to cancellation. In the event that you do not arrive on your requested arrival date listed above, the card given
at the time of booking will be charged one night's room and tax.
5 Day Cancellation Policy
This reservation must be cancelled at least 5 days prior to arrival in order to avoid a cancellation charge.
Dine Where Celebrities Hang i
i
50 off
i SecondEntree
PLACE with the purchase of one adult entree of
t L equal or greater value
Enjoy great steaks fresh seafood surrounded by the
world's largest collection of autographed celebrity caricatures
I
Open Nightly at 5:30 p.m. Reservations 407 996 -1787
L *Not Valid with any other offers
J
Please be aware that there are two Rosen Hotels adjacent to the Orange County Convention Center.
The Rosen PLAZA is at 9700 International Drive and the Rosen CENTRE is at 9840 international Drive. Your reservation is at the ROSEN PLAZA.
DEPARTy
SAFETY
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Fl ��ff/CERS p 55 `\P
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2010 Apparatus Specification
Vehicle Maintenance Symposium
NOTE: Use one registration form per person. Please return completed form, with payment
in U.S. funds, to: FDSOA, P.O. Box 149, Ashland, MA 01721 -0149. Make checks payable to
FDSOA. Save time register online at: www.fdsoa.org.
NAME: J ►9SoAI 4 it E
TITLE: Mq fr_t,/EU&f- lfAH
AGENCY: e4 F, nE brP,4RTM E NT'
ADDRESS: 1yo E
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CITY: 1 4lZm e L STATE: /N ZIP: Nlo�3 Z
WORK PHONE: 31 1 5 4 1 2 O FAX: 3 1 3 Z 4 1
EMAIL: J F orCG @CwrMt /n g.o v" CELL PHONE:
Symposium Registration (Registration includes refreshments lunch)
FDSOA Members $385.00
Non Member Fee $485.00
FAMA Members $460.00 (If you are a FAMA member but not an FDSOA member)
1: FDSOA Membership Dues 85.00 (Join now and take advantage of the member rate)
ISO or HSO Certification Exams: A separate registration application and payment is required for Certification
Exams. The application can be downloaded /printed from the FDSOA web site: www.fdsoa.org
Payment Information (U.S. F unds, drawn on U.S. Bank)
Enclosed is a check payable to FDSOA
Enclosed is an official Purchase Order
Credit Card: (Master CardNisa Only)
Card Number:
Signature: Exp. Date
Cancellations: Cancellations must be made in writing and sent to FDSOA, P.O. Box 149, Ashland, MA 01721- -0149. If
received 30 days prior, 75% of Conference Registration only will be refunded; 7 -29 days prior, 50% of Conference
Registration only will be refunded. Less than 7 days, no refund is possible.
Save time! Register ®n line at www. fdsoa.org
DEPARTM
SAFETY
D M e
f /CERS a
2010 Apparatus Specification
Vehicle Maintenance Symposium
NOTE: Use one registration form per person. Please return completed form, with payment
in U.S. funds, to: FDSOA, P.O. Box 149, Ashland, MA 01721 -0149. Make checks payable to
FDSOA. Save tim register on-line at: www.fdsoa.org.
NAME: jg o U OAA) L R-S
TITLE: /n 4) r2 'j,E/il AA)(F D/ a S/o
AGENCY: Cl 1 45 )12 E OiPA2T ^61j
ADDRESS: 6 A C l Ul e s 9 vA2E
CITY: C E L STATE: ,1 ZIP:
WORK PHONE: 3 /'T- S?/- o? 6 G G 7 /S
-7- FAX: 3 7- 671
EMAIL aVA )Oa,, G
7AQ,rL nr 910 CELL PHONE: 3/ (y (o 0 7S8
Gc v
Symposium Registration (`Registration includes refreshments lunch)
A; FDSOA Members $385.00
Non Member Fee $485.00
FAMA Members $460.00 (If you are a FAMA member but not an FDSOA member)
FDSOA Membership Dues 85.00 (Join now and take advantage of the member rate)
ISO or HSO Certification Exams: A separate registration application and payment is required for Certification
Exams. The application can be downloaded /printed from the FDSOA web site: www.fdsoa.org
Payment Information U.S. Funds, drawn on U.S. Bank)
Enclosed is a check payable to FDSOA
VE Enclosed is an official Purchase Order
Credit Card: (Master CardNisa Only)
Card Number:
Signature: Exp. Date
Cancellations: Cancellations must be made in writing and sent to FDSOA, P.O. Box 149, Ashland, MA 017210149. If
received 30 days prior, 75% of Conference Registration only will be refunded; 7 -29 days prior, 50% of Conference
Registration only will be refunded. Less than 7 days, no refund is possible.
Save time! Register on line at www.fdsoa.org
Prescribed by State Board of Accounts City Form No. 201 (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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$520.95
1 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
VOU_GHER NO. WARRANT NO.
ALLOWED 20
Rosen Plaza Hotel
IN SUM OF
9700 International Drive
Orlando, FL 32818
$520.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 43- 430.02 $520.95 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
DEC 7 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund