HomeMy WebLinkAbout209107 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366126 Page 1 of 1
ONE CIVIC SQUARE COURTYARD FT. WAYNE DOWNTOWN y
HECK AMOUNT: $277.02
CARMEL, INDIANA 46032 GRAND WAYNE
1150 SOUTH HARRISON STREET CHECK NUMBER: 209107
FORT WAYNE IN 46802
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 277.02 OTHER EXPENSES
INVOICE
Date: May 17, 2012
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Payment for lodging for Greg Dewald on June 18 21, 2012 in Fort Wayne, IN
Confirmation #83589081
Room Rate Tax Total
$81.00 $11.34 $92.34 x 3 $277.02
TOTAL DUE: $277.02
Please make check payable to:
Courtyard Fort Wayne Downtown at
Grand Wayne Convention Center
1150 South Harrison Street
Fort Wayne, IN 46802
INSROA Membershi Form
k
N
k
`XI
5
5
Indiana School Resource Officers Association
P.O Box 1692
South Bend, IN 46634
Full Name: Greg Dewald
Title: Patrolman School Resource Officer
Department/ Organization Carmel Police Dept
Preferred Mailing Address: 3 Civic Square
City: Carmel State /Province: Indiana Zip /Postal Code: 46032
Country: US Telephone: (_317)_844 -7251 Fax: (_317__571 -4020_
Email: gdewald@carmel.fn.gov
Are you and /or family planning to attend the state conference June 18 -2V 2012? *es r
2012 Membership Registration Fee is $30
Shirt size Large
PLEASE CHECK APPROPRIATE REGISTRAION STATUS:
DARE OFFICER X SRO_X SCHOOL SAFETY -X GREAT OFFICER_ OTHER
CJ' Payment of 012 INSROA Membership Dues:
Active $30 RETIRED $30
Note: Dues will be used for training purposes only related to hotel rental fee's and travel expenses for
our presenters! Also the website is down at this time!
TOTAL ENCLOSED:
Please list any ADA Special Needs:
PAYMENT METHOD Check or Money Order must be in U.S. funds payable to: Indiana School Resource Officer
Association (INSROA). There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds.
Membership confirmation/receipt and further information will be emailed. Please mail completed registration forms
to:
Indiana School Resource Officer Association (INSROA)
P.O Box 1692
South Bend, IN 46634
VOUCHER NO. WARRANT NO.
ALLOWED 20
Courtyard Fort Wayne Downtown
at Grand Wayne Convention Center
IN SUM OF
1150 South Harrison Street
Fort Wayne, IN 46802
$277.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
852 852.00 $277.02 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
Thursday, May 17, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/17/12 payment for lodging for training $277.02
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