209132 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00352566 Page 1 of 1
0 ONE CIVIC SQUARE FAIRFIELD INN JACKSON
CARMEL, INDIANA 46032 2395 SHIRLEY DRIVE CHECK AMOUNT: $138.74
JACKSON MI 49202
CHECK NUMBER: 209132
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343002 138.74 EXTERNAL TRAINING TRA
INVOICE
Date: May 18, 2012
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Payment for lodging for Ryan Jellison on June 26, 2012 in Jackson, MI
Confirmation 987817708
Room Rate Tax Total
$124.99 $13.75 $138.74
TOTAL. DUE: $138.74
Please make check payable to:
Fairfield Inn Jackson
2395 Shirley Drive
Jackson, MI 49202
a A tNpNa+
INSTITUTE
REGISTRATION FORM
Please print name as it should appear on the certificate
Last Name: First Name: i�ti c MI:
Department: nt in s\ �o\ c e- 4-n.c,
Dept. Address: C y: C- u n r e-
City: C e- r -c ST: rr7 Zip: bob
Work Phone: 1- 2 5 Cell: 3/ 7 ?2 7- 991 -Z
Email Address: s^
COURSE LOCATION DATES: -1 `YYs j n� (y 2 7- /Z
TYPE GAS GUN AGENCY USES: 37mm _40MM 12 Gauge Shotgun
CTSTI INSTRUCTOR OPERATOR COURSES
OC ICP (Day 1 Only $90.00) Corrections Course (3 Days $350.00)
ICP (Day 2 Only $220.00) Basic Breaching Operators Course (1 Day $110.00)
IM ICP (Day 3 Only $190.00) Field Force Grenadiers Course (2 Days $350.00)
FB ICP (Day 4 Only $220.00) SWAT Grenadiers Course (2 Days $300.00)
All 4 ICP (Full 4 Day $695.00) Penn Arms Armorer's Course (2 Days $125.00)
Breaching Instructor Course (2 Days $225.00)
Custodial Handcuffing Restraints (1 Day $95.00)
BECAUSE ATTENDANCE IS LIMITED, A FIRM COMMITMENT IS REQUIRED. Therefore, a purchase order OR request for attendance
on departmental letterhead to Combined Systems, Inc. from your department must be submitted to us by fax (724- 932 2157), emailed to
aiones a(7combinedsystems.com or mail to CTS Training Institute, P. 0. Box 506, Jamestown PA 16134.
As the P. 0.'s /requests for attendance are anticipated to be greater than the number of spaces available, cancellation of a designated
attendee must be made in writing to Combined Systems thirty (30) days before the class date. Should a student not appear for a class,
and a cancellation notice not be received, that agency will be charged the full amount of the cost associated with this class. Notification of
cancellation will allow us to offer the vacant spot to another interested agency. Substitution of an attendee within the same agency is
acceptable.
MAIL Payment TO: COMBINED SYSTEMS, INC. TRAINING
388 KINSMAN ROAD
JAMESTOWN, PA 16134
Payment Method: Check Enclosed _Credit Card 'Dr @pt. Purchase Order
CC V CODEM Exp. Date:
Name as it appears on card:
Billing address Phone Number
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 04/23/2012 Employee: Sgt. Ryan Jellison
Name of School: CTS Impact Munitions Instructor Course
Cost: $190.00
Location of School: Jackson
State: MI
Topic Subject Matter: Less lethal impact munitions
ILEA Course Certification if available):
Dates of School: From: 06/27/2012 To: 06/27/2012
Contact Person: Ms. Jones
Telephone Number: (724) 932 -2157
Instructor: unknown ILEA Instructor #(if available):
How will this School benefit you and the Department? I am in need of this course to allow me to
teach less lethal bean bag deployment. This will assist me in my current position
Will you need a rental car? ❑Yes ®No
Will you need air transportation? ❑Yes ®No
Will you need accommodations? ®Yes ❑No
"OVERTIME COMPENSATION WILL NOT BE PAID IF YOU VOLUNTEER TO
ATTEND A SCHOOL, ONLY IF YOU ARE ORDERED TO ATTEND.
Officer's Signature:
Supervisor' Signature: Date:
Division Commander: Date:
Training Officer: Date: fZ3
*OFFICE USE ONLY BELOW THIS E*
2011 -02 -222
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fairfield Inn Jackson
IN SUM OF
2395 Shirley Drive
Jackson, MI 49202
$138.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 430.02 $138.74
I hereby certify that the attached invoice(s), or
I I I
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
Friday, May 18, 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))
05/18/12 lodging for training $138.74
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