212360 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 355386 Page 1 of 1
ONE CIVIC SQUARE ROSEN PLAZA HOTEL
CARMEL, INDIANA 46032 9700 INTERNATIONAL DRIVE CHECK AMOUNT: $788.80
`d• ORLANDO FL 32819
CHECK NUMBER: 212360
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 788 . 80 EXTERNAL TRAINING TRA
Reservation Phone Number: 1-800-627-8258
P,jPROSEN
LAZA 9700 International Fax: 407-996-9119
Drive, Orlando, Florida 32819-8122
HOTEL, http://www.RosenPlaza.com
PLEASE VERIFY ALL INFORMATION FOR ACCURACY
Guest Information: Room Total Date Stay Rate Rate
STEPHEN REEVES $695.00+Surcharge Sunday, September 23, 2012 $139.00
2 CIVIC SQUARE +Taxes
Monday, September 24, 2012 $139.00
CARMEL, IN 46032 USA Tuesday, September 25, 2012 $139.00
Wednesday, September 26, 2012 $139.00
Home Phone: 3175712671 Thursday, September 27, 2012 $139.00
Email Address: sreeves @carmel.in.gov
Printed On: Tuesday,July 31,2012
ACCOMMODATIONS REQUESTED,
Deluxe Double
ARRIVAL DATE DEPART DATE #GUEST CONFIRMATION# ASSOCIATED WITH
09/23/2012 09/28/2012 1 RR5EE967 FDSOA 2012 Annual Meeting
Stay Summary: #of Rms: 1 All rates are exclusive of 12.5%tax and The Hotel will collect one percent of'the`room'rate,
GTD: YES MAST (not subject to tax exemption)to fund the promotion ofthe Orange County Convention
Center and tourist services in the vicinity of the Orange County Convention Center District.
Information that you will need to know:
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.
The Hotel will collect one percent of the room rate(not subject to tax exemption)to fund the promotion of the Orange County Convention
Center and tourist services in the vicinity of the Orange County Convention Center District.
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.
All Reservations must be cancelled at least 5 days prior to arrival in order to avoid a cancellation charge.
5 Day Cancellation Policy
DINE XVITI-i CH.t RA.0 TER 'iW A
~, ;L`_, SAVE 25k�/,t OFF YOUR CHECK* G O L vF C L U B
lin;..y,v:.rld-.a:,. J;n;ny .,;th.ar;•:,u:rc.• Advanced Booking Discount
Book your golf tee time early and
� '`'; �1', ,� i receive the following discounts
Y061�"I.ACE up to 20%off.
This coupon must be presented to the golf
�c:.:.ttt;t.•ar run -t:ct c, t. l:d,n„t . .t;t wits, associate when you check in for your tee
R.—n Plaza H,,t 1 di'1..:n,l.."ll-j"I r.,.:I,a,,,,�.:,1.:..h.a 4�.:IuJo.i.
971X?1.t,-mati..n:d Dr. time.
0.•tand.,. 1^I_32811.) 1:,r ir,tr,i Limitations and Conditions apply.
ta.kxrlacrRcaauntnt.rotas C.atl 407.999.I 7.S 7 Call the Golf Clubhouse at 407-996-
Mpl-ImENTARY VALF'11-c7R SELF c.AIZlati(_' 1559 or Book
online at
htti)://www.shincilecreekgolf.com/
*Not Valid with any other offers Expires 12/31/12
The Brad Brewer Academy is Here for Your Game! 407-996-3306 www.bradbrewer.com info @bradbrewer.corn
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.
Annual Conference Online Receipt Page 1 of 1
� F
Thank you for submitting your information for the Annual Conference. Confirmation of your registration will come to
you through U.S. Mail. Please call the FDSOA office at 508-881-3114 with any questions.
Here is a summary of your submission:
Name: Stephen J. Reeves
Position: Health & Safety Officer
Agency: Carmel Fire Department
Address: 2 Civic Square
City: Carmel
State: IN
Zipcode: 46032
Country: USA
Work Phone: 317-571-2600
Fax: 317-571-2615
Email: dsnyder @carmel.in.gov
Course 5: Safety Forum, HSO Academy (No Exam) - FDSOA Member$425.00
Credit Card Type: PO
PO Number: 24349
Submit: Submit
https://www.fdsoa.org/annconf receipt.htm 5/3/2012
FIRE DEPARTMENT SAFETY OFFICERS ASSOCIATION
1. REGISTRATION INFORMATION: -- -- ---- -- —
�G�c�'!
Name
Title
Organization� C` /, C� 1-16 D 32
Address This address is:❑Home ❑Department
C,-,f- .vre( yGG'r�2
City State Zip
3/7 5-?1-2& 71 317- 5-,?/ -2Z/ S'
Phone Fax
E-mail
G. REGISTRATION FEES: FDSOA Member/Non-Member FDSOA Member/Non-Member
❑ Safety Forum Only $325/$425 ❑ HSO Academy&HSO Exam $295/$395
❑Safety Forum,ISO Academy&ISO Exam $520/$620 ❑ ISO Academy Only $200/$300
❑ Safety Forum,HSO Academy&HSO exam $520/$620 ❑ HSO Academy Only $200/$300
❑ Safety Forum&ISO Academy Only $425/$525 ❑ ISO Exam Only $95/$195
Safety Forum&HSO Academy Only $425/$525 ❑ HSO Exam Only $95/$195
❑ ISO Academy&ISO Exam $295/$395 ❑ FDSOA Individual Membership $85
Total Registration Due(in U.S.Dollars): $
3. PAYMENT INFORMATION:
O Check Enclosed(Please make check payable to FDSOA in U.S.funds.)
O Purchase Order#(Copy of PO must be provided to process registration)
O Credit Card ❑MasterCard ❑Visa ❑ Discover
Card#
Expiration Date
Name as it appears on card
Signature
4. DEMOGRAPHIC QUESTIONS:
To help us serve you better,please answer the following:
1.Are you ❑ j C(a)Volunteer areer
2.Type of department ❑(a)Volunteer Q3,tbTcareer ❑ (c)Combination
3.Is this your first time attending the forum? ❑(a)Yes ❑ No—I've attended the past years
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Irescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
$788.80
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rosen Plaza Hotel
IN SUM OF $
9700 International Drive
Orlando, FL 32818
$788.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-430.02 I $788.80 1 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
AUG 2 7 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund