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Home My WebLink About213525 10/09/2012 CITY OF CARMEL, INDIANA VENDOR. 355078 Page 1 of 1 ` ONE CIVIC SQUARE RYAN JELLISON CARMEL, INDIANA 46032 CHECK NUMBER: 213525 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 50 . 00 GASOLINE 1110 4343002 193 . 18 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report (required for all travel expenses) `' .lNDIAN? EMPLOYEE NAME: Ryan Jellison DEPARTURE DATE: 9/19/2012 TIME: 3:00 AM / PM DEPARTMENT: Police RETURN DATE: 9/20/2012 TIME: 10:00 AM / PM REASON FOR TRAVEL: School DESTINATION CITY: Racine, WI EXPENSES ARE FOR (check all that apply) TRAVEL ADVANCE TRAVEL REIMBURSEMEN TRAVEL PER DIEM Yes Transportation Gas/Tolls/ Meals Date Parkin Lodging Misc. Total Air-fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem 9/19/12 $90.48 $32.50 $122098 9/20/12 $55.20 $65.00 $120.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.00 $0.00 $0.00 $55.20 $90.48 $0.00 $0.00 $0.00 $0.00 $97.50 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form#ER06 Revision Date 9/24/2012 Page 1 Afar ott. GUEST FOLIO RACINE 7111 Washington Avenue, Racine,WI 53406• 262.886.6100• Marriott.com/MKERW 227 dEtt1SONjRYAN 80.00 09120712 12:00 836 Name Rate Depart Time ACCT# Ng "� 09/19/12 18:43 TT Arrive Time MRW#: Room Payment Clerk Address 09/19 ROOM. 227, 1 80.00 09/19 RM.TX 227, 1 4.08 09/19 OCC TAX 227, 1 6.40 O- T,09/20 CARD 106 7 TO BE SETTLED TO: C BATHANK YOU FOR CHOOSING MARRIOTT! TO EXPEDITE YOU PLEASE CALL THE FRONT DESK, OR PRESS "MENU" ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT. ------------------- EXP. REPORT SUMMARY ------------------- 09/19 B•E-N-Tt rl J s < --1-6-4 9- ROOM&TAX 90.48 WANT YOUR FINAL HOTEL BILL BY EMAIL? JUST ASK THE FRONT DESK! SEE " INTERNET PRIVACY STATEMENT" ON MARRIOTT.COM This statement is your only receipt.You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you.The amount shown in the credits column opposite any credit card entry in the reference column above will be charged to the credit card number set forth above.(The credit card company will bill in the usual manner.)If for any reason the credit card company does not make payment on this account,you will owe us such amount.If you are direct billed,in the event payment is not made within 25 days after checkout,you will owe us interest from the checkout date on any unpaid amount at the rate of 1.5% per month(ANNUAL RATE 18%),or the maximum allowed by law,plus the reasonable cost of collection,including attorney fees Signature X ® a ®Contains 30%post consumer fibers To secure your next stay,go to Marriott.com IVA D lK v C°Jl5 0 U�UUIJ J f3 irFi From island resort getaways to globe-trotting business trips, Marriott is here to make sure all yourjourneys are everything you imagined—and more. 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Ryan Jellison Name of School: CTS Impact Munitions Instructor Course Cost: $190.00 , Location of School: Jackson Cub, State: MI r► Topic/ Subject Matter: Less lethal impact munitions ILEA Course Certification # (if available): Dates of School: From: 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: L� *OFFICE USE ONLY BELOW THIS E* 2011-02-222 TIRAIIN&NG BNSIr'@IiUTE REGISTRATION FORM Please print name as it should appear on the certificate Last Name: J \\`, S�� First Name: IZ a••� MI: Department:Dept. Address:Address: C `,v :L u n r c- City: C_ t}e-n^< ST: -=7,-/ Zip: bao " Work Phone: 3 I 1- '2 Cell: 3/ 7- 72-7 - '7_84-z Email Address: C t el\;5-,, 0 < e f'-cI COURSE LOCATION & DATES: I 1-S M 27- /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) _ACM 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 ancombinedsystems.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 T0: COMBINED SYSTEMS, INC. - TRAINING 388 KINSMAN ROAD JAMESTOWN, PA 16134 Payment Method: _Check Enclosed _Credit Card Apt. Purchase Order# CC#& V CODEM Exp. Date: Name as it appears on card: Billing address & Phone Number VOUCHER NO. WARRANT NO. ALLOWED 20 Ryan D. Jellison IN SUM OF $ $243.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 42-314.00 $50.00 f hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 43-430.02 $193.18 materials or services itemized thereon for which charge is made were ordered and received except Tuesday, October 02, 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)) 10/02/12 gasoline $50.00 10/02/12 meals/lodging/tolls $193.18 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