213888 10/23/2012 *F CITY OF CARMEL, INDIANA VENDOR: 366195 Page 1 of 1
1� ONE CIVIC SQUARE COMBINED SYSTEMS, INC
CARMEL, INDIANA 46032 PO BOX 506 CHECK AMOUNT: $190.00
JAMESTOWN PA 16134 CHECK NUMBER: 213888
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 26139 8072 190 . 00 TRAINING
Invo ice!
P.O. BOX 506
388 Kinsman Road Page 1/1
Jamestown, PA 16134 Invoice INV0008072
Date 10/5/2012
COMBINED Tel: 724-932-2177 Fax: 724-932-2166 S.0. No.
TACTICAL SYSIrEMS E-mail: Sates@CombinedSystems.com
Bill To: Carmel P.D. Ship To: Carmel P.D.
3 Civic Square 3 Civic Square
Carmel IN 46032 Carmel IN 46032
Attn: Attn:
Purchase Order No. Payment Terms Shipping Method Due Date F.O.B. Rep Master No.
PD TRAINING Net 30 Days BEST WAY 11/4/2012 NO REP 7,251
Shipped Item Number Lot/Serial Number Description Quantity Unit Price' Ext. Price
1 TR6003 IM ICP (Day 3) $190.00 $190.00
Ryan Jellison
Subtotal $190.00
Ref:PO#26139 Misc $0.00
Federal Excise Tax $0.00
Freight $0.00
Total $190.00
Payments/Deposits
Balance Due $190.00
A Force For Order
C0 INDIANA RETAIL TAX EXEMPT PAGE
RY ® I' Carmel . CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT ,�
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
WA=2
Cumbinod I firam% Inc. -Tr2ining Cumel Police Dopaitmont
VENDOR SHIP 3 CIVIC squaw
Kinoman Road TO Camol, IN 46=
Jamiasta=, PA 96939 (M)579.19
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00.570.00
9 Each training $190.00 0190.00
Sub Total: $190.00
t f s. t,P 8t0q/ Y
Impoct Munitions Raining for Sgt. Jellison an� , oir,'sr..��®i.�Lf7�vYY.cras Sri rsv�I'
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 Civic Squaw
Cam®I, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT M0.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY "�,.r„_,.-„ �"�,.,_- `•;, •''�(�j.��, i.,,y.,
SHIPPING LABELS. - Chief aq Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE "!)
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
' CLERK-TREASURER
DOCUMENT CONTROL NO- 2613 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._-_.____.._.WARRANT NO..______._._
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
2
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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_-----__.___.
20
...............................................................................................
Signature
--.............................. .............................................................................................................:...........:................ —
Title
Cost distribution ledger classification if,
claim paid motor vehicle highway fund
TRAINUNG
ONSTOTUTE
REGISTRATION FORM
Please print name as it should appear on the certificate
Last Name: \\ S �s�> First Name: -R!1 c,..► MI: 1
Department: ,-a v, ?o\ ;ce-
Dept. Address: C"V :C �c.Ua rt_:,
City: L,Pr-rcn.. ST: -=rNJ Zip: LLbobs
Work Phone: 'F7 Cell:
Email Address: r- r C1V ss-,11 P C c.r-r�—C_l
COURSE LOCATION & DATES: 6 - 27- /2-
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)
_CM ICP (Day 2 Only - $220.00) _ Basic Breaching Operators Course (1 Day - $110.00)
A
✓ 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
ajones .combinedsystems.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 pt. Purchase Order#
CC#&V CODE#: Exp. Date:
Name as it appears on card:
Billing address & Phone Number
Combined Systems, inc. - Confirmation of Registration
ATTN:Tiainiag Phone: (724)932.2177 ext 119
386 Kinsman Rd Fax: (724)932-2157
Jamestown,PA 16134 E-mail; tra(ning�corpDinedsystenis:com
May 29 2012
Ryan Jellison - Imp day only 3
Thank you for enrolling in a Combined Tactical Systems (CTS)Training class. We
have received your registration and you have been accepted in the Less Lethal Munitions
Instructor Certification Course scheduled for September 18-21 2012 in Racine, WI.
Attached you will find the class agenda and a list of local lodging for your convenience.
Class starts at 8:00am and you will need to bring eye and ear protection along with gloves.
Please remember that any cancellations must be made in writing 30 days prior to the class
start date.
Feel free to contact Amberlyn Jones at 724-932-2177 ext. 1 19 or training(CDcombinedsystems.com
for any questions and/or clarifications.
Thank you for your participation in our Training Program. We look forward to seeing you on
September 18-2! 2012.
Sincerely,
Amberlyn A. Jones
CTS Training Institute
Combined Systems, inc.
VOUCHER NO. WARRANT NO.
FALLOmbined Systems, Inc. - Training 20
WED-
a &X �;� IN SUM OF $
388 Kinsman Road
Jamestown, PA 16134
$190.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
26139 I 8072 I -570.00 I $190.00 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
Thursday, October 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))
10/05/12 8072 training/Jellison $190.00
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