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214444 11/07/2012 �,\Mf CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1 ONE CIVIC SQUARE TREASURER OF STATE O I CAMP ATTERBURY-DRM CHECK AMOUNT: $830.00 CARMEL, INDIANA 46032 o� PD Box 5000 CHECK NUMBER: 214444 EDINBURGH IN 46124-5000 CHECK DATE: 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 13006 830 . 00 TRAINING SEMINARS CAMP ATTERBURY Joint Maneuver Training Center PO Box 5000 Bldg 245 Edinburgh,Indiana 46124-5000 INVOICE# 13006 15 October 2012 Reference MOA between MDI/CPD Carmel Police Department TOTAL AMOUNT DUE$830.00 Attn:Michael Pittman 3 Civic Square Carmel,IN 46032 Description: Usage Fees for Camp Atterbury Facilities,.1-4 October 2012. Enclosed is a copy of facilities&strength report for your use at Camp Atterbury. If you have any questions please call me at(812) 526-1102. Please make check payable to: 44S TRE�� TAX ID#35-1286958 Please return a copy of this invoice with your payment. REMITT TO: -US-'Ftry Camp Atterbury-DRM PO Box 5000 Edinburgh,IN 46124-5000 �hlwzl Mary Carr Accountant Camp Atterbury Utilization Report Overhead Cost (OC)/Identifiable Incremental Cost ([CC) Checklist Instructions: This form will be used for all units/organizations that may be charged OC/ICC costs and be filled out after each unit/organization clears. This form and any other,documentation will be forwarded to CA-DRM no more than 5 working days after training event. Unit/Organization Name: 0-'O � M 0 a Training Date: _ !' Unit/Organization Address: ( n 46 OO V� Unit/Organization Telephone Number: / 11 �D Unit/Organization Point of Contact: Unit/Organization POC E-mail Address: t. i?-- \......�'. I✓ ( U�f� Questions Yes No • Does the Unit/Organization have a current MOU? • Does the Unit/Organization have a current Certificate of Insurance? • Does the Unit/Organization have an Event Release? [ [ ] • Did the Unit/Organization submit the Liability Waivers? • Did the Unit/Organization use specialized ranges/facilities(special cost)? • Did the Unit/Organization use other ranges? • Did the Unit/Organization use training areas? • Did the Unit/Organization submit a strength report? [ [ ] • Does the Unit/Organization expect to have ICC charges? • Does the Unit/Organization have MIPR/other financial instrument on file? [ [ ] Documents to be attached: Yes No • Strength Report [/ ( ] • Approval for waiver of Overhead Costs [ ] [ • Documentation for ranges and training areas used (LI [ ] Date Forwa ded to DRM: �V B CAMP ATTERBURY JOINT MANEUVER TRAINING CENTER Daily Strength Report (Instruction for completing this form on reverse or may be obtained from Scheduling Branch) Office use. Date: Reporting Unit/Organization: Address: 4 l'i�'` �/ ✓ ' ' � '11�1 `yam Telephone: On Post Hq Bldg No: Post Phone Ext: Training *Training Status Unit (D)UIC Status* Total CODE AT............................Annual Training IDT...........Inactive Duty for Training MOB...............................Mobilization DMOB........................Demobilization MSP...............MOB/DeMOB Support AC_... .......*...........Active Duty (Not NG or Reserve) 0TH.......................................... Other (CIV other NON-military) SAD..................State/Fed Emergency FTS........................Full Time Support (ISU&Tenant ONLY) Certification: /d y e f" J n Pri ed N e/Ran'k /' / atur Date Received By: "nted /) /Rank Signature Date CAJMTC Form 14(25 MAY 2005 OBSOLETE) 23 OCTOBER 2006 CAMP ATTERBURY JOINT MANEUVER TRAINING CENTER Daily Strength Report (Instruction for completing this form on reverse or may be obtained from Scheduling Branch) Date: lJ rZ Office use. Reporting Unit/Organization: Address: ��7fd� � Q �� 1►1 w, V Telephone: /�- j�'f Z-5&- > On Post Hq Bldg No: Post Phone Ext: Unit (D)UIC Training Total *Training Status Status CODE AT............................Annual Training IDT...........Inactive Duty for Training MOB...............................Mobilization DMOB........................Demobilization MSP...............MOB/DeMOB Support AC...................................Active Duty (Not NG or Reserve) 0TH.......................................... Other (CIV other NON-military) SAD..................State/Fed Emergency FTS........................Full Time Support (ISU&Tenant ONLY) Certification: Printed Name/Ronk a" J Dat C Received By Prime Name/Rank Signature Date CAJMTC Form 14(25 MAY 2005 OBSOLETE) 23 OCTOBER 2006 CAMP ATTERBURY JOINT MANEUVER TRAINING CENTER Daily Strength Report (Instruction for completing this form on reverse or may be obtained from Scheduling Branch) rry Office use. Date: ��/ A �j"'jZ-' Reporting Unit/Organization: /do--- Address: '� U� " �j' '�11�Y� ,/✓�, Telephone: i 5 -/—Z5-6tty On Post Hq Bldg No: Post Phone Ext: Unit (D)UIC Training Total *Training Status Status* CODE AT............................Annual Training IDT...........Inactive Duty for Training MOB...............................Mobilization DMOB........................Demobilization MSP...............MOB/DeMOB Support AC...................................Active Duty (Not NG or Reserve) OTH.......................................... Other (CIV other NON-military) SAD..................State/Fed Emergency FTS........................Full Time Support (ISU&Tenant ONLY) Certification: Pn m ted ae ank, / ib tore ate Received By: d L JL�A V� i� N Phi ted Name/Rank Signature Date CAJMTC Form 14(25 MAY 2005 OBSOLETE) 23 OCTOBER 2006 CAMP ATTERBURY JOINT MANEUVER TRAINING-CENTER Daily Strength Report (Instruction for completing this form on reverse or may be obtained from Scheduling Branch) 1 Office use. Date: ( "( Reporting Unit/Organization: � jyj• �"`(c �, Address: 0)c, yzV_ t- Y1 _mot v � Telephone: On Post Hq Bldg No: Post Phone Ext: Unit (D)UIC Training Total *Training Status Status* CODE AT............................Annual Training IDT...........Inactive Duty for Training MOB...............................Mobilization DMOB........................Demobilization MSP...............MOB/DeMOB Support AC_....... ...........**...Active Duty (Not NG or Reserve) 0TH.......................................... Other (CIV other NON-military) SAD..................State/Fed Emergency FTS........................Full Time Support (ISU&Tenant ONLY) Certification: idi ,ll );t1AJ�1jeo :a "i'nted e k S a Date Received By: e/Rank Signature " Date CAJMTC Form 14(25 MAY 2005 OBSOLETE) 23 OCTOBER 2006 PERSONNEL TRAINED REPORT BY UNIT START DATE: 01/10/2012 INSTALLATION: CAMP ATTERBURY END DATE: 01/10/2012 FIRE DESK: RANGE CONTROL Unit : Tacility/Airspace ven ,­:; t Number,of Trained; E ISubdivision RGO06 - SNIPER TRNG 4 LIVE FIRE SHOOTHOUSE 13 Total For: PD—CARMEL 17 GRAND TOTAL: 17 PAGE 1/1 PRINTED ON PRINTED BY RFMSS-RANGE FACILITY MANAGEMENT SUPPORT—SYSTEM I, START DATE: 02/10/2012 INSTALLATION: CAMP ATTERBURY PERSONNEL TRAINED REPORT BY UNIT I END DATE: 02/10/2012 FIRE DESK: RANGE CONTROL ............. ............... .............­..­..l..,.__....... Unit. acility/Airspace. 'Eventl,. N um ber.of,Person nelTrained: Sub iv$Islo di PD CARMEL RG006 SNIPER� 4 TRNG 1 RG057 LIVE FIRE'SHOOTHOUSE 14 Total For: PD CARMEL 18 CL,' GRAND TOTAL: 18 't - PAGE 1/1 PRINTED ON PRINTED BY RFMSS-RANGE FACILITY MANAGEMENT SUPPORT SYSTEM START DATE: 03/10/2012 INSTALLATION: CAMP ATTERBURY PERSONNEL TRAINED REPORT BY UNIT END DATE: 03/10/2012 FIRE DESK: RANGE CONTROL UnitFacilitylAirspace vent Number.of Personnel Traine&E ision ............. PD_CARMEL I RGO06 SNIPER T`RNG RGO51 URBAN OPERATIONS TASKS 12 Total For:PD—CARMEL 16 GRAND TOTAL: 16 PAGE 1/1 PRINTED ON PRINTED BY RFMSS-RANGE FACILITY MANAGEMENT SUPPORT SYSTEM START DATE: 04/10/2012 INSTALLATION: CAMP ATTERBURY PERSONNEL TRAINED REPORT BY UNIT END DATE: 04/10/2012 FIRE DESK: RANGE CONTROL ' - f f. N f Evenrspae Nurrbet-oPerspF onneTraned I `Umt ,Sub iv "' PD_CARMEL JRG010 PISTOL QUAUNBC 12 Q�l Ze,cV Total For:PD_CARMEL 12 GRAND TOTAL: 12 I I PAGE 1/1 PRINTED ON PRINTED BY RFMSS-RANGE FACILITY MANAGEMENT SUPPORT SYSTEM I VOUCHER NO. WARRANT NO. ALLOWED 20 Treasury of the State of Indiana Camp Atterbury - DRM IN SUM OF $ P.O. Box 5000 Edinburgh, IN 46124-5000 $830.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 I 13006 I -570.00 I $830.00 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, November 01, 2012 /9. 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)) 10/15/12 13006 usage fees $830.00 ©� .-0AJ� I het__, Y �� a�me anacned 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