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219764 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 00353390 Page 1 of 1 ONE CIVIC SQUARE HOLIDAY INN FLORENCE CHECK AMOUNT: $387.32 CARMEL, INDIANA 46032 7905 FREEDOM WAY FLORENCE KY 41042 CHECK NUMBER: 219764 CHECK DATE: 5/7/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 387 .32 TRAINING SEMINARS INVOICE Date: April 30, 2013 Sold to: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Payment for lodging for John McAllister on June 3 - 7, 2013 in Florence, KY Confirmation 967454259 Room Rate Tax Total $87.00 $9.83 $96.83 x 4 = $387.32 TOTAL DUE: $387.32 Please make check payable to: Holiday Inn Florence 7905 Freedom Way Florence, KY 41042 I TRAINING INSTITUTE REGISTRATION FORM Please print name as it should appear on the certificate Last Name: JGl�LC i_-F—A First Name: {� MI: Department: t; C- � L �G� LGL Dept. Address: �J/ City: ��� u�� �- ST: -7°�,� Zip: (COGS 2 Work Phone: -31-1 `S Cell: 11 - `-1c,2 - �9T� Email Address: _ )VV\C_ "� C A7_a­�L�_ T j , 60 V COURSE LOCATION & DATES: �`4cC �J P,,-,&-�, kcE,�Zyc-�-_ `� �, -j �a t 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) 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) 4 ICP.-o(�Full 4 Day - $695.00) _ Penn Arms Armorer's Course (2 Days - $125.00) �tEs.� _ 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)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 16934 Payment Method: _Check Enclosed _Credit Card _Dept. Purchase Order# CC#&V CODE#: Exp. Date: Name as it appears on card: Billing address& Phone Number 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)) 04/30/13 lodging/McAllister $387.32 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 Holiday Inn Florence IN SUM OF $ 7905 Freedom Way Florence, KY 41042 $387.32 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 -570.00 $387.32 I hereby certify that the attached invoice(s), or 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 Wednesday, May 01,2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund