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Home My WebLink About220813 06/04/2013 a CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1 ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $700.00 CARMEL, INDIANA 46032 CAMP ATTERBURY-DRM s� Po Box 5000 CHECK NUMBER: 220813 EDINBURGH IN 46124-5000 CHECK DATE: 614/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 13053 700 . 00 TRAINING SEMINARS CAMP ATTERBURY Joint Maneuver Training Center PO Box 5000 Bldg 245 Edinburgh, Indiana 46124-5000 INVOICE# 13053 20 May 2013 Reference MOA between MDI/CPD Carmel Police Department Attn: Michael Pittman 3 Civic Square Carmel, IN 46032 TOTAL AMOUNT DUE$700.00 Description: Usage Fees for Camp Atterbury Facilities, 14-16 May 2013. Enclosed is a copy of the 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: TREASURER OF THE STATE OF INDIANA TAX 1D#35-1286958 Please return a copy of this invoice with your payment. REMITT TO: Treasurer of the State of Indiana Camp Atterbury-DRM PO Box 5000,Bldg 245 Edinburgh,IN 46124-5000 AMa Carri Accountant ,i I J i Camp Atterbury Utilization Report Overhead Cost (OC)/Identifiable Incremental Cost (ICC) 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: n Training Date: Unit/Organization Address: ("6))zKaj �AR 1h, S, �/1 c-' Unit/Organization Telephone Number: N'I / 'D J Don Unit/Organization Point of Contact: I Unit/Organization POC E-mail Address: i i Questions Yes No O Does the Unit/Organization have a current MOU? [VJ/ [ ] j o Does the Unit/Organization have a current Certificate of Insurance? [ [ ] io Does the Unit/Organization have an Event Release? a Did the Unit/Organization submit the Liability Waivers? 9 Did the Unit/Organization use specialized ranges/facilities(special cost)? f m Did the Unit/Organization use other ranges? i I • Did the Unit/Organization use training areas? ® Did the Unit/Organization submit a strength report? o Does the Unit/Organization expect to have ICC charges? i m Does the Unit/Organization have MIPR/other financial instrument on file? [I✓j [ ] Documents to be attached: Yes No m Strength Report [L Approval for waiver of Overhead Costs [ a Documentation for ranges and training areas used ['t-J� [ ] Date Forwarded to DRM: w �� i i j Caw ATTEP,3URY JONT MAwU-va`IAA m�,zG CoNITER Daily Strength Re on (fMLIUCtion for comoletng ih_s form on rcverse or may be obabiied fiom Schtdulin_v 3mZncb) i _ OLRGe LSc. li Date: Reporting Unir10rQanization:�{��l�'`- 1�/: Ad d Bess: L� Telephone: ! '/ j On Past 13q Blue No: L�Z�. Past Fhene Ea_t: + - 1 Ir a , d—a SL_L's Unit (D)U_r Totp,i STz„5= l - � coy IJ j ......_..- IncC Vc JLi�J IQ= j_almng G ?`40B.._..........................?rot-.-- I i f IC ..gig:. Du_„ 0!_L of c; I I S A, ..................Sta-�erk-ec llle:�eac-.: E J E Foil TI 121 SL7poft I (1S U L T cAZnt ONLY} CerU'Lication: � �� ,/� -) �) ✓-I F,ntedli�ae: Recei t--d By: _l 1 nnted lVZms az: ? sir amre Detc CAJ-MTC Fom 14(25 M-AY 2005 OBSOLETE) 23 OCTOBER2006 LATER �NEU-VERTRr�--... _...._....�.....-... . Daily Sirenb hRepOrt Foul"^"�rG1ch) teLn°This io m o z rcaer>c or my be obLined from 5c' �PSCNCCtDIl for co�? ° J1 Qrj 1GC LSC Tc�ephone: �� o'stV- hone 0n P0S�.�irl�1doNo: Sr.Z'- ' t 17 -'•.tea Total (r)U`-C 5`` CO � i -u r , c 111 l k_6E-- I K 1 ` ...... De-O" 6 Dil ?c ': _- �� ----- se I I ....-...-.. — I l . I 1 I h Tir�eSu_�an k I ... - — -- - i l pze p,—,-rtedl�iti� �n I �z_z gi�zmre �ZecetveaEY annedlvzmzn: 2;OCTOUER2006 CA�`6TC Fp�- 11(25 MIA"2005 OggOLET�) C-Lm2 ATTEiuuRY JOINT MANEUVER TI,LNLNG CENTER Daily Streng h Report U-lstr ction rcvcrsc or rnaY be obtained II'orD SchtdLr.!ng Branch) //ov / 0 1Gc LSc_ // � Date: �� Reportinc,TJnit/0rcr?oi2ation: i Address: ,/ . �n' r�i`11��_�/t� Telephone-" - - 0n Posi 1Iq BIdo No: Post Probe F-,;-.Kt: I Lilt Ulr Tgral 'iraini-;Statu's ( ) - s ��>>- T Arm =XdP&I i ! J� Coy I I k I _ i1T.-...---..lnac_vc 1J',i7y pr J P . . ,TOE............................. il r��,l�<<t'm, - � E f (? ,t 1.G o.Res? ) OTT-1------------------------------- -------- 0 r I (C—IV o nc=1pT _nihi_ry) [ i S A�..................SLLe(red Ern-°rpacy E I I � ' f 'TS..............- --.....rail Time Saa o�; (IS U& 1 enan,-0'1,,7L.-Y) Cei% cation- 4t�t _,e 1a ( ;et;n,ed Nzmel k u Dzte I I Received By PrintedNameran:; Sipature - Date i I I I 4 CAS-MT C Form 14(25 MAY 2005 OBSOLETE) 23 OCTOBER2006 I I PERSONNEL TRAINED REPORT BY UNIT START DATE: 15/05/2013 INSTALLATION: CAMP ATTERBURY ENID DATE: 15/05/2013 FIRE DESK: RANGE CONTROL ......... .......... ------ . — —— u nW F a d i I i ty/A i rs p a c e r ven -., �-Numbecof Personnel Trained; u JPD_CARMEL IRGO03 SNIPERTRNGJ 3 RG051 I RG051 STATION THREE LIVE FIREJ ill Total For:PD_CARMEL 14 GRAND TOTAL: 14 1� 2. d. is t Si Ic PAGE 1/1 PRINTED ON 16/0512013 15:24 PRINTED BY INNISIVIL FOR OFFICIAL USE ONLY-PRIVACY SENSITIVE RANGE FACILITY MANAGEMENT SUPPORT SYSTEM START DATE: 16/05/2013 INSTALLATION: CAMP ATTERBURY PERSONNEL TRAINED REPORT BY UNIT I E i D DATE: 16/05/2013 FIRE DESK: RANGE CONTROL i ——---------------Unt Facility/Airspace- Numbee,.of:Pe Fs. onnel Trained! u PD—CARMEL IIRGO03 SN[PER TRNG 1 3 I JRG051 RG051 STATION THREE LIVE FIRE Total For: PD-CARMEL 15 1-n GRAND TOTAL: 15 5atnN s. la ii �5- PAGE 1/1 PRINTED ON 17/05/2013 08:24 PRINTED BY INNISMIL FOR OFFICIAL USE ONLY PRIVACY SENSITIVE RANGE FACILITY MANAGEMENT SUPPORT SYSTEM Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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 Treasurer of The State of Indiana Camp Atterbury—DRM Purchase Order No. PO Box 5000 Edinburgh, IN 46124-5000 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/20/13 13053_1 Camp Atterbury usage fees 700.00 Total I 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. Treasurer of The State of Indiana ALLOWED 20 Camp Atterbury-DRM IN SUM OF $ PO Box 5000 Edinburgh, IN 46124-5000 $ 700.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed fund Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 210 13053 -570.00 700.00 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 May 2 , 2013 nature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund