HomeMy WebLinkAbout229065 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 00352848 Page 1 of 1
"*f ONE CIVIC SQUARE INTERNATL CONF OF POLICE CHAPLAIGRECK AMOUNT: $275.00
CARMEL, INDIANA 46032 Po Box 5590
a� DESTIN FL 32540 CHECK NUMBER: 229065
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 31479 150 . 00 TRAINING
1110 4355300 40740 125 . 00 ORGANIZATION & MEMBER
International Conference of Police Chaplains Invoice
P.O. Box 5590
Destin, FL 32540-5590 RTS Registration
850-654-9736 * 850- 654-9742 (fax)
® Due upon receipt
icpc@icpc.gccoyn?ail.con?
BIII To: U. S.funds only. Do not send cash.
Carmel Police Department Invoice S j0 Donation S
Attn: Pat Young
3 Civic Square
Carmel, IN 46032 Billing For: Date
Chaplain Michael D. Drake 02/03/2014
----------------------------------------------------------------------------------------
Changes or corrections to your information? Interested in receiving your invoice electronically?
Email: icpcgicpc.gccoxmai1.com
Description Name Amount
Region 94 Registration—Basic/Enrichment—Chaplain Michael D. Drake 150.00
Visa or MasterCard Only:
Authorized Amount: S
❑Department ❑Personal
Card 4.
Eypiralion Dale. /
Month Year
Card Holder's Name:
Deparnnent or Organizati6n Name:
Card Holder's Cell#:
Submit by phone: 850-654-9736
ICPC is a 501(c)3 non 13rof?t organization, your donations are tax deductible.
Donations can be made by check, credit card or via our website:
www.icpc4cops.org
Save your organization money...RENEW TODAY! TOTAL $150.00
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Page 1 of 1
Davis, George
From: Sean Jauch Uauchers@gmail.com]
Sent: Wednesday, January 22, 2014 2:42 PM
To: Sean Jauch
Subject: ICPC 2014 RTS Update
Hello Everyone,
I'm pleased to say the registration forms have begun to flow in. I have received quite a few calls with various
questions. I would like to clarify some information regarding events and registration.
The registration procedure is as follows:
2014 Region 4 RTS Registration Procedure:
•Print Region 4 brochure from website http://xvww•icpc4cops.orQ/at:
http://media LrazoMlanet.com/share/510898-4965/resources/437156 BrochureRepion42014.12df
•Complete with your information and class selections.
•If not paying by check,please note payment type(credit card or invoice to PD) on registration form.
•If paying by Check A4ail with check for registration amount to: Chaplain Paul Speerbrecker 32
South Blackhawk Street Janesville,Wl 53545
•If using a Credit Card,use invoice form and email or fax to ICPC at: 850-654-9742 AND
ALSO mail registration form indicating Credit Card Payment to: Chaplain Paul Speerbrecker 32 South
Blackhawk Street Janesville,kVI 53545
•You may Request An Invoice For PD Processing by using the invoice form and
email or fax to ICPC at: 850-654-9742 AND ALSO mail registration form indicating Invoice to PD to:
Chaplain Paul Speerbrecker 32 South Blackhawk Street Janesville,V/I 53545
• The information needed to process your invoice will be: Agency billing information,
chaplain name and contact information including email,phone and address.
•The TI Simulator E02 elective course is the only class we have a ca on. The first 30 people
5 P P P
registered will secure the spots. I will send an email out when we have filled the class. If you wish to be in
this class,send your registration as soon as possible. The class will fill on a first-come first-serve basis.
Hopefully this information will streamline the registration process.
I will be adding information regarding instructors and women's events to the website soon. Check the
website often for updates.
I'm looking forward to seeing you all in March,
Sean
1/29/2014
-,le 43
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 01/23/2014 Employee: Michael Drake, volunteer chaplain
Name of School,—. Regional ICPC Training 3
Cost: $6.00'` ` ,v v
Location of School: Janesville
State: WI
Topic/ Subject Matter: Basic Police Chaplain Courses
ILEA Course Certification#(if available):
Dates of School: From: 03/10/2014 To: 03/12/2014
Contact Person: Officer Sesaan Janch
Telephone Number: (608) 728-0137
Instructor: Various ILEA Instructor#(if available):
How will this School benefit you and the Department? Provides a fully trained Police Chaplain
Will you need a rental car? ❑Yes ®No
Will you need air transportation? ❑Yes ®No
Will you need accommodations?. ®Yes ❑No
"OVERTIME COMPENS I0I WILL NOT BE PAID IF YOU VOLUNTEER TO
ATTEND A SCHOOL ONfLY I.F OU AE ORDERED TO/ATTEND.
tt IW5GK=opzs Signature:
Supervisor' Signature. Date:
Division Commander: Date:
Training Officer: Date:
*OFFICE USE ONLY BELOW THIS 'INE*
2011-02-222
INDIANA RETAIL TAX EXEMPT PAGE
coty
® �°,�anal CERTIFICATE NO.003120155 002 0\\��'J///L�.�s 1� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3`1479
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i4
ICPC i Carmel Police Dopartmont
VENDORChaplain Paul Spwrbmcher SHIP 3 CIVIC squam
32 Goth Blackham* S4 TO C@rmel, 1611
Janesville,W MUS (317)571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 05.570.00
9 Each training $150.00 $150.00
Sub Total: $150.00
v
3 4�
•� r E 8
Chaplain Michael Drake 1 Basic Police Ch@plaC�tj ad�jbiiesv1110 �1f11190 V1212094
Send Invoice To:
1
7 ffi /(
Carmel Police Department
Attn: Past Young
3 Civic Squara
Carmel, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $150.00
.T-
'1 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROP R SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYIF�AT ERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP IA ONS FFICIENT TO PAY FOR THE ABOVE ORDER.
• /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. / �y
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ahlef o,gPolice
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 314 7 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
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
...... ...............
y
Signature
............................................._..........._--,........_...._............-.................---.............-........_...._-.........-....._...
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))
02/03/14 conference/Drake $150.00
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
VOUCHER NO. WARRANT NO.
ICPC-RTS ( � � IN SUM OF $
ALLOWED 20
tl
�•
Chaplain Paul Speerbrecker P�
st 1 _0I&K b
In n-p_svi 45'b, h h
$150.00 3Z
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31479 -570.00 $150.00
I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 06, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
International Conference of Police Chaplains Invoice
P.O. Box 5590
Destin, FL 32540 40740
850-654-9736
850-654-9742 fax Due upon receipt
0
icpc.gccoxmail.com
U. S.fiinds only. Do not send cash.
Bill To
Invoice$ Donation$
Carmel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032 Chaplain's Name Date
Chaplain Patti Payntor 3/1/2014
Changes or corrections to your information.9
Entail. icpc@icpc.gccox11iai1.com
Description Amount
Annual Membership Chaplain Patti Payntor 125.00
Visa or MasterCard Only:
Authorized Amount: $
Department Personal
Card#:
Expiration Date: /
Month Year
Card Holder's Name:
Department or Organization Name:
Card Holder's Cell#:
Submit by phone:850-654-9736
ICPC is a 501(c)3 non-profit organization,your donations are tax deductible.
Donations can be made by check, credit card or via ow-website:
www.icpc4cops.org
Save your organization ntom P...RENEW TODAY! Total $125.00
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))
02/05/14 40740 annual membership $125.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
International Conference of Police Chaplains
IN SUM OF $
P.O. Box 5590
Destin, FL 32540-5590
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 40740 I 43-553.00 I $125.00 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, February 06, 2014
4Z 'Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund