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HomeMy WebLinkAbout229561 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 00350640 Page 1 of 1 ONE CIVIC SQUARE LORMAN EDUCATION SERVICES CHECK AMOUNT: $339.00 CARMEL, INDIANA 46032 DEPT 5382 i-ot? PO BOX 2933 CHECK NUMBER: 229561 MILWAUKEE WI 53201-2933 CHECK DATE: 2/25/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 31728 2757268 339 . 00 SEMINAR _ _portion of this invoice when you remit payment. INVOICE Company I Contact : City of Carmel, Indiana Purchase Order Number : 31728 Reference No : 2757268-1 Date : 01/10/2014 3309305 Ulbricht,Ashley M 392802SAT Registration 02/05/2014 Indiana Common Construction Wage Act and the Indianapolis, IN $339.00 Shipping & Handling : $0.00 Discounts : $0.00 Sub Total : $339.00 Sales Tax : $0.00 Total : $339.00 Payments : $0.00 Invoice Total : $339.00 We are incorporated and are exempt from 1099 reporting. Tax ID:39-1596686 A copy of Lorman's Form W-9 is available at www.lorman.com/w9/w9.pdf Cancellation Policy: Six or more business days in advance-full refund less$20.00 service charge per registration. Within five business days-nonrefundable credit of equal value for any future seminar. Credits are transferable. Please note that if you do not attend and you do not cancel as described above,you are responsible for the entire payment. ® 2510 Alpine Road P.O.Box 509 LORMANKeeping You Current Eau Claire,WI 54702-0509 Helping You Succeed' 800-678-3940 Fax 715-833-3944 A DIVISION OF LORMAN BUSINESS CENTER,INC. www.lorman.com Indiana Common Construction Wage Act and the Federal Davis Bacon Act ° Indianapolis, IN February 5, 2014 o Seminar ID: 392802 AR 4- 50 r . .• :�f�urchase1OStB�cps-checfC At1,That_A@@P� x `p�g _ - • �•., x .' :@ p�-�y ;Yesf;I wauld?likeitoattend=�3399afi.�ctvaes.fiee menial�itri att_endance)u'� :r � ' 3% � U .Add:a<CO recording'of this'piog�am L_ er eachtadditianai re Istrant Y'N '"" Bnng:a:coiteague $239=p g . r � gg °®q®q�: jyjp�$ @ am unable:@e at@end,P@ease send"me �reng-akColl_ agueav r tt E'cfasetl' �< ; Tuition Subtotal�• - - • '� `'sem �w$X � Shippi g&dling';l$89 eir,s eac 'a 6tfro dJ Ulit ���r`�� - - �`- I$ �SBtesTax-[if�tax=exemptpltase"tnctutle.yaw_ceFrfieate:).� - , *Adtla$8.95,shlppirigc&hantling;plus;appllcab�esales"[axttii`prodLctoriSers.f"'�° �-' ` �' �'�� •; t:zPlease allow fourto'SrxweakS.after<th�:[latacof:the•semfna for tlelhre'ry�- .�•„� ";�w�t;' ,�,�, ' Paymentinfolmation 1 ' Total amount enclosed$ r' _ _ - Ro_w_-D_o�-Meg_is_tei� Check enclosed pay2ble to Lornan Education Services EMAIL: customerservic e@lorman.com ' ❑charge to credit card —AE _MC _VISA Signature WEBSITE: www.lorman.com/ID392802 I Card number Exp. Date TELEPHONE: 866-352-9539 Names of Attendees FAX: 715-833-3953 PRIORIT'CODE MAIL: Mail this form with payment to: ' Lorman Education Services NAME46�I-ew E 1 a2a Dept. 5382, P.O. Box 2933 ' TLEEMAIL Milwaukee, WI 53201-2933 scii--5. h;-r wxmed r o ✓ NAME ' TITLE EMAIL Hyatt Place Indianapolis Airport Firm Information 5500 West Bradbury Avenue FIRM NAME Indianapolis, Indiana ADDRESS l 317-227-0950 1 1 , CITY/, f TE � � ZIP CODE ' TELEPHONE FAX WEBSITE _ - ,M W.h-o-SWuld-Attend? I Approving Manager This seminar is designed for construction and project managers, NAME owners, presidents,vice presidents, ' TITLE EMAIL compliance officers, accountants, controllers, contractors, I ©2013 Lorman Education Services.All rights reserved. subcontractors, engineers and �- g _ y a roll professionals. ave 2,�to®rt oaar Fteg�s roti®n heiyounseco '--ai' eael� rl! p Y p c. - i p Wman has,partnered with'the Assoclatlon�of Construction and 4evefopment to offe•m A ' �;� 3 �r �. �' �� z' �� GENERAL INFORMATION° Wtrainingsand.development we{igitezdedicated-to:constructionaprofesslonals,Stay; ° ? "" �' This seminar may be recorded by Lorman Education. ' �� �_ up-to date and�lnformedz*abOUtEthe�latest'1�.'changesregulation�updatesiantl��" � .If you need special accommodations,please contact - developmentsAir const�uctlon Become a Silver-i nemb�of;the;Ass Ua#ion-of: us two weeks in advance of the program. N =r "y "� •Lorman Education Services is not approved to offer ' Const ruetion�and4,Deve16pm nit aand�reeeiVgt2-re ciiveee weniinars�u limiitee n demand self-study CPE credit for accountants;therefore,no ' e � � o -se i' 'L CPE will be Iv frweinars and25/o=ofif seminarregLstrationsAli training isnprovided"by Lorman;sa-It:s gen for this program if ordered as a r10-i� u self-study package. r he"same high quality you=ve�((.oi know and expect•from a:Lotrrianxprogra ,. � Annual membershl F is Onl'$425F1o1n toda 101-1111 d'start-isavin immediate) 1 CANCELLATIONS: Substitute registrants can be _ named at any time.A full refund,less a S20 service . - - charge,will be given if notification is given slx th more � -. _ � •. � .��' business days in advance.Notification of less than six 9282}fo r_eit�_re anfi�>I . ��� ..�;'� .•' -. ._=rm_ � business days will result in a credit that can be applied to any Lorman products or services.If you do not cancel I � � -�:*- •��=-.,<;a. - <• - - � or attend,you are responsible for the entire payment. 2o- - '�ac- =Z",'a Wit- m; �y ten,. =.; ;a." t»:`°'E.; e°:n` ",€;� - • '`"•- - -1. �'! .n = City ® (�° /��� �}� INDIANA RETAIL TAX EXEMPT PAGE ,Jlr lei/ JI'1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER f FEDERAL EXCISE TAX EXEMPT � ct +YYLQ,�-f' of 40 Ij 35-60000972 � 1 j j:J Q 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 REQUISITIONINO. VENDOR NO. DESCRIPTION Lorman �Jocc-hDn rv�ces VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT - QUANTITY UNIT OF MEASURE - - DESCRIPTION - - -' -' - "UNIT PRICE - - - -"EXTENSION -`- �� i�tY�ti��► r A-,5istC +- cz den end�a r►cz- dam mangy jo�Sl=,")() + an cls I W w ed e =1 r�i zctpcon 4eJ pmt 4� � 1rot { si Send Invoice To: Y Mme Ca flyLti 1 )H PLEASE INVOICE IN DUPLICATE DEPARTMENT `JACCOUNT PROJECT PROJECT ACCOUNT AMOUNT -7 ON-1 PAYMENT ��3 9•d C� • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. i�aS I NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND �lJ 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 SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 7 2 8 VENDOR COPY �} W INDIANA"RETAIL TAX EXEMPT PAGE' City ®f, Carmed CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER /f NG 1 FEDERAL EXCISE TAX EXEMPT � I J �pl 91 D.'}- W 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION l-o(rn to Edua, )n ouv' -5 VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT _`--^QUANTITY^•---:"UNITOFMEASURE- r-'-,- 4DESCRIPTiON--'^ UNITPRICE_'."=F`­+-:".'_,-EXTENSIOIV"'' """',t: Gr ASS'Is-fan-+- C1t�l � 33gI oD P�Is 1 I Sn�iana- C�ommoJoon, SQmI� l� C4cls` � d� l(1� j ° ° w,Send Invoice To: h6o��05 C, 96410 2_ clay 0-( 0C((yLe D n.e Cl V, .c Sq L)a (-e Lp PLEASE INVOICE IN DUPLICATE .DEPARTMENT /J ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 4a t,) I v /-j5 -7 DD`(- PAYMENT a 4339, 60 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ' �nS.f,r uG�}-,ons C. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND J VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 1728. OFFICE COPY 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 Lorman Education Services Purchase Order No. PO Box 2933, Dept 5382 Terms Milwaukee, WI 53201-2933 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2121/14 7568-1 Registration for Ashley Ulbricht to attend $339.00 Indiana Common Construction Wage Act Total $339.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Lorman Edueatwen SeFy*ees IN SUM OF $ PO Box 2933, Dept 5382 Milwaukee, WI 53201-2933 $ $339.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law 4355300 - Organization & Member Dues Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 31728 2757268-' 339.00 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 Cvf o� 20 1 A,�g�ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund