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Home My WebLink About232018 04/30/14 CITY OF CARMEL, INDIANA VENDOR: 354777 ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $....***350.00* i r CARMEL, INDIANA 46032 ATTN:TOM KUHLENSCHMIDT-ISOA TREASU CHECK NUMBER: 232018 PO BOX 1016 CHECK DATE: 04/30/14 CROWN POINT IN 46308 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 31954 175.00 TRAINING 210 4357000 31961 175.00 TRAINING INVOICE P.O. Box 1016 Crown Point, IN 46308 Kuhlaid50@yahoo.com DATE: APRIL 22, 2014 To: Carmel PD FOR: Attn: Pat Young 2014 ISOA Conference Registration PO 31954 DESCRIPTION Amount Price Subtotal Registration 1 175 $175.00 Troy Smith TOTAL $175.00 Make all checks payable to ISOA If paying by credit card, please contact Nick Kokot@219-397-9500 to arrange payment Payment is due within 30 days. If you have any questions concerning this invoice, contact Tom Kuhlenschmidt at (219) 488-4421 Thank you for your support! I INVOICE P.O. Box 1016 Crown Point, IN 46308 Kuhlaid50@yahoo.com DATE: APRIL 22, 2014 To: Carmel PD FOR: Attn: Pat Young 2014 ISOA Conference Registration PO 31961 DESCRIPTION Amount Price Subtotal Registration for Mark Paris 1 175 $175.00 TOTAL $175.00 Make all checks payable to ISOA If paying by credit card, please contact Nick Kokot@219-397-9500 to arrange payment Payment is due within 30 days. If you have any questions concerning this invoice, contact Tom Kuhlenschmidt at(219) 488-4421 Thank you for your support! FOR OFFICIAL USE ONLY ATMWE am f(EGISTMTION 11 th Annual Conference May 4th-6th i X$175 Conference Fee ❑$20"Junkyard Shootout"Match ❑$25 Late Fee(After April 18,2014) Total:$ 1�5 .00 ❑Additional Banquet Tickets @$50 each An application form must be submitted for each and every attendee FIRST NAME M.I. LAST NAME TOP D SPA +T-0 AGENCY ASSIGNMENT/RANR/TITL E CAWL Ni.16E DEPT• S�Salpa T AkWM AGENCY ADDRESS CITY STATE ZIP CODE 3 CWC Sa ?'J� Ca(LMEL SiJ 41032 MAILING ADDRESS(OTHER THAN AGENCY) CITY STATE ZIP CODE E-MAIL ADDRESS PHONE is�aJ sn 511-Lsba. 1 affirm that the above information is7rue and accurate. Further, 1 authorize the Indiana SWAT Officers Association to contact my employer and verify my employment and assignment, if necessary. SIGNATURE DATE IMPORTANT.' Will you be attending the banquet? RYES LINO Number of additional tickets requested:_ Federal Tax ID Number: 57-1177923 You are considered pre-registered if your registration form* and payment (agency purchase order, check, credit card", DOJ voucher, or money order)are received prior to April 18, 2014. Any registration form received after April 18, 2014,will result in a $25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be purchased for$50.00 per ticket(limited quantity available). *Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and banquet dinner on Monday,May 5th, and lunch on Tuesday,May 6th *There will be a$3.00 additional processing fee for credit card payments If you are pre-registered and cancel prior to April 18, 2014, your registration fee will be refunded less a $50.00 administrative charge. No refunds will be issued after April 18, 2014. However, suitable substitutions will be allowed. If paying by credit card,please complete the following: ❑ V#SA ❑ ❑ FDWCM CREDIT CARD NUMBER EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE NAME ON CREDIT CARD AUTHORIZATION SIGNATURE ADDRESS CITY STATE ZIP CODE IMPORTANT. Your credit card will be charged the day your registration form and payment are received by the ISOA. Please include the billing address where the monthly statement is sent. PLEASE CHECK.' FULL-TIME ❑ PART-TIME ❑ RETIRED ❑AUXILIARY/RESERVE ❑ACTIVE MILITARY ❑RESERVE MILITARY e e• ► • 0 R ® A 9 e0 d FOR OFFICIAL USE ONLY ATTENDEE RE_w(WjsTRA77jJjy 11 th Annual Conference May 4th-61h A$175 Conference Fee LJ$20"Junkyard Shootout"Match U$25 Late Fee(After April 18,2014) Total:$ .00 U Additional Banquet Tickets @$50 each ----- ---------------- ——------------- An application form must be submitted for each and every attendee -FIRST NAME KA A-V- M.I. LAST NAME AGENCY TITLE AGENCY ADDRESS CITY STATE ZIP CODE Q LC_ A U MAILING ADDRESS(OTHER THAN AGENCY) CITY STATE ZIP CODE (,ca E-MAIL ADDRESS PHONE 1-T -51 1, z_-,5T� J , V I affirm that the above information is true and accurate. Further I authorize the Indiana SWAT Officers Association to contact my employer and verify my employment and assignment, if necessary. SIGNATURE DATE IMPORTANT: Will you be attending the banquet? DYES U NO Number of additional tickets requested: Federal Tax ID Number. 57-1177923 You are considered pre-registered if your registration form* and payment (agency purchase order, check, credit card*, DOJ voucher, or money order) are received prior to April 18, 2014. Any registration form received after April 18, 2014,will result in a $25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be purchased for$50.00 per ticket(limited quantity available). *Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and banquet dinner on Monday, May 5th, and lunch on Tuesday,May 6th *There will be a$3.00 additional processing fee for credit card payments If you are pre-registered and cancel prior to April 18, 2014, your registration fee will be refunded less a $50.00 administrative charge. No refunds will be issued after April 18, 2014. However, suitable substitutions will be allowed If paying by credit card, please complete the following: ❑ wpm-% CREDIT CARD NUMBER EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE NAME ON CREDIT CARD AUTHORIZATION SIGNATURE ADDRESS CITY STATE I ZIP CODE IMPORTANT. Your credit card will be charged the day your registration form and payment are received by the ISOA. Please include the billing address where the monthly statement is sent PLEASE CHECK. Ell FULL-TIME Ll PART-TIME U RETIRED LJ AUXILIARY/RESERVE U ACTIVE MILITARY L)RESERVE MILITARY T T , Q, S0101WIT REG14TRATIPINj FQRMjAjVPjPAy,1MEN_ I DQ ISQA-mj:K,,-U_1HkENs_c_, . jT HK ff- , RE_ASVRER, P WN, B 10_X, 110 16 C P OWQD Nj ,- ,(Nff, I—A-RIA, �R, tN, 4,'6-'3-Q8j' 0 INDIANA RETAIL TAX EXEMPT PAGE �i I' of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER ��./// � 11 FEDERAL EXCISE TAX EXEMPT 31%4 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/1412014 Indiana OWAT OifiewAosociation Camol Pollen Oopartmert$ VENDORTom Kuhlonslachmid t =-IGOA Tmasuw SHIP S CIVIC squm P.O. Box 1016 TO C@rll Gl, IN 4 Cry Point, IN 46 (317)571 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT I, QUANTITY �q,g pUNIITgOF MEASURE DESCRIPTION UNIT PRICE EXTENSION II Account 00-670.00 9 Each training $175.00 $175.00 Stas Total: $175.00 t t , rte• • �� U) _4f ,-� -,t q ,T � a' ISOA Contbroneo ger Sgt Smith an MaWV4 -6,209 = Ia aim.... e,i , 3 1 f Send Invoice To: Caumol Pollco DGP@A tont -- Attn: Pat Young 3 CIVIC Squ2m Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Caumel Police Dept. �� PAYMENT $175.03 • 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 PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIA ION OF CIENT TO PAY OR'�HE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �g SHIPPING LABELS. of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 J*1 9 5 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. 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 .................. .......................... .... Signature ..........................._....................... _. Title Cost distribution ledger classification if claim{paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE City Of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 319 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 41`16 094 F F, lndl2n2 SWAT OMCOF Assoclation Camel Polic® Department VENDORTom KuhiGnschmidt a IGOA`Y masumr SHIP 3 Civic squat P.O. Box 90,18 TO Carfl9ol, IN 4 Crag Polk, IN M= (397)579- CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00.670.00 9 Each training $175.00 $976.00 Sub Total: $975.00 .j .yrs *� -- - A.- i ` ISOA Ccngarence for 0f19cor Perls on M@y4 -20 i Ino �b ra, � Send Invoice To: • '' .,.01..,. ,. •...if Carmel Pollco DepartmGM Attn: Pat Young 3 Civic Squm Cannel, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. --�� PAYMENT $975'00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TVJF THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRI ON/SU FFIC I ENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. .•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,,/� SHIPPING LABELS. I�11101 oyPollcro •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. , CLERK-TREASURER DOCUMENT CONTROL NO. 31961 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ f,v 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 --- .-. 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)) 04/22/14 ISOA conference for Sgt Smith $175.00 04/22/14 ISOA conference Officer Paris $175.00 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 Indiana SWAT Officer Association Tom Kuhlenschmidt - ISOA Treasurer IN SUM OF $ P.O. Box 1016 Crown Point, IN 46308 $350.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31954 -570.00 $175.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 31961 -570.00 $175.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, April 25, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund