HomeMy WebLinkAbout232577 05/13/14 i
CITY OF CARMEL, INDIANA VENDOR: 361719
® ONE CIVIC SQUARE N A M I INDIANA, INC CHECK AMOUNT: $*******120.00*
CARMEL, INDIANA 46032 ATTN:KELLIE MEYER CHECK NUMBER: 232577
�MiroH Eo. PO BOX 22697 CHECK DATE: 05/13/14
INDIANAPOLIS IN 46222
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 31937 84SUMMIT 120.00 TRAINING
n R VM 1 Indiana
INVOICE
o V
National Alliance on Mental Illness
Please remit to: NAMI Indiana, Inc. INVOICE #84-SUMMIT
DATE: 5-8-14
NAMI Indiana, Inc.
ATTN: Marianne Halbert
P.O. Box 22697
Indianapolis, IN 46222
TO Pat Young
Email: pyoung@carmel.in.gov
TRAINING HELD DESCRIPTION LINE TOTAL
Mental Health &Criminal
3-21-14 William Haymaker $120.00
Justice Summit
Please note: registration costs are refundable untd10 days prior to the training
date,however a$10 processing fee per transaction will be charged. After that
point, there are no refunds given,but the registrant is welcome to send another
person in their place for the training.
If payment has already been sent,please disregard this notice.
For questions, contact Marianne Halbert,800-677-6442,
mholbert@nomiindiono.org
DUE 6-8-14
TOTAL $120.00
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INDIANA RETAIL TAX EXEMPT PAGE
City ®fCarmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31937
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
10=4
MAUI Indian, Inc. Cwmol Peiico Dopa rt wont
VENDORRMadanno Haibwt SHIP 3 CIVIC squm
TO
P.O. Box 22607 Cal MGI' IN 4M
Indianapolls, IN 46M (W)57i
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Avco Bnt 00-6b0.00
9 Each training $120.00 $120.00
Sub Total: $120.00
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Attn: Pat Young
3 Chic Squaw
Carmol, IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Curnel Police Dept. PAYMENT $120.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPFr SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY MAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPR Ad'0 1 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lVhlof of Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 19 3 7 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER WARRANT
ALLOWED 20
IN THE SUM OF$
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
receivedexcept-..------...------_------------------------------------------------- -----------------------------------------
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))
05/08/14 84-SUMMIT Training-Officer Haymaker $120.00
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
NAMI Indiana, Inc.
Marianne Halbert IN SUM OF $
P.O. Box 22697
Indianapolis, IN 46222
$120.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
31937 84-SUMMIT -570.00 $120.00 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
Friday, May 09, 2014
01
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund