HomeMy WebLinkAbout233455 6 /11/2014 �u �,q,f CITY OF CARMEL, INDIANA VENDOR: T359466
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $....*2,348.00*
f ? CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600 CHECK NUMBER: 233455
'",>oN MILWAUKEE WI 53224 CHECK DATE: 06/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 CUSI15644 2,348.00 GENERAL PROGRAM SUPPL
Original Invoice Invoice CUS115644
Nonviolent Crisis Intervention®program Date 5/15/2014
Prepare Training®program Page- 1
Dementia Care Specialists Federal I.D.#39-2012874
CPI Matters at Work DUNS: 109166061 /CAGE 3A7W3
Bill To: Ship To:
Accounts Payable Cara Gray
Carmel Clay Parks And Recreation Carmel Clay Parks and Recreation
1411 E 116th St 1235 Central Park Dr E
Carmel IN 46032-3455 Carmel IN 46032-4421
US US
Purchase Order No. Customer ID Shipping Method Pa ment Terms Re Shi Date
PO#37025 333887 US UPSGND NET 30 5/15/2014
Ordered UofM hipped B/O Item Number Description Unit Price Ext. Price
100 EACH 100 0 PWKBO120 NCI Participant Workbook-Blue Card $13.49 $1,349.00
100 EACH 100 0 PWKBO124 NCI Key Point Refresher Workbook-Blue Card $9.99 $999.00
1 EACH 1 0 PWKB0043 NCI Key Point Refresher Workbook Leaders Gu $0.00 $0.00
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Thank you Subtotal $2,348.00
Tax $0.00
Tracking#(if applicable): Freight $0.00
Deposit Received $0.00
Total Z-US$ $2,348.00
Remit to: CPI Customer Service: 1-800-558-8976 Tax exempt organizations:we must have your tax exempt certificate on file.
10850 W. Park Place,Suite 600 Accounting/Billing: 1-877-877-5409
Milwaukee,W 153224 USA Customer ServiceFax: 1-414-979-7098 Please refer to www.crisisprevention.com or your contract
for program cancellation and product return policies.
Please include invoice number or customer ID with your payment.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
T359466 Crisis Prevention Institute, Inc. Terms
10850 W Park Place, Suite 600
Milwaukee, WI 53224
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/15/14 CUS115644 ESE inclusion supplies 37025 $ 2,348.00
Total $ 2,348.00
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
T359466 Crisis Prevention Institute, Inc. Allowed 20
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of$
$ 2,348.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1081-99 CUS115644 4239039 $ 2,348.00 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
5-Jun 2014
Signature
$ 2,348.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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