HomeMy WebLinkAbout236881 09/10/14 v • CITY OF CARMEL, INDIANA VENDOR: 164001
(; ® ONE CIVIC SQUARE INDIANA DIVISION IAI CHECK AMOUNT: $*******150.00*
CARMEL, INDIANA 46032 SEAN MATUSKO,SECRETARY CHECK NUMBER: 236881
9�'iron`c�` 550 W 16TH ST,SUITE C CHECK DATE: 09/10/14
INDIANAPOLIS IN 46202
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 32446 150.00 TRAINING
INDIANA DIVISION
INTERNATIONAL ASSOCIATION FOR IDENTIFICATION
Federal Employer Identification Number 35-1934954
550 W 16th St, Suite C, Indianapolis, IN 46202
INVOICE
TO: Carmel Police Department
DATE: 8-26-14
REFERENCE: 2014 Educational Conference and Membership Renewal
DESCRIPTION: Conference Fees and Membership Renewal for John Elliott
AMOUNT: $170.00
P.O. #:
TOTAL AMOUNT DUE................................................$170.00 - - -- -
REMIT TO: Indiana Division of the International Association for Identification
Attention: Sean Matusko, Secretary-Treasurer
550 W 16th St, Suite C, Indianapolis, IN 46202
Telephone: (810) 305-0842
E-Mail: sdmatusko@comcast.net
Volume 18 , Issue 2 Page 11
�.t ASS 2014 Indiana Division of the
International Association for Identification
z 21St Annual Educational Conference
Registration Form
� HT1F1 �
Attendee Information
Name: John R. Elliott
Agency: Carmel Police
Job Title: Inspector
INIAI Member. Yes® No❑ Member Number: 0006
Address: 3 Civic Square
City: Carmel State: Indiana Zip: 46032
Prone: (317) 571-2515 Ext:
Fax: (317) 571-2507
E-mail: ielliottftcarmel.in.gov
Attending: Full Conference:® Single Day(s):le❑ 10❑ 1&❑
Conference Information
Location: French Lick Resort
8670 West State Road 56
French Lick, IN 47432
Phone:(888)936-9360
Dates: October 13—15,2014
Fees: Member Registration Fee: $150
Non-Member Registration Fee: $175
Single Conference Day Attendance Fee:$75 per day
Student Attendance Fee: $35 per day
Hotel: French Lick Resort
8670 West State Road 56
French Lick,IN 47432
Phone:(888)936-9360
$89.99 per night+taxes
Make sure to mention that you are attending the[NiAl Conference to
reoeive the discounted room rate and use the group codb
101441 when making yourreservations.
Please send your completed registration form either thnxigh email or US Mail along with your
registration fee either by check(made payable to:Indiana Division IAI)or through our WMbtg
using PayPal to:
Sean Matusko,SecretaWTreasurer
550 West 1615 Street,Suite C
Indianapolis, IN 46202
sdmatuskoftomcastmat
'See the INL41 website at www.iniai.ora for updates,maps and hotel information.
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carm'd J CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32446
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
Indiana Division IAI Canmial Police Department
Sears 141atusko, Sscmtaty SHIP 3 CIVIC Square
VENDOR
550 Vilest 16th Street, Suite C TO Carmel, IN 46032
Indianapolis, IN 46202 (3 17)Fj71'2 9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-570.00
1 Each training X150.00
Sub Total: $150.00
}��zp ti rl + o
r.` y1 )t 7� ''XVII•" •Y{ �S
%
\�1�
3'u _.. f ;r \77:x(
- >
Indiana Divi,icor ill 2014 Conforenim, Jahn Elliot >I 1,5 2014,
Send Invoice To:
Carmel Police D@partment
Attn: Pat Young
3 Civic Square
Carmel, IN E4603L® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Felice Dept. ; IF PAYMENT 5150.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
_ NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TH,E+/TPROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY #T THERE IS�LUNOBLIGATED BALANCE IN
THIS APPROPRIA-I
SHIP REPAID. 'rG'jN'SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• e �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r-
SHIPPING LABELS. Ijlef of Folies
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4r IA4 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
$ 1
-i
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
I
20
Signature
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Division IAI
Sean Matusko, Secretary IN SUM OF$
550 West 16th Street, Suite C
Indianapolis, IN 46202
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/rITLE AMOUNT Board Members
�f I hereby certify that the attached invoice(s), or
32446 -570.00 $150.00
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, September 04, 2014
V41Z Chief of Police
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))
08/26/14 Elliott $150.00
I 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