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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