HomeMy WebLinkAbout239011 11/11/14 "p"•. CITY OF CARMEL, INDIANA VENDOR: T359466
.. CHECK AMOUNT: $*******150.00*
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC
CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600 CHECK NUMBER: 239011
y�TON MILWAUKEE WI 53224 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355300 IUSIO022903 150.00 ORGANIZATION & MEMBER
�� Original Invoice Invoice iUS10022903
YeN nviolent Crisis Intervention®program Date 10/6/2014
PPrepare Training®program Federal I.D.: #39-2012874
o Dementia Care Specialists GST#:86192 3753 RT0001
p r CPI Matters at Work
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Bill To: L)6 �1 ' Ship To:
Carmel Clay Parks And Recreation j. eb Carmel Clay Parks And Recreation
Cara Gray Cara Gray
18835 Wimbley Way 18835 Wimbley Way
Noblesville IN 46060 Noblesville IN 46060
US US
Purchase Order No. Customer ID' Shipping Method Payment Terms Re Ship.Date
_ 1000986 _--j-US_UPSGND Net 30 10/6/2014
Ordered Shipped _ B/O Item Number Description Unit Price Ext. Price_
1 1 0 CPI RECERT FEE Annual Membership Fee $150.00 $150.00
Cert Year from 12/6/2014 to 12/6/2015
OCT 21 2014
YY:
Thank you Total Z-US$_' $150.00
Remit to: CPI
10850 W.Park Place,Suite 600 Please include invoice number or customer ID with payment.
Milwaukee,WI 53224 USA
Call toll-free:
Canadian Customers-Please remit to: US/Canada:1-877-877-5390
Crisis Prevention Institute.Inc
Lockbox#1566
PO Box 1566,Station A
Toronto,ON M5W 3N9 Canada
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
10/6/14 IUS10022903 Dues xx1271 $ 150.00
Total $ 150.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC5-11-10-1.6
20_
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$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
PO#or I Board Members
Depf# INVOICE NO. ACCT#/TITL AMOUNT
1081-99 IUS10022903 4355300 $ 150.00 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
j
I I
f
j 6-Nov 2014
I f
j Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund