242009 2 /10/2015 Z
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CITY OF CARMEL, INDIANA VENDOR: 139800
ONE CIVIC SQUARE INDIANA ASSOC OF CHIEFS OF POLICECHECK AMOUNT: $...****650.00*
CARMEL, INDIANA 46032 10293 N MERIDIAN ST STE 175 CHECK NUMBER: 242009
v INDIANAPOLIS IN 46290 CHECK DATE: 02/10/15
ITON GO'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 32761 650.00 LEADERSHIP COURSE
INVOICE
February 5, 2015
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Basic Police Leadership Course
Feb 23 —27, 2015
Sgt. Jeff Sedberry $650.00
TOTAL AMOUNT DUE: $650.00
Please make check payable to: Indiana Association of Chiefs of Police Foundation
Mail to: Indiana Association of Chiefs of Police Foundation
10293 N Meridian Street, Suite 175
Indianapolis, IN 46290
Registration Information
Name Jeff Sedberry
Department Carmel Police Department
Rank/Title Sergeant
First Name for Badge Jeff
Address 3 Civic Square
city.Carmel State I N Zip 46032
Phone 317-571-2500 Fax 317-571-2512
Cell Phone Email jsedberry@carmel.in.gov
Fees (Select One):
W $6501 Noblesville P.D. ❑ $650 1 Ligonier P.D. ❑$650 1 Jasper P.D.
Payment Type:
❑ Check ❑ VISA ❑ MasterCard W Purchase Order 32761
Credit Card
Account Number Expiration Date
Security Code
Signature(as it appears on card)
Credit Card Billing Address (if different than above):
Address
City State Zip
• • - ` • C III : e • • • • • •• • •
If paying by check, mail completed form, along with full payment to:
Indiana Association of Chiefs of Police Foundation
10293 North Meridian Street, Suite 175
Indianapolis, IN 46290
If paying by credit card, fax completed form to 317.816.1633
Cancellation Policy: No refund or"carry forward"for"No Shows." Cancel more than three weeks prior to
the first day of class, 100% refund. Cancel less than three weeks prior to the first day of class, 50% refund.
After two weeks prior, no refund. Cancellations must be made in writing.
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32761
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
2ffiM2 45
Indiana Assoc. of Chlefp. of Police Foundation Carmel folios Department
VENDOR SHIP 3 CIVIC Squares
10293 N. Meridian Stroct, Suite 175 TO Camel, IN 45032
Indianaplis, IN 4W00 (311)57125
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-570.00
3 Each Basic Police Leadership Course $660.00 $650.00
Sub Total: $656.00
1� y . l4
11-J,
Sgt:Sedberrr-Basic Police Leadership Feb 2! 27 in Nobiesv1IIe i 9
Send Invoice To: /.
Carmel Police I apartmrrt f`tj!) . <
Attn: pat Young
3 Civic Squam
ICarmel, IN 460.32- PLEASE INVOICE IN DUPLICATE
DEPARTMENT -ACCOUNT PROJECT PROJECT ACCOUNTAMOUNT
Carmel Police Dept. �u.uu
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T ATTHERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIAT O "dl
THIS TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY '//.r.. .
SHIPPING LABELS. 616f of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
I CLERK TREASURER
DOCUMENT CONTROL No. 32761 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. _
ALLOWED 20
IN THE SUM OF$
r_'1
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
20 = :
Signature
Title -
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Assoc. of Chiefs of Police Foundation
IN SUM OF $
10293 N. Meridian Street, Suite 175
Indianapolis, IN 46290
$650.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32761 -570.00 $650.00
I hereby certify that the attached invoice(s), or
I
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, February 06, 2015
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))
02/06/15 training Sgt. Sedberry $650.00
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