HomeMy WebLinkAbout242926 3 /11/2015 CITY OF CARMEL, INDIANA VENDOR: T359466
�i ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $'""`1,349:00'
9, =a CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600 CHECK NUMBER: 242926
MILWAUKEE WI 53224 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 CUSIO040275 1;349.00 GENERAL PROGRAM SUPPL
a Original Invoice .� `° �`Cn::i'lfA rte`
voice CUS10040275
Nonviolent Crisis Intervention®prog�am 'MAR 2 2015 ate 2/26/2015
Prepare Training®program Pa e:C 1
o Dementia Care Specialists BYFederal I.D.#39-2012874
CPI Matters at Work '-- — DUNS 109166061
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Bill To: Ship To:
Accounts Payable Cara Gray
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 - Payment Terms Reg Ship Date
--P0#35130 ,-33333? - - --US UPSGND- -- --NFT 30 - --2/26/2015- -
Ordered . UofM- -Shipped 13/0 Item Number Description - Unit Price -Ext:-Price-
100 EACH 100 0 PWKBO120 NCI Participant Workbook-Blue Card $13.49 $1,349.00
Thank you Subtotal $1,349.00
Tax $0.00
Tracking#(if applicable): Freight $0.00
Deposit Received $0.00
Total Z-US$ . $1,349.00
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,WI 53224 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
2/26/15 CUS10040275 CPI Training materials 38130 $ 1,349.00
Total $ 1,349.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
T359466 ..Crisis Prevention Institute, Inc. I Allowed 20
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of$
$ 1,349.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
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PO#or INVOICE NO. CCT#/TITL AMOUNT I Board Members
Dept# .
1081-99 CUS10040275 4239039 $ 1,349.00) 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
1
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1'
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{ March 5, 2015
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{ Signature
$
1,349.001 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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