249769 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 369684
ONE CIVIC SQUARE KRAV MAGA WORLDWIDE CHECK AMOUNT: S"""'750.00'
�4 CARMEL, INDIANA 46032 1150 W OLYMPIC BLVD#545 CHECK NUMBER: 249769
LOS ANGELES CA 90064 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 33006 FTD4544 750.00 LAW ENFORCEMENT INSTR
Krav Maga Worldwide, Inc. KRAV MAYA WORLDWIDE
r0e14T PUAINING MVIS10N
A°M U COMBAT
IF-IORCE TRAINING I VI SIO r 643Ft~1Wk*AC= $:
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INVOICE
September 2, 2015 INVOICE # FTD4544
BILL TO:
Carmel Police Department
3 Civic Square
Carmel, IN 46032
RE: INVOICE FOR KRAV MAGA LAW ENFORCEMENT DEFENSIVE TACTICS COURSE.
ATTENDEES: Officer C Ben Fisher
Description, Dates/ Hours Fee Participants -Total
Krav Maga Law Enforcement Instructor
Certification Course. Series 1 & 4 September
14-18, 2015 $750.00/
Krav Maga Indianapolis person $750.00
7264 Fishers Crossing Drive 5 Days/ 40
Fishers, IN 46038 Hours
TOTAL AMOUNT DUE $750.00
PLEASE REMIT PAYMENT TO:
CHECK PAYMENTS:
Make Check Payable To:
Krav Maga Worldwide, Inc.
Mail Check To:
Krav Maga Worldwide
Attn: Force Training Division
11500 W. Olympic Blvd., Suite 545
Los Angeles, CA 90064
310-477-9977
CREDIT CARD PAYMENTS:
Please contact Karen Tintfass or Jasmine Urdaneta at 310-477-9977
11500W.Olympic Blvd,Suite 545 Los Angeles,CA 90064(310)477-9977 Fax(310)477-9722 www.kravmaga.com
ity
�+► INDIANA RETAIL TAX EXEMPT PAGE
® I' °�lvs� � 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
C1�i y
" FEDERAL EXCISE TAX EXEMPT
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
7>�6�95
Kray Mmgm W®dduAdG Trzlning C@mGI Police Dopwtmont
VENDOR SHIP 3 CIVIC squam
99SM W Olympic Blvd, C345 TO Cumol, IN
Lai;Angolos, CA IRM (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY} ggUNIT
�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00.67 I.00
1 Each Lira Enforcement Instruct®r certification $750.00 0750.00
Sub Totd: $730.00
,
41
47
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Ben Fishor Law Enforeamont Instructor Cord4 r f9d =�I1l, Il,fin F1''I�oP�,rlb:4t
Send Invoice To: t
Carol Police DopmrCtmont
Attn: Pet Young
3 CIVIC squma
Carmol, IN 4 1= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. c� PAYMENT $750.0
• 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 THEA,PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTfFY�TfiATTHERE ISA�UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS A (�(f�1 SUFFICIE T'TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL g
SHIPPING LABELS. d�h1of 81 Polle.G
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE E
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
�A�®®� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERICS OFFICE
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))
09/02/15 FTD4544 Instructor Course $750.00
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Krav Maga Worldwide Training ALLOWED 20
IN SUM OF $
11500 W Olympic Blvd. #545
Los Angeles, CA 90064
$750.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
33006 FTD4544 I -570.00T $750.00
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
Wednesday, Sept tuber 16, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund