251063 11/04/15 �%��,q,,A. CITY OF CARMEL, INDIANA VENDOR: 367119
4 t l ONE CIVIC SQUARE EVERGREEN MOUNTAIN, LLC CHECK AMOUNT: $*****6,000.00*
r Via; CARMEL, INDIANA 46032 Po Box 1169 CHECK NUMBER: 251063
+.,;�__, TAOS NM 87571-1169 CHECK DATE: 11/04/15
��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 33223 157 6,000.00 TRAINING
EG1VI INVOICE
��g�.�:e�mr lvotrl�rAn�..LLC
DATE: October 17,2015
Evergreen Mountain,LLC
PO Box 1169
Taos NM,87571-1169 INVOICE# 157
Phone(910)635-2217
FOR: Team Training
BILL TO:
CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE
.CARMEL, INDIANA 46032
317-571-2500
DESCRIPTION #of STUDENTS RATE per Student #DAYS of TRAINING AMOUNT
CARMEL PD SWAT TEAM TRAINING 10 $200 3 $ 6;000.00
LOCATION OF TRAINING:CARMEL, IN AND
FORT KNOX,KY
TRAINING DATES:7-9 OCTOBER 2015
SUBTOTAL $ 6,000.00
TAX RATE 0.00%
SALES TAX 0%
- - -- CC PROC FEE polo --
TOTAL $ 6,000.00
Make all checks payable to Evergreen Mountain,LLC
THANK YOU FOR YOUR BUSINESSI
C
0 ® �° Carmel INDIANA RETAIL TAX EXEMPT PAGE
"`ty
,Jlr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33
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
€vergmeri Mountain LLC Cannel Police Do-pailment
VENDOR SHIP 3 Clylc co.qua1
P.O. Box 1169 TO Carnwl, IN 4603
Taos, NM 6767-1-1169 (W)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Account 00-670.00
1 Each training .x0,000.00 $0.000.00
Sc'ub Ttztal: +B4O00.00
4,z�
ti ;lM
,WT team training O t 7-3 in Fort Knox, KY '�� �� t � ; •����'� V
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Swam
Carmel, IN 40032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $6,000.130
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 911CAF of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33223 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund -
VOUCHER NO. WARRANT NO.
ALLOWED 20
Evergreen Mountain LLC
IN SUM OF$
P.O. Box 1169
Taos, NM 87571-1169
$6,000.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
33223 157 -570.00 $6,000.00
I hereby certify that the attached invoice(s), or
I I 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, October 30, 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))
10/17/15 157 training $6,000.00
i
I
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