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Home My WebLink About252184 1 2/03/1 5 I ACA Invoice No. 15-4-11-E fG3GJrxaNa assaGa\��(� P.O. BOX 1566 ♦ LCCAFtEO CGOENiJ WARSAW, INDIANA 46581 \NS_TRVG� (574) 372-9520 Fax (574) 267-3613 INVOICE - Customer Name Carmel Police Department _ _ Date 11/18/2015 _ Address 3 Civic Square _ _ _ Federal ID# 35-1853529 City Carmel_ State IN ZIP-460-33-------- Attention: IP46033Attention: fQty l ®escription-- – -- – —� Unit Price--�--TOTAL (November 18, 2015 IACAI Seminar Legal Update & Commercial EDR Revtrieval Lafayette PD Training Center I I Attendees: 1 Mike Mabie- Member $50.00 $50.00 I I I I I SubTotal $50.00 j Please include a copy of this Shipping & Handling -- ----- $0-00 1 invoice with your payment TOTAL $50.00 THAP ' K You (Office Use Only Form ■w'9 Request for Taxpayer Give Form to the (Rev.December 2)14) Identification Number and Certification requester.Do not Department of the treasury send to the IRS. Internal Revenue Service 1 Name(as shown on your income tax return).Name is required on this line;do not leave this lire blank. Indiana Association of Certified Accident Investigators N2 Business name/disregarded entity name,if different from above C CU a3 Check appropriate box for federal tax classification;check only one of the following seven bo.(es: 4 Exemptions(codes apply only to r certain entities,not individuals;see o ❑IndividuaVsole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate d c single-member LLC instructions on page 3): o Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► Exempt payee code(d any) 1 o ❑ Exemption from FATCA reporting p Note.For a single-member LLC that is disregarded,do not check LLC:check the appropriEte box in the line above for y the tax classification of the single-member owner, code(if any) .` C Dries ro acca,ns ra ntam. CL ❑✓ Other(see instructions)11- Association organization �a:sir-rr.0 St V 5 Address(number,street,and apt.or suite no.) Requester's name and address'ophonal) U o Post Office Box 1566 rn d 6 City,state,and ZIP code to Warsaw. Indiana, 46581-1566 _ Y 7 List account number(s)here(optional) ITMM Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number I �� backup when, ole For individuals,this is generally your social security number(page However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other entities,it is you-employer identification number(EIN).If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number guidelines on whose number to enter. [3T5] - 1 8 5 3 5 2 9 III Certification Under penalties Df perjury,I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am wai-ing for a number to be issued to me):and 2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer sutiect to backup withholding;and 3. 1 am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt frorn FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you ha-ve failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contnbLtions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions on page 3. Sign Signature of �- '_ _ �✓ Here U.S.person► Date► 2 / 201 J General Instructions •Form 1098(home mortgage interest),1098-E(student loan interest),1098-T (tuition) Section references are to the Internal Revenue Code unless otherwise noted. •Form 1099-C;canceled debt) Future developments.Information about developments affecting Form W-9(such .Form 1099-A lacquisition or abandonment of secured property) as legislation enacted after we release it)is at www.irs.gov/fw9. Use Form W-9 only if you are a U.S.person(including a resident alien),to Purpose of Form provide your correct TIN. An individual or entity(Form W-9 requester)who is required to file an information If you do not return Form W-9 to the requester with a TIN,you might be subject return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withh:Vding.See what is backup withholding?on page 2. which may be your>ocial security number(SSN),individual taxpayer identification By signing the filled-out form,you: number(ITIN),ado(;t(ontaxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(Or you are waning for a numcer identification number(EIN),to report on an information return the amount paid to to be issued). you,or other amount reportable on an information return.Examples of information returns include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or •Form 1099-INT(interest earned or paid) 3.Claim e,emwion from oackup wnhholdrng if you ale a U S v .^1q; Form 1099-DIV(dividends,including those from stocks or mutual funds) applicable.you are also certifying that as a U.5.person,you:allocaule snare of any partnership income from a U.S.trade or business is not subject to:he •Form 1099-MISC various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners'share of elfecbvely eonnec:eo inco:-re,and •Form 1099-3(stock or mutual fund sales and certain other transactions by 4.Certify trial FATCA coders)entered on ons form(d any),n0cahng:ha:you a•e brokers) exempt from the FATCA reporting,is correct.See What is FATCA reporrings,on •Form 1099-S(proceeds from real estate transactions) page 2 for further information. •Form 1099-K(mer-rhant card and third party network transactions) Cat.No.10231X Form W-9(Rev.12-2014) VOUCHER NO. WARRANT NO. ALLOWED 20 IACAI IN SUM OF $ P.O. Box 1566 Warsaw, IN 46581 $50.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 210 15-4-11-E -570.00 $50.00 I hereby certify that the attached invoice(s), or 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 Tuesday, ovember 24, 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)) 11/18/15 15-4-11-E training - Mabie $50.00 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