252253 12/08/15 CITY OF CARMEL, INDIANA VENDOR: 370119
!; ® ONE CIVIC SQUARE COLUMBIA SOUTHERN UNIVERSITY CHECK AMOUNT: $""*""525.00"
�: +a CARMEL, INDIANA 46032 PO BOX 3110 CHECK NUMBER: 252253
oy_ioN.�` ORANGE BEACH AL 36561 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 525.00 EXTERNAL INSTRUCT FEE
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IINV®ICE
To: Carmel Fire Department
From: Tori Holland 2 Civic Square
Columbia Southern University Carmel, IN 46032
P.O. Box 3110
Orange Beach, AL 36561
(800) 977-8449 ext. 1357
DATE QTY DESCRIPTION UNIT PRICE DISCOUNT LINE TOTAL
12/03/2015 3 2016 Company Officer Academy- Huntington, IN $175.00 $00.00 $525.00
(Buttler, Lenze, Mason)
Sales $0.00
Tax
TOTAL $525.00
Please make all checks payable to Columbia Southern University
and include a copy of the invoice with payment.
Terms for Payments,Cancellations, Refunds,and Substitutions
All registration fees must be paid prior to the start of the event.Failure to pay by this time period will result in the forfeiture of your registration.You may re-register as
long as enrollment is still available.
Cancellations must be made up to 30 days before the event start date.Columbia Southern University will refund half your paid tuition in this time frame.Any
cancellations made less than 30 days of the event start date is nonrefundable.Full refunds will be given at Columbia Southern University's discretion.Any refund
issued will be done by the same method of tuition payment.
*Documentation may be required for cancellation.
Columbia Southern University reserves the right to cancel any event that does not meet the minimum enrollment requirements.Should this occur,we will call registered
participants to reschedule.if the alternative event is not convenient for you,a full refund will be issued.Columbia Southern University's liability is solely limited to
refunding of event tuition payments.
Substitutions may be made up to one week of the event start date.The substitute must meet the specific qualifications of the event in order to attend.The participant,or
representative,is responsible for providing Columbia Southern University with the substitute's information.
Any event hosted or sponsored by Columbia Southern University is subject to change.This includes-but is not limited to-the event facility,agenda,and instructors
/presenters.If applicable,participants will be notified of changes before event start date.
*Please contact ContinuingEd@columbiasouthem.edu if you have any questions about these terms.
THANK YOU FOR YOUR BUSINESS!
i
COLUMBIA SOUTHERN UNIVERSITY
phoned 251.981.3771 toll-free) 800.977.8449 fax) 251.981.3815 address) 21982 University Lane,Orange Beach AL 36561
www.columbiasouthern.edu
i
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))
$525.00
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.
ALLOWED 20
Columbia Southern University
IN SUM OF $
PO Box 3110
F
Orange Beach, AL 36561
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43-570.04 $525.00 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
DEC - 7 2015
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund