HomeMy WebLinkAbout252421 12/08/1 5 r
CSN
CITY OF CARMEL, INDIANA VENDOR: 353640
® is ONE CIVIC SQUARE UNIVERSITY OF INDIANAPOLIS CHECK AMOUNT: $*******315.00-
CARMEL,
15.00*CARMEL, INDIANA 46032 C/O RACHEL TALLER CHECK NUMBER: 252421
608—H STONE CROSSING PLACE CHECK DATE: 12/08/15
INDIANAPOLIS IN 46227-3697
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 33250 011116CISM 315.00 TRAINING
University of Indianapolis NVOME
1400 E. Hanna Avenue
Indianapolis, IN 46227
Phone (317) 788-5015 Fax (317) 788-3371 INVOICE #011116-CISM
DATE: DECEMBER 3, 2015
TO: Please mail payments within 30 days
Luann Mates payable to:
Carmel Police Department University of Indianapolis
Imates@carmel.in.gov Attn: Dr. Kelly Miller
Indianapolis, IN 46227
Phone (317) 788-5015
COMMENTS OR SPECIAL INSTRUCTIONS:
*Cash or check payments only. Please note in check memo section:
For C/SM Trainings (Jan. 2016).
QUANTITY DESCRIPTION UNIT PRICE TOTAL
1 Critical Incident Stress Management Training & $315.00 ea. $315.00
Certification
SUBTOTAL $315.00
SALES TAX
SHIPPING & HANDLING
TOTAL DUE $315.00
UNIVERSITY -.f
INDIANAPOLIS..
Crisis Response lea?rr
THANK YOU FOR YOUR BUSINESS!
INDIANA RETAIL TAX EXEMPT
City of CarPAGE
� CERTIFICATE NO 003 20155 02 0
l PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3M
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12t342015
Univomity of Indianapolis Carmel Folia,Department
Cr. Kelly Millar SHIP 3 CIVIC Rqu2W
VENDOR
WO E Hanna Ava TO Carmol, IN
Indianapolis, IN 4M7 (397 5792
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUA�NyTIgTpY grip UpN.pI�T OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4l0-67 .00
t Each training $315.00 $315.00
Sub Total: $315.00
, 1
Blake L}Ale CrRical Inddan4 Stress Managemeltii M
Send invoice To:
7 + ; .
Carmel Police Department
Attn: Pat Young
3 Civic Squ2m
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept, CPAYMENT M15.00
• 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
•SHIP REPAID.
THIS APPROPRIATION S'FFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS. C q o@ Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE b/�l Y Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 332 So A.P.V. COPY-SIGN AND RETURN TO CLERK'S 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))
12/03/15 011116-CISM training $315.00
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
University of Indianapolis IN SUM OF $
Dr. Kelly Miller
1400 E Hanna Ave
Indianapolis, IN 46227
$315.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
33250 I 011116-CISM I -570.00 I $315.00 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
Thursday, December 03, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund