HomeMy WebLinkAbout255732 03/01/16 %`"`�"� CITY OF CARMEL, INDIANA VENDOR: 366195
t® �; ONE CIVIC SQUARE COMBINED SYSTEMS, INC CHECK AMOUNT: $*******450.00*
?� CARMEL, INDIANA 46032 PO Box 506 CHECK NUMBER: 255732
M,�TON��o. JAMESTOWNPA 16134 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 33353 021816 450.00 CONTINUING EDUCATION
INVOICE
February 12, 2016
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Field Force Grenadier Course Registration
Tuscaloosa, AL March 21-23
Sgt John McAllister
TOTAL AMOUNT DUE: $450.00
Please make check payable to:
CTS Training Institute
PO Box 506
Jamestown,PA 16134
® REGISTRATION FORM
TRAINING
INSTITUTE
Please print name as it should appear on certificate:
LAST NAME: John FIRST NAME: McAllister MI: W.
DEPARTMENT: Carmel Police Department
DEPT.ADDRESS: 3 Civic Square
Cin,, Carmel STATE: IN ZIP: 46032
WORK PHONE: 317-571-2500 CELL: 317-402-9995
EMAIL: Jmcallister@carmel.in.gov
COURSE DATE&LOCATION: Tuscaloosa, Alabama March 21-23
TYPE OF GAS GUN USED BY AGENCY (please check one): 37MM 40MM 12GA SHOTGUN
CTSTI INSTRUCTOR & OPERATOR COURSES:
❑OC ICP(DAY 1 ONLY-$90.00) ❑CORRECTIONS COURSE(3 DAYS-$350.00)
❑CM ICP(DAY 2 ONLY-$220.00) ❑BALLISTIC BREACHING OPERATORS COURSE(1 DAY-$150.00)
❑IM ICP(DAY 3 ONLY-$1190.00) ❑BREACHING INSTRUCTOR COURSE(2 DAYS-$325.00)
❑FB ICP(DAY 4 ONLY-$220.00) ❑� FIELD FORCE GRENADIER COURSE(2 DAYS-$450.00)
EJALL 4 ICP(FULL 4 DAYS-$695.00) ❑SWAT/TACTICAL GRENADIER COURSE(2 DAYS-$400.00)
EIPENN ARMS ARMORER'S COURSE(2 DAYS-$125.00)
❑CUSTODIAL HANDCUFFING&RESTRAINTS(1 DAY-$195.00)
BECAUSE ATTENDANCE IS LIMITED,A FIRM COMMITMENT IS REQUIRED.Therefore,apurchase order OR request for attendance on departmental letterhead to Combined Systems,
Inc.from your department must be submitted to usbyfax(724-93,2-2166),emailed to zvereb@combinedsystems.com.or mailed to:
CTS Training"Institute,P.O.Boz 506,Jamestown,PA 16134.
As the P.O.'s/requests for attendance are anticipated to be greater than the number of spaces available,cancellation of a designated attendee must be made in writing to Combined
Systems thirty 130►days before the course date.Should a student not appear for class,and a cancellation notice not be received,that agency will be charged the full amount of the
cost associated with this class.Notfication of cancellation will allow us to offer the vacant spot to another interested agency.Substitution of an attendee within the same agency is
acceptable.
Mail Payment to:
PAYMENT METHOD: CHECK ENCLOSED CREDIT CARD DEPT.PURCHASE ORDER(# 333
CC# EXP.DATE V CODE#
NAME AS IT APPEARS ON CARD:
BILLING ADDRESS&PHONE NUMBER:
a INDIANA RETAIL-TAX EXEMPT Page 1.6f 1.
Clity . of. Carme .
CERTIFICATE N0.003120155 002.0 PURCHASE ORDER NUMBER
FEDERAL EXCISE'TAX EXEMPT 33353
ONE CIVIC.SQUARE 35-6000972 �: THIS NUMBER MUST APPEAR ON INVOICES,AIP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL,.INDIANA 46032=2584 SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS:FOR CITY OF CARMEL`-1997
PURCHASE.ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR N0. DESCRIPTION
114/2016 . 366195
COMBINED SYSTEMS, INC Carmel Police
-VENDOR .PO BOX 506 SHIP 3 Civic.Square
TO Carmel,:IN. 46032-
:JAMESTOWN,.'PA 16134-
CONTRACT.
6134 _ -
CONFIRMATION- BLANKET CONTRACT. PAYMENT TERMS FREIGHT
-QUANTITY" UNI T,OF MEASURE DESCRIPTION UNIT PRICE EXTENSION.
Department:"1110 Account,. 43=570:00 Fund:'210 Continuing Education
1' Each gaining $450.00.: : :. $450.00.
Sub Total " $450,00:
Sehd Invoice To: : :
Carmel Police . " . John McAllister�Eield Force Grenatlier cgwrse_ _13/21-,3123;inyTuscaloosa,AL..
:3 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ' . ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT.
PAYMENT $450:0.0
SHIPPING INSTRUCTIONS 'AIH 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
'SHIP PREPAID. AFFIDAVIT ATTACHED." HEREBY CERTIFY THAT THERE IS ANUNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION FFICI ENT TO PAY-FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33353 CLERK-TREASURER
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
02/15/16 0 Field Force Grenadier Course-McAllister $450.00
1110 210
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
COMBINED SYSTEMS, INC ALLOWED 20
PO BOX 506 IN SUM OF$
JAMESTOWN, PA 16134
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
P�%Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
x333-53= 0 43-570.00 $450.00 1 hereby certify that the attached invoice(s), or
1110 IT I 210 I
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
Y- J
As2�"
--- �, received except
Monday, February 15, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund