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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