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Home My WebLink About257888 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 099475 ONE CIVIC SQUARE FRED PRYOR SEMINARS CHECK AMOUNT: $•"'•"'198.00' CARMEL, INDIANA 46032 PO Box 219468 CHECK NUMBER: 257888 KANSAS CITY MO 64121-9468 CHECK DATE: 04/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4343002 19707680 99.00 EXTERNAL TRAINING TRA 2201 4343002 19707681 99.00 EXTERNAL TRAINING TRA VOUCHER NO. WARRANT NO. ALLOWED 20 FRED PRYOR SEMINARS PO BOX 219468 SLs F IN SUM OF$ KANSAS CITY, MO 64121-9468 $198.00 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member 19707681 43-430.02 $99.00 1 hereby certify that the attached invoice(s), or 2201 201 19707680 43-430.02 $99.00 bill(s) is (are) true and correct and that the 2201 201 materials or services itemized thereon for which charge is made were ordered and received except Tuesday, April 19, 2016 UW 41 - Street Commisslaner 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 04/18/16 19707681 $99.00 2201 201 04/18/16 19707680 $99.00 2201 201 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 KID MR&MM .CAREEkTRACK® divisioru of Pryor Learning Solutions,Inc. 4/18/16 Dear STEPHEN, Thank you for enrolling for MAKING THE TRANSITION FRM STAFF TO SUPVR. We appreciate your business and are excited you have chosen us as your business skills training provider. **Payment is due before you may attend the seminar.** If you would like to pay by credit card, please call 800-556-3012. Please mail checks or process ACH payments no less than 7 business days prior to the seminar to allow for processing time. Please review the seminar and attendee information listed below and contact us toll-free at 800-556-3012 if you have any questions. If you are unable to attend, ou may send a substitute from your organization or transfer your registration to another seminar. Thank you again for choosing us as your training provider. Enjoy your seminar! 1 Day Seminar Program: VM/)iRING TRANSITION FRM STAFF TO Seminar Date:Wednesday June 8, 2016 Check-in: BEGINS AT 8:30 AN Seminar Time: 9-00 AN 4:00 PM Seminar Location: MR STEPHEN ZELLER ERIC RUSSELL Lexington Frmly: Radisson Hotel Airpor 2500 S High School Rd Indianapolis, IN 46241 317 244 3361 ATTENDEE: MR STEPHEN ZELLER --------------------------------------------------------------;-------------------------------------------------------------- , THIS IS YOUR PAYMENT INVOICE REMITTANCE STUB (Forward to Your Accounts Payable Dept.) ; (payment is due upon receipt of this invoice. Please return Attendee Name ' this remittance stub with your payment.) MI2 STEPHEN ZELLER ' Customer#: 33436105 Order#:20-025596758 ' YourPO#: Federal ID#:43-1830400 i Invoice#: 19707680 Tuition: 99.00 Invoice Date: 04/18/2016 Invoice#: 19707680 ( Customer#: 33436105T— .00 Event#: 182977 Amount Paid: .00 Program: VM/MAKING TRANSITION FRM STAFF TO 4580038 06/08/2016 Total Amount Due: 99.00 Seminar Date:Wedne s day June 8, 2016 Method of Payment.- Seminar ayment:Seminar Location:Lexington , ❑Check# Please submit Frmly: Radisson Hotel Airpor paymenrro: 2500 S High School Rd ; 13Visa 13 MC Fred Pryor Indianapolis, IN 46241 ; ❑AMEX ❑Discover Seminars Payment is due upon receipt of this invoice. ; Date PO Bax 219468 Kansas City,MO 64121-9468 Tuition: 99-00 Amount Paid: .00 Card# Tax: .00 Total Amount Due: _q9.00 i Cardlalder Signature ROPRYOR SEnanM ,rUCAREEKTRACK® aTax Exempt#: c�WO divisions of Pryor Leaming Solation,Inc. j (%ease of ca a copy of your Tax empt Certificate for payment processing it applicable.) QED PRYOR SE T ARS MRICAREEkTRACK. divisions of Fryor Learning Solution,Inc. Dear LEE, 4/18/16 Thank you for enrolling for MAKING THE TRANSITION FRM STAFF TO SUPVR. We appreciate your business and are excited you have chosen us as your business skills training provider. **Payment is due before you may attend the seminar.** If you would like to pay by credit card, please call 800-556-3012 . Please mail checks or rocess ACH payments no less than 7 business days prior to the seminar o allow for processing time. Please review the seminar and attendee information listed below and contact us toll-free at 800-556-3012 if you have any questions. If you are unable to attend, ou may send a substitute from your organization or transfer your registration to another seminar. Thank you again for choosing us as your training provider. Enjoy your seminar! 1 Day Seminar Program: /I�IRiNNG.TRANSITION FRM STAFF TO Check-in: :Wednesday June 8, 2016 BEGINS AT 8:30 AM Seminar Time: 9:00 AM 4:00 PM Seminar Location: MR LEE HIGG33MOTHAM ERIC RUSSELL Lexington Frmly: Radisson Hotel Airpor 2500 S High School Rd Indianapolis, IN 46241 317 244 3361 VO ATTENDEE: MR LEE HIGGINBOTHAM ---------------------------------------------------------------;-------------------------------------------------------------- THIS IS YOUR PAYMENT INVOICE REMITTANCE STUB (Forward to Your Accounts Payable Dept.) (Payment is due upon receipt of this invoice. Please return Attendee Name this remittance stub with your payment.) MR LEE HIGGINBOTHAM ' Customer#. 33436107 Order#:2 0-0 2 5 5 9 6 7 5 8 ' Your PO#: Federal ID#:43-1830400 Invoice#: 197 07 681 Tuition: 99.00 Invoice Date: 04/18/2016 Invoice#: 19707681 ; Customer#: 33436107 Tax: .00 Event#: 182977 Amount Paid: .00 Program: VM/MAKING TRANSITION FRM STAFF TO 14 4580038 06/08/2016 Total Amount Due: 99.00 SeminarDate:Wednesday June 8, 2016 Method of Payment.- Seminar ayment:Seminar Location:Lexington o Check# Please submit Frmly: Radisson Hotel Airpor ; sotto: 2500 S High School Rd ; ❑Visa ❑MC Pa ed Pryor Indianapolis, IN 46241 ; ❑AMEX ❑Discover Seminars Payment is due upon receipt of this invoice. ; Dale PO Box 219468 Kansas City,MO 64121.9468 Tuition: 99-00 Amount Paid: .00 1 card a Tax: .00 Total Amount Due: 99.00 Cardholder Signature FRED PRYOR Sums.F, CAKERTRACK® 04,ng Exempt#•803 iM 16�6`COD divisions of Pryor Learning Solution,Inc. j (Please anach a copy of your Tax Exempt Certificate for payment processing if applicable.) Form ST-105 Indiana Department of Revenue State Form 49065 R418-05 General Sales Tax Exemption Certificate Indiana registered retail merchants and businesses located outside Indiana may use this certificate.The claimed exemption must be allowed by Indiana code. Exemption statutes of other states are not valid for purchases from Indiana vendors.This exemption certificate can not be issued for the purchase of Utilities Vehicles ffiLe_rcraft,or AircLaft, Purchaser must be registered with the Department of Revenue or the appropriate taxing authority of the purchaser's state of residence. Sales tax must be charged unless all information in each section is fully completed by the purchaser.Purchasers not able to provide all required j information must pay the tax and may file a claim for refund(Form GA-110L)directly with the Department of Revenue. (� Tga Name of Purchaser CITY OF CARMEL Business Address ONE CIVIC SQUARE City CARMEL State IN Zip 46032 �= Purchaser must provide minimum of one ID number below.* i rc.r, Provide your Indiana Registered Retail Merchant's Certificate I Wo TD)and LOC Number as shown on your Certificate............................... 0031201550 020 ail TIDY(10 digits) LOC#(3 digits) I 4W If not registered with the Indiana DOR,provide your State Tax -4 ID Number from another State................................................................ -_` *See instructions on the reverse side if you do not have either number. State ID# State of Issue I j Is this a ®blanket purchase exemption request or a ❑single purchase exemption request? (check one) s �? Description of items to be purchased. '-mak i i M Purchaser must indicate the type of exemption being claimed for this purchase. (check one or explain) ❑ Sales to a retailer,wholesaler,or manufacturer for resale only. :x. ❑ Sale of manufacturing machinery,tools,and equipment to be used directly in direct production. I 4 i s ❑ Sales to nonprofit organizations claiming exemption pursuant to Sales Tax Information Bulletin#10. K (May not be used for personal hotel rooms and meals.) ❑ Sales of tangible personal property predominately used(greater then 50 percent)in providing public transportation-provide USDOT#. rr A person or corporation who is hauling under someone else's motor carrier authority,or has a contract as a school bus operator,must i z�7i provide their SS#or FID#in lieu of a State ID#in Section#1. USDOT# ❑ Sales to persons,occupationally engaged as farmers,to be used directly in production of agricultural products for sale. Note:A farmer not possessing a State Business License#may enter a FID#or a SS#in lieu of a State ID#in Section#1. ` ❑ Sales to a contractor for exempt projects(such as public schools,government,or nonprofits). L"N I r ® Sales to Indiana Governmental Units(agencies,cities,towns,municipalities,public schools,and state universities). A—❑ Sales to the United States Federal Government-show agency name. Note:A U.S.Government agency should enter its Federal Identification Number(FID#)in Section#1 in lieu of a State ID#. j 'IMOther-explain. I hereby certify under the penalties of perjury that the property purchased by the use of this exemption certificate is to be used for an exempt == purpose pursuant to the State Gross Retail Sales Tax Act,Indiana Code 6-2.5,and the item purchased is not a utility,vehicle,watercraft,or aircraft. v c'I confirm my understanding th t fn�lse,(either negligent or intentional),and/or fraudulent use of this certificate may subject both me personally and/or the business entity I p to the imposition of x,int e Wand civil and/or criminal penalties. i v�g Signature of Purchaser Date 1/1/2016 i Printed Name CHRISTINE S. PAULEY Title CLERK-TREASURER The Indiana Department of Revenue may request verification of registration in another state if you are an out-of-state purchaser. Seller must keep this certificate on file to support exempt sales.