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Home My WebLink About258149 04/29/16 Coq u/ t CITY OF CARMEL, INDIANA VENDOR: 00350628 ® 2{ ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT CHECK AMOUNT: S.'"'"'795.00' CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK NUMBER: 258149 12000 ALUMNI DRIVE CHECK DATE: 04/29/16 JACKSONVILLE FL 32224-2678 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 33822 042716 795.00 TRAINING VOUCHER NO. WARRANT NO. ALLOWED 20 INST OF POLICE TECHNOLOGY MGT UNIV OF NORTH FLORIDA IN SUM OF$ 12000 ALUMNI DRIVE JACKSONVILLE, FL 32224-2678 $795.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police INW/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 33622'{ 0 I 43-570.00 I $795.00 1 hereby certify that the attached invoice(s), or 210 I 210 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 " Monday, April 25, 2016 4 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)) 04/25/16 0 Hobson-Police Applicant Backround Investigation School $795.00 210 210 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 *4 17PMU Institute of Police Technology and Management University of North Florida Registration Form 1 %7J STUDENT INFORMATION First Name: Phillip Hobson Day Phone: (317)416-4290 Middle Initial: L Student Fax Number: Last Name: Hobson Student Email: phobson@carmel.in.gov Address: 3 Civic Square Address 2: Zip Code: 46032 Carmel Americans with Disabilities Act Program Accessibility: City: Individuals who require reasonable accommodation in order to participate must notify the registrar at(904)620-IPTM State: IN at least five working days prior to the class. Occupation (Rank): Sergeant Employer (Agency Name): Carmel Police Department COURSE • ' • Course Title: Police Applicant Background Investigation Course Dates: 06/20/2016- 06/24/2016 Course Location: IPTM - University of North Florida paymentFull accompany Course Fee: $ 795.00 Please do not make airline reservations until you receive written notification confirming that the course will run as scheduled PAYMENT INFORMATION Ilk Payment must be submitted with your registration. "Check enclosed for: $ 79s ' 00 Make check payable to: Institute of Police Technology and Management Bill my: E]Visa E]MasterCard []American Express F]Discover for $ Card #: 3- or 4-digit security code: Name as it appears on card: Expiration Date: Email receipt to: CANCELLATION/REFl1N®POLICY Complete the,Cancellation Request,Form found'at www iptm oro`=and return tt to IPTM No;teI- h' a cancellations wilF be accepted ' A 20%administrative fee will be assessed to all refunds if the cancellation request is received within 7 days of the course start,date: j In heu of a refund,student substitutions can be made or a:credit can be issued fora:future course No refunds:will be giJen for,no shows REGISTERING PERSON'S INFORMATION (if different than student) Registering Person's Name: Registering Person's Title: Phone Number: Registering Person's Email: Return to: Institute of Police Technology and Management/University of North Florida 12000 Alumni Drive • Jacksonville, Florida 32224-2678 Phone: (904) 620-IPTM • Fax: (904) 620-2453 • E-mail: info@iptm.org INDIANA RETAIL TAX EXEMPT Page 1 of 1 City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33822 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/21/2016 00350628 INST OF POLICE TECHNOLOGY MGT Carmel Police VENDOR UNIV OF NORTH FLORIDA SHIP 3 Civic Square 12000 ALUMNI DRIVE TO Carmel, IN 46032- JACKSONVILLE, FL 32224--2678 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS_ FREIGHT 4232 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 210 Account: 43-570.00 Fund: 210 Continuing Education 1 Each Training $795.00 $795.00 Sub Total '$795.00 v Send Invoice To: Carmel Police a b n-Police applicant Background school 6120-6124 Jacksonville, FL 3 Civic Square Carmel,IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT CPAYMENT $795.00 SHIPPING INSTRUCTIONS '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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SU FICIENT 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. 33822 CLERK-TREASURER