HomeMy WebLinkAbout258621 05/13/16 �"• CITY OF CARMEL, INDIANA VENDOR: T359466
� • ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $.... 150.00*
s 4 CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600 CHECK NUMBER: 258621
MILWAUKEE WI 53224
+n�roN o CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355300 IUSIO058359 150.00 ORGANIZATION & MEMBER
Voucher No. Warrant No.
T359466 Crisis Prevention Institute, Inc. Allowed 20
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 IUS10058359 4355300 $ 150.00 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
May 3, 2016
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Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
T359466 Crisis Prevention Institute, Inc. Terms
10850 W Park Place, Suite 600
Milwaukee, WI 53224
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/30/16 IUSI0058359 Annual Membership ESE A.Rich 6/26/16-6/26/17 xx3573 $ 150.00
Total $ 150.00
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
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Bill To: Ship To:
Carmel Clay Parks And Recreation Carmel Clay Parks And R agg@tion
Aimee Rich Aimee Rich RECST-VE15
1235 Central Park Dr E 1235 Central Park Dr E
Suite 5073 Carmel IN 46032 APR - 6 2016
Carmel IN 46032
us us BY:
Purchase Order No. Customer ID Shippina Method T—Payment Terms Reg Ship Date
1076412 US UPSGNID Net 30 3/30/2016
0 CPI RECERT FEE Annual Membership Fee $150.00 $150.00
Cert Year from 6/26/2016 to 6126/2017
Re
f, Please include invoice number or customer ID with payment.
Call toll-free:
Ca it to: US/Canada:1-877-877-5390
Crisis Prevention Institute. Inc
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