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Home My WebLink About259790 06/16/16 CITY OF CARMEL, INDIANA VENDOR: 00350628 ® 1 ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT .CHECK AMOUNT: $*....1,590.00* CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK NUMBER: 259790 12000 ALUMNI DRIVE CHECK DATE: 06/16/16 JACKSONVILLE FL 32224-2678 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 33975 061516 1,590.00 CONTINUING EDUCATION VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) INST OF POLICE TECHNOLOGY MGT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER UNIV OF NORTH FLORIDA IN SUM OF$ CITY OF CARMEL 12000 ALUMNI DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service JACKSONVILLE, FL 32224-2678 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,590.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due L5#:1ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT -:33975', 0 43-570.00 $1,590.00 1 hereby certify that the attached invoice(s),or 6/13/16 0 Amos,Thies,Criminal Investigation School $1,590.00 210 210 210 210 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 r_1 _ a Monday,June 13,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Institute of'.Palic eTechnology .and Menagemenf IP University. of North Flo Reg►straton Form STUDENT . . • First Name: Chad — — Day Phone: 317 571 2500 Middle. Initial:.: Student Fax Number . .317-571-2512 Last Name Amos Student Email: camos@carmel.in.gov Address:. 3 Civic Square Address.2: Zip Code: .46032 Americans with Disabilities Act Program Accessibility: - Carmel = Clty: = Individuals who require reasonable accommodation in.order. to'participate must notify the registrar at(904).620=1P.TM State: IN at least fiveworking days.prior to the class. Occupation (Rank): Detective. Employer.(Agency Name): Carmel Police ,Department'.; COURSE • • • Course Title: Criminal. Investigative Techniques Course Dates: 7/18/16. — 7122/16 Course Location: . Jacksonville. Florida. Full payment must accom pany all registrations! Course Fee:- $ -:795.00_ Please do notmake.cirline reservations:until you receive;written'notification confirming that the;course.will run as scheduled.. PAYMENT • • Payment must be submitted with your registration. X: Check enclosed for: $. � . Make_cFieck. ableao: Institute.of Police:Techn.olo dnd_Mand ement paY , 9Y g. E] Bill my: Ej Visa MasterCard E]American Express FJ,Discover: for $ . Card #: :3- or:4=digit security code: Name as it appears on card: Expiration Date:. Email receipt to: CANCELLATION/REFUND POLICY. -Complete.ihe'Cancellation Request.Form found'at www.iptni.org,and return it to IPTM.-No'telephpne cancellations will be'accepted: A 2004Q'6dministrative fee.will.be assessed.to.all refunds if.the cancellation request is'received within 7.days of.the course start date. In•Iieu of a: Institute of POIICe Technology an.d Management IP�II University of North Florida 'st f' F . . . . Reg► ra ion orm T INFORMATION First Name: Adam Day Phone: 3-17=571-2500. - Middle Initial:. Student Fax Numb e.ra .3i7.-57.1-251.2 Last Name: Theis Student Email: Atheis@carmel.in.gov 3 .Civic S ware: . Address:. q Address'2: Zip Code: -46032 . Americans with Cit Carmel-: : 'Individuals who iegDisabilities rsonable a�ommodalion'order y. to participate must notify the registrar at(904)•6204TM $tate: IN• - at'Ieast five.working days prior to the class. Occupation(Rank): Detective.. Employer(Agency:Name): Carmel. Police.D"epar.tment COURSE • • • Course Title: Criminal Investigations Techniques Course Dates:• 7/18/16 -. 7/22/16-' Full payment Course Location: Jacksonville,-FL accompany Course fee: $ 795,00- Pleose.do.not-itake:cirline reservations until you receive:written notification confirming that the:course.will run w scheduled:. PAYMENT • • Payment must be submitted with your registration. Check-enclosed for: $. /Hake check.payable to:-Institute.of Police Technology and:Mandgement Bill my: Yisa E]MasterCard American Express Discover for, $ .. Card #: 3-or 44 cligit:security code: Name as it.appears on card: Expiration Date: " . Email recei pt toc STUD �C [In : ANCELLATION/REFUND POLICY•'CanceIIatiofiRequest.Form.found at www.iptm.org.and refurriit to IPTM.:No'ielephone cancellations will beaccepted: istrative feewill•beassessed:to all refunds if the cancellation request is received within 7da, ofthe course:sfarf date.d,'student substitutions:cari.be'made.or:a credit.can be-issued fora'future.course.-No refunds will.be given for no-shows: PERSON'SREGISTERING • • - • student) Person's.Name.: Lua-nn:Mates Registering Person's.Title: Administrative -Assistant Phone Number: 317.-571-2-500 Registering.Person's Emaii:. lmat.es@carmel.in:gov 'Return.to: Institute of Police Technology.and Mana.gement/lJniversity of North.Florida 12000 Alumni Drive • Jacksonvillejloridd 32224-2678.' Phone:,(90.4.) 620.IP_TM Fax: (904)_620-2453• E-mail: info@iptm.org INDIANA RETAIL TAX EXEMPT Page 1 of 1 City ®fCc(�anal CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33975 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 6/9/2016 00350628 INST OF POLICE TECHNOLOGY MGT Police Department 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 5568 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 210 Account., 43-570.00 Fund: 210 Continuing Education 1 Each Training $1,590.00 $1,590.00 Sub Total $1,590.00 r Send Invoice To: Police DepartmentyAmos Theis Luminal v stigat on scFioahz7/18 7/22tJacksonville FL" .' 3 Civic Square Carmel,IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $1,590.00 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 SUFFICIENT 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 bal;�e Pat Young TITLE Admin Assistant CONTROL NO. 33975 CLERK-TREASURER