316487 09/26/17 i'1y w c�qM�
CITY OF CARMEL, INDIANA VENDOR: 359233
ONE CIVIC SQUARE SAFE KIDS WORLDWIDE CHECK AMOUNT: $ .....135.00`
r° CARMEL, INDIANA 46032 C/O PES CHECK NUMBER: 316487
,vM( 475 RIVERSIDE DRIVE,6TH FLOOR CHECK DATE: 09/26/17
or NEW YORK NY 10115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 082117 85.00 TRAINING SEMINARS
210 4357000 548675 50.00 TRAINING SEMINARS
n 2 # 0 0 « «
\ O 7 O $ 0
? \ -42 2 m ¢
n
J >O M g R # Z
-4 0 / k
$ ) K z f k O U O
� 9
; ) § n \ b
Co
# k # \ <
ƒ k k o k
o ¥
ƒ m k
3 � } 0 CD 0 k
f 8 » X »
ci w z
2
# z
$ / > -n p
O
ƒ / m
m o z
= o w
�
J a ! a 7 - 2 >
E % / # Z m
ƒ i g 0) / §
( 2 ] \ ƒ \ \
/ CD � ¢ 2
g ® 2 0 CD /
§ @ a
/ E CD CD \ / \
} ] N a 0
o R
7 &_ I
7 k ƒ \ /
, q ( ° E
§ & { 9 k
�4 CD CD /
(/ _ @ mo
/Cr® § m CD
C \
� 0CT
2 CD
w k - D /
d ) \ 0 }
) \ \ § \ ( \ °
ƒ2 \ � § 2k ƒ C /
0Mg 0 Z 0>
/ 9.:1, ° CD -
77 / % CD T J
70 O >
}_$ ) \ \ (
> Co
iF e ; m 2
CD 0
CL \ } m
0 / CD r\ \ E a *
I 7 ) $ z E j \ C { C
+ ® o c § D
E
k � ° \cn
\
CD ]
U)
#/ \ z
CL
M > k { \
I & PD
7 / /
CD § a
Young, Patricia A
From: cps.certification@safekids.org
Sent: Tuesday, September 05, 2017 7:58 AM
To: Young, Patricia A
Subject: CPS Cert PO Billing E-Invoice
H1
Purchase Order: 082117
Invoice Number: ORG772268 -082117-09-17
Organization ID: ORG772268
Organization Name: Carmel police
Contact Person: Pat Young
Contact Phone: 317-571-2500
PO Invoice Date: 9/5/2017
Amount Due: $85.00
Payment Due Upon Receipt
REMIT TO ADDRESS
Safe Kids Worldwide OR Safe Kids Worldwide
CPS Certification c/o PES
P.O. Box 17594 475 Riverside Drive, 6th Floor
Baltimore, MD 21297-1594 New York, NY 10115-0089
Please include the Organization ID with your payment to ensure it is applied promptly and appropriately.
-------------------------------------------------------------------------
To view detailed activity, log into your Organization Account and click on the details for the PO.
To change to paper billing, click on UPDATE PROFILE, then ATTRIBUTES and follow the prompts.
For your username and password, click here
QUESTIONS? Contact Customer Service at 877-366-8154.
1
National Child Passenger Safety Certification Training Program Registration Form Page 1 of 1
National Child Passenger Safety Certification Training Program
Registration Form
Registration Type: Certification Course
Fee: $85
Course Information
Course ID: IN20170821855 Start Date: 5/3/2018
Registrant Contact Information
Name: Sarah Livingston SK ID: (766235)
E-mail: SUvingston@carmel.in.gov
Payment Information
Your registration will not be accepted without the check or complete purchase order information below. This
form must be filled out completely if paying by purchase order. If you are paying with a credit card, please
complete the registration process by paying online.
Any individual whose paper registration form is received ten or less business days before the scheduled start date
of a course must pay a $10 late fee. To avoid late fees,complete the registration process online with a
credit card.This can be done by going to view course registration history listed under the action items of your
proflle.
** PRINT CLEARLY**
Payment Method:
❑Personal Check ❑Business Check
0 Purchase Order ❑Money Order
Check/P.O. Number: 0?� I I r7
Amount on Check/P.O.: -,
Issuing Agency: a 2 G- Po C iL7'
Billing Contact Name:
Billing Contact Phone:
Billing Contact Email: /
Q`e
Bill To Address:
C altzlf6
Please make checks payable to Safe Kids Worldwide and submit your payment and registration form to the
address below. Purchase orders can be faxed to 917-305-9876, attn: Safe Kids. If payment for multiple
registrations is included on the check or P.O., all registration forms must be submitted with the payment as a
group. The Safe Kids U.S. federal tax ID is 52-1627574.
Safe Kids
c/o PES
475 Riverside Drive, 6th Floor
New York, NY 10115
If you have any questions about this registration form, please contact customer service toll free at 877-366-8154.
i
i
https://ssl 13.cyzap.net/dzapps/dbzap.bin/apps/assess/webmembers/secure/Custom?webid=s... 8/21/2017
02 # o 0« «
S m O m O m m O
i ) i2 2 �_ m o
® > O m q # 2
cr Cf) m
A 3
c
$ I k f k 2
O O
m OD Q w O
n 4 m n k_ O
° § > f
m
ƒ o o X I
k
\ SCD / k
f 8 - > D
C w z
3 /
§ z
< > -n O
} \
C
= o w |
%
) a % l 9 - 2 >
_ . , y c §
\ g
C:
ƒ i n / / ƒ § K
A 2 / \ ƒ \ o
E \ CD
# ¥
g § / § k
4 ® + ± m -
9 CO 2 ! / a i
} 3 / Q /
7 k /CD ICD CL o
/ k ƒ \
0) ; ( 0 E
C? & 7 a I
w Z 3 § c
\ /
, - e a f _0
KZ me CL
-
i\ / j m CD o
- cr
� n ^ \
CD cL
\$ \ / D Cl)
� 7 )
�0 al E 0 m ° /
- m z Q E ]
ƒ o q ° m ƒ C o
Rg ° # % k 0 Z /
G � ° \ \ 8
0 9E % } c /
�2D
90 \
}_$ § ( \ ( -<
C? § � >
/ �om
\
\ \ o \
0 / \ kj E /
7 o} ƒ z E ] $ \ i C:\ � 7 k / k
E
CD :3[ / # CD] M \
k G C ]
CD k \ \ /
[ > \ f \
_ § \ § ƒ
/ k
® k
Young, Patricia A
From: Gallagher, Ann
Sent: Monday, September 11, 2017 5:57 AM
To: Young, Patricia A
Subject: FW:CPS Cert E-Voucher Invoice
From: cps.certification@safekids.org f mailto ps.certification@safekids.org
Sent: Tuesday, September 05, 2017 8:02 AM
To: Gallagher, Ann
Subject: CPS Cert E-Voucher Invoice
NATIONAL
CHILD
PASSENGER
SAFETY
CERTIFICATION
A ProWarn al
Safe Kids Wmidwi&
Organization ID: ORG547675
Organization Name: Carmel Police Department
Contact Person: Ann Gallagher
Contact Phone: 317-571-2720
E-Voucher Invoice Date: 9/5/2017
Summary for E-Voucher: 548675
Statement Date: 9/5/2017
Maximum Credit: $1,000.00
Available Credit: $950.00
Previous Balance: $200.00
Current Month Activity
Charges: $50.00
Refunds: $0.00
Payments: $200.00
Credits: $0.00
Amount Due: $50.00
REMIT TO ADDRESS
1
National CPS Certification A Program of Safe Kids Worldwide Pagel of 2
NATIONAL
CHILD
PASSENGER
SAFETY
CERTIFICATION
A Program of
Safe Kids Worldwide
ONLINE SERVICES
Main Menu
Update Profile
Change Password
Logout
Pay by E-Voucher
Donald Snow
Thank you for paying your recertification fee on 8/2/2017
Your recertification application has been received for processing. You will receive an email notification
within 48 hours.
• Return to Main Menu
Please print this page for your records.
Payment confirmation: Receipt
Name: Donald Snow
Payment Type: Technician Recertification Fee
Amount: $50
Date Paid: 8/2/2017
EV#: 548675
ABOUT THE PROGRAM
https://ssl 13.cyzap.net/dzapps/dbzap.bin/apps/assess/webmembers/tool?pToolCode=TAB9... 8/2/2017