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HomeMy WebLinkAbout320468 01/11/18 a CITY OF CARMEL, INDIANA VENDOR: 00350628 d I ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT CHECK AMOUNT: $*****1,095.00* a CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK NUMBER: 320468 12000 ALUMNI DRIVE CHECK DATE: 01/11/18 JACKSONVILLE FL 32224-2678 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 101233 1,095.00 TRAINING VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350628 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INST OF POLICE TECHNOLOGY MGT IN SUM OF$ CITY OF CARMEL UNIV OF NORTH FLORIDA An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 12000 ALUMNI DRIVE rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. JACKSONVILLE, FL 32224-2678 Payee $1,095.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 101233 0 43-570.00 $1,095.00 1 hereby certify that the attached invoice(s),or 1/5/18 0 training-Howard $1,095.00 1110 210 1110 210 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,January 8,2018 ac'..' la-zX..A. w Jim Barlow Chief hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Institute of Police Techno ogy and Management -University f N I id o_ orth F or a: ist do Reg ra tion' form STUDENT INFORMATION First Name: !N� Day Phone: 2/�- SoO 3/�- 5= Middle Initial:. Student Fax Number: 3 JJ Last..Name:: �701� �:� Student Email: W, 0/' (2 e73-/-i4e:/•J;y �V ,q : C ddress: Address 2e Zip Code:,: �(�Oa /� Americans with Disabilities Act Program Accessibility: Cit r4F{/�►e Individuals who:ie vire reasonable accommodation.in:order- YE 9 . th registrar at(904'620 State: king days'prior.to the class. IPT to.participate must roti M. _�. at least five working Occupation (Rank-):.: Rank-): / eLt ��lith -- A enc Name Employere: /�A e/L: Re( l/ COURSE • • n �//t///.G /t�Sh I2i9FY/Lt/l/11/C�f� — 1Vf/�.5 T1S UrN Course Title: /7 SGei2 Course Dates::. _ Course Location: _ -.)kV)R E;t e-e payment accompany Course Fee: _ Please do'not make,-airline reservations:until.you receive.:written notification confirming that the course will ruinas scheduled PAYMENT • • Payment must be submitted with your registration. Check enclosed for:.$/0.96, .dy- Make check payable-to: Institute of Police Technology.dnd.Mond gem.ent.. Bill my:- Q Visa El MasterCard :0 American Express Discover for $ Card #: 3-'.or 4-digit security code:" Nome as it appears on card: '. Expiration Date: Emdil receipt to: CANCELLATION%REFUND POLICY. Complete the Cancellation Request Form found at www.iptm:org and return it to IP. M..No telephone cancellations will be accepted. A 20%administratiye.fee.will be,'assessed to all refunds if.the cancellation request is received within l4 days of the course start:date. -In lieu of'a refund;student substitutions can be'made ora credit carrbe issued foe d future course: No refunds will be gn[en:for no-shows. REGISTERING PERSON'S INFORMATION (if different than student) Registering.Person's Name: . af�l-�r� /YIA-SES Registering Person's Title: 4009, %sb, A'd� T!'S�S�`�'� Phone Number: �l)-�71 0 . Registering= Person's Email: frnAEsC9/'r��/ N . frU�. Return to: .Institute of.-Police-Technology.and:Mafia gement/University.-of North.Florida. 1.200.0 Alumni Drive•.Jacks'onville, Florida.32224-2678 Phone; (904) 620-IPTM • Fax: (904)_620=2453.• E-mail: info@iptm,org -