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HomeMy WebLinkAbout321177 01/25/2018 CITY OF CARMEL, INDIANA VENDOR: 00350628 4/ f ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT CHECK AMOUNT: $**"*1,095.00` ?� CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK NUMBER: 321177 12000 ALUMNI DRIVE CHECK DATE: 01/25/18 JACKSONVILLE FL 32224-2678 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 101294 1,095.00 TRAINING VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350628 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INST OF POLICE TECHNOLOGY MGT IN SUM OF$ CITY OF CARMEL UN IV 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 101294 0 43-570.00 $1,095.00 1 hereby certify that the attached invoice(s),or 1/17/18 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 Tuesday,January 23,2018 &'..' tax W Jim Barlow Chief 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 Lnstitufe of Police Technology and Management University of North Florids. IPT R i tr - • • • eg s a tion Form STUDENT INFORMATION First Name:: LA - . 'Day Phone: 3/7-s Middle Initial: Student Fax Number: Wit Name:- / QW1��b.. Student Email: Address: C Address 2: Zi Code:: Americans with Disabilities Act Program Accessibility: . City:, 'Q/yJ I Individuals who require reasonable a ccommodation:in:order to participate must notify the registrar at(904)620-IPTM at least five working days priorto The class State: Occupation (Rank): L Cide � ,L JJ Employer (Agency Name): me P . • + SE INFORMATION Course Title: DVAiyGe�- l' 2AL .✓l epi- Course Dates: Full payment must 7�1 .Course:Location: accompany all registrations! fIR f'✓lCi�., Course Fee: $ .. p9s vo: . Please do not make-cirline.reservafioas:un tit.you,:receive written notification confirming that the course will run as scheduled PAYMENT • . • Payment must be submitted with your registration. Check enclosed.for: $_ S•�o Make check payable to: fnstitute of Police Technology.dnd:Managemen Bill:m Visa MasterCard ;: American Express Discover for $ .: y' ❑ Card #::. 3.-'or 4-digit security code: :. Name.as it appears on card: Expiration-Date: Email.receipt to: CANCELLATION%REFUND POLICY. Complete the Cancellation.Reguest Form found-at www.iptm:org and return-it to IPTM. No telephone cancellations will be,accepted. A 20%administrative:fee.will-be.assess ed to all Wbrids-if:the cancellation request is received within 1.4 days of the course start date.• In lieu of a refund;student substitutions can be''Made or a credit can be issued for a future course. No refunds will be given:for no-shows: " PERSON'SREGISTERING • ' • . . . - Registering Person's Name: . Registering Person's.Titled Phone Number: . Registering Person's-Email: Return'to: Institute of-Police Technology and:Mafia gement/University.of North Florida. . 1.2000 Alumni Drive.-'Jacksonville, Florida.32224-2678 Phone:(904) 6204PTM` Fax: (904) 620-2453 • E-mail: info§iptm.org