HomeMy WebLinkAbout321177 01/25/2018 CITY OF CARMEL, INDIANA VENDOR: 00350628
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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
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.Course:Location: accompany all registrations!
fIR f'✓lCi�.,
Course Fee: $ ..
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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