322088 02/19/18 Cqq
CITY OF CARMEL, INDIANA VENDOR: 00350628
ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT CHECK AMOUNT: $*****1,095.00*
r° CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK NUMBER: 322088
9y_roN,`o; 12000 ALUMNI DRIVE CHECK DATE: 02/19/18
JACKSONVILLE FL 32224-2678
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 101397 1,095.00 TRAINING: CONTINUE ED
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350628 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INST OF POLICE TECHNOLOGY MGT IN SUM OF$ 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
101397 0 43-570.00 $1,095.00 I hereby certify that the attached invoice(s),or 2/13/18 0 Gossett,advanced traffic crash investigation $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, February 19,2018
ac,.-' v6..A'
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
nstitufe o Po ice Technology_a:nd Management -
U ive it " " N Florida
IPTI
S yo 0
n r f � rth" F or a .
ti n
. Registra "o Form ;
STUDENT
First Name: Lucas. : Day Phone: 317-571=25.00:
Middle.Initial::: Student Fax Numbers317"-571-2512 .
- Last Name. Gossett StudenrEmail• Igossett@carmel.in.goy"
Address:
3 Civic"square
Address.2:
Zip Code: 46032
Americans with Disabilities Act Program Accessibility.
Carmel: Individuals who require reasonable accommodation i order."
to prt
State: - id ate-must notify the regi i
registrar at 904.620=1PTM
IN aat least five working days-prior to the class..
Occupation (Rank): Patrol"Officer
Employer(Agency Name): Carmel.Police:D:epartment. .
COURSE • • •
Course Title: Advanced Traffic.Crash Investigation.' -
Course"Dates:: 5/7/2018::-:5/18/2018
Full payment must
Courseiocatione_ Lawrence,IN
acco
mpany all registrations!
Course.Fee:_ - $'_1,095.00 . .
Please.do.not it ake:airline reservations untilyou receive writfen notification confirming that the:coune.will run as scheduled..
PAYMENT INFORMATION
Payment must be submitted with your registration.
❑X.. _. 4„r � Q9S�' Par" " . . 9Y 9"
Check enclosed Make check able to:"Institute of-Police.Technolo and:Mana ement-
�. Bill myi .Visa O Ma.teeCard .American"Express"Q.Discover:- for $ "-
- Card#: :3-or:.4=digitrse6urity code: . .:
.Name a$it.appears on card: Expiration'Date:.
Email receipt"tod
CANCELLATION/REFUND POLICY"
Complete the`Cancellation:Request Form found'at wwwJptrn.org'and return it to IPTM.:No telephone cancellations will be accepteDte
A"209/o administrative fee ywill be c ssessed jo-all:refunds if the,carkellation request is'received.within:14 days afAhe course"start daIn lieu of a,.refund,,student"substitutions:can.be made"or:a:credit"canbe issued for,a future course."No refunds.will be•.given for no-sh
PERSON'SREGISTERING
Registering"Persons.Name:- Luann"Mates
Registering Personis:Title: Administrative Assistant . Phone Number:"317.-571=2530
'Re gistering.Person's Email:" Imates@carmelAn.ggy
Ret
urn to: :Institute of,Police Technology.and Management/University of,North"Florida
:1.2000 Alumni Drive• Jacksonville,:Florida 32224-2678
TM Fa - 3• Em
Phone:(904)620-1P x: (904j-620.246. , -
". "ail:.info@iptm.org