323167 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 00350628
ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT CHECK AMOUNT: $*****2,190.00*
?? CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK NUMBER: 323167
12000 ALUMNI DRIVE CHECK DATE: 03/21/18
...iron JACKSONVILLE FL 32224-2678
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 101489 2,190.00 CONTINUING ED TRAININ
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00350628
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER-
INST OF POLICE TECHNOLOGY MGT IN SUM OF$ 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
$2,190.00
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
101489 0 43-570.00 $2,190.00 1 hereby certify that the attached invoice(s),or 3/13/18 0 traffic crash homicide- Rice,Babczak $2,190.00
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
Wednesday, March 14,2018
1go-'? UN.a.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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Institute of Police-Technology an.d Management .
U ive it N I id
s
IPTM
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ist t' � n F
Reg rate' oirm
STUDENT INFORMATION
First Name: BrianDay Phone: 317-571-25.00:
Middle.Initial:.: Student Fax Number:
317757172512 -
Last Name: Babczak. Student Email: bbabczak@carrriel'.in.gov: .
Address:. 3 Civic.Square
Address.2: ..
Zip Code: 46032
C1t Indiv duals wh ArneHoans wegD seabieasonable a ies. Act �ommodationtitram 'i order
y li
Carmel ;
to participate must notify the registrar at:(904).62.NPTM
State: IN at least five working days prior to the class.. -
Occupation (Rank): Patrol-Officer
Employer(Agency Name): Carmel Police Department
COURSE • • •
Course.Title: : :: At-Scene Traffic Crash/Traffic'.Homicide:Investigation
Course Dates: 4/9/2018-.4/20/20:1:8
Course Location:. . ,:IN:.
L paymentll
Lawrence,:
acc
.. registrationsl
Course fee: .. $` :1;095.00
-please.44 not.make:airline resetvations until you receive:wiitten notification confirming that the:courie.will iun-ds scheduled:.
PAYMENT • . •
Paymeni must be submitted
X Check enclosed for: $. .:1;095:00 Make cFie
❑ ck:-payable;to: Institute.of:Police:Technologyand:Mandgement
Bill'my: ❑Visa.❑Master-Card'.❑AmericanExpress ❑.Discover: for-
Card #:.. - 3-or::4digit:security code: . .:
Name as it appears.on card: : Expiration Date:.
Email receipt tod
, .
CANCELLAYIONI/REFUND POLICY
Complete.the Cancellation.Request Form-fourid at www:iptm.org'and return it.to IPTM.:No telephone cgricellations will be accepted.
- A.20%.administrative fee will be assessed:to;all-refunds.if the,cancellatian requeit is'received withih.14'days of.the course'start date.
-in lieu of a.refund,_student'substitutions can,be ma:de.or:a:credit carr be issued fora future course.•No refunds will be given for no-shows:
REGISTERING PERSON'S INFORMATION (if different than student)
Registering Person's Name.: .Luann Mates. .
Registering Personis:Title: Administrative Assistant . Phone Number: 317-571-2530
Registering Person's Email: Imates@carmel.in,gov
:Refurn.to: ,Institute of_Police Technology.and Management/University of North-Florida .
:1.2000 Alumni Drive Jacksonville,'Florida 3,2.224-2678.
Phone: (904.).620-IPTM• Fax: (904) 620-2453• E-mail:info@iptm.org: .
tit � t P lic" Tec
ns U e of o e hnology a"Ind Malnagelment ..
University-of North Florida
IPTM R . : . .
eg�strafi n :Form
INFORMATIONSTUDENT
First Name: Jonathan : Day Phone: 317-571=25.00
Middle.Initial:: Student Faz Number: - 317-571-2512 -
Last Name: Rice Student Email: jrice@carmel.in.gov
Address:: ""3 Civic.Square. .
Address:2: - -
Zip Gode: 46032
ArnericansIndividuals whilitie
o egifh ui a urea reasonable o c6mmodation'
Carmel i order
city:
".
to participate must notify the registrar at:(904)_620-IPTM
Stater "I N at-least five working days prior to the"class.. -
Occupation-(Rank): Patrol Officer -
Employer(Agency Name): Carmel Police Department
COURSE • ' •
Course Title: At-Scene Traffic Crash%Traffic Homicide Investigation
Course:Dates: 4/9/20"18:-.4/20/201:8
.
Full payment must
Course Location,:. Lawrence,:IN
- -
accompany a// registrations!
Course.Fee:.:: $'::1;095.00
Please-do.noun'ake:didine reservations until you receive:written notification conforming that the:course.will run as scheduled:.
PAYMENT •R •
Payment must be submitted with your registration.
X Check enclosed for: $." .1,095:00" /vlake"check-payable-to: Insthute'of:Police:Technology d'd.Management :.
F Bill my: Q Visa. MasterCard"American Express F1.6iscover: for" $ ._
Card #: 3- 'digit
3- code: ..
Name as it appears,on card: "' Expiration Date:.
:Email receipt.to:
:.
C
ANCELLA1r101d/REFLIIVD POLICY �": •.'
Complete the'Cancellatiori.Request.Form fourid:at www:iptni.org'and return it.to IPTM::No telephone cancellations will be accepted.
A.20'/o,administrative#ee will be assessed jo all refunds.if the.cancellation request is received within.14'days of.the'' urse start date."
In lieu of a".refund,;student'substitutions.can.be made or'a:credit can be-issued fora'future course. No refunds will be given for no-shows.'
REGISTERING PERSON'S INFORMATION (if different than student)
•
Registering Person's Name: _Luann Mates.
Registering-Person's:Title: Administrative Assistant Phone Number: 317=571=2530 "
(mates carmel.in: ov
Registering"Per-sons"EmaiL•. . @.. 9 ' -
et
R urn to: Institute of Police Technology.and Management/University of North.Florida .
1.2000.Alumni Drive•Jacksonville,:Florida 32224-2678.
Phone -I TM Fax - 53 • E-
.:.(904.):620-R - . x: (904) 620 24 mail:.info@iptm.org: . .