HomeMy WebLinkAbout324751 04/30/2018 r Coq
`y CITY OF CARMEL, INDIANA VENDOR: T359466
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $'j*****150.00*
f � CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600 CHECK NUMBER: 324751
��rov`LO MILWAUKEE WI 53224 CHECK DATE: 04/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355300 IUS0108'054 150.00 ORGANIZATION & MEMBER
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# T359466 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Crisis Prevention Institute, Inc. Payee
10850 W Park Place,Suite 600
Milwaukee,WI 53224 In Sum of$ Purchase Order#
T359466 Crisis Prevention Institute, Inc. Terms
$ 150.00 10850 W Park Place,Suite 600 Date Due
Milwaukee,WI 53224
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s),or bill(s)) PO# Amount
CPI Annual membership Fee ESE
1081-99 IUS0108054 4355300 $ 150.00 Board Members 3/29/18 IUS0108054 Inclusion Supervisor xx6715 $ 150.00
I hereby certify that the attached invoice(s),or
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
$ 150.00 Total $ 150.00
April 18,2018
1 hereby certify that the attached invoice(s),or bills)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
a
Original Invoice �tce lusol0$054 __
Nonviolent Crisis Intervention®program a 3/29/2018
Prepare Training@ program
Federal I.D.: #39-2012874
_ -J Dementia Care Specialists
--� � GST#:86192 3753 RT0001
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Bill To: Ship To:
Carmel Clay Parks And Recreation Carmel Clay Parks And Recreation
Aimee Rich Aimee Rich j
1235 Central Park Dr E 1235 Central Park Dr E
Carmel IN 46032 I
Carmel IN 46032 I
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WOE ase O�rtde�r lCustomer ID Shloping Method : Payment Terms Req Ship Date
1—076412 US UPSGND Net 30 3/29/2018
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Ordered Shipped BIOIteen Number Description !Unit Price Ext.Price
1 1 0;CPI RECERT FEE Annual Membership Fee $150.00 $150.00
E Cert Year from 6/37/2018 to 6/27/2019 Y
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DECEIVED
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BY:
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Thank you Total z�us$ ! $150.00
emit to: µCPI
10850 W,Park Plaee,Suite 600 Please include invoice number or customer ID with payment.
Milwaukee,WI53224 USA
Call toll-free:
Canadian Customers-Please remit to: US/Canada:1-877-877-5390
Crisis Prevention Institute.Inc
Lockbox#1566
PO Box 1566,Station A
Toronto,ON M5W 3N9 Canada