181865 02/03/2010 1 ,.:1 77 7; CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC
3315 H NORTH 124TH ST
CHECK AMOUNT: $1,150.20
CARMEL, INDIANA 46032
`+T BROOKFIELD WI 53005 CHECK NUMBER: 181865
CHECK DATE: 2!3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357003 CUSI000240 1,150.20 INTERNAL INSTRUCT FEE
Crisis Prevention Institute, Inc. Invoice CUSI000240
Date 1/7/2010
For Customer Service Inquires or to place an order call: 1- 800 558 -8976
For Accounting inquiries: Call toll -free 1- 877 -877 5409 Page: 1
1 „.:i:: Fax: 1- 262- 317 -6512 Federal I.D. #39- 2012874 GST# 86192 3753 RT0001
Include a copy of this invoice or Customer ID# with PY payment.
P Y
Bill To: Original invoice Ship To:
Brooke Taflinger Brooke Taflinger
Carmel Clay Parks And Recreation Carmel Clay Parks And Recreation
1235 Central Park Dr E 1235 Central Park Dr E
Carmel IN 46032 -4421 Carmel IN 46032 -4421
US US
Purchase Order No. Customer ID Shipping Method 'Payment Terms Req Ship Date
PO# 20534 02- OR -A001 LK9 FEDEX GRD Net 30 1/6/2010
hi ed
Ordered UofIVA. 13lO
hipped' 'Item •Number Description Unit Price Ext. I
100 EACH 100 0 PWKB0001 NCI Participant Workbook Revised $10.65 $1,065.00
Purchase
Description 0C\
P.O. Po
G.L.# I k a,
Budget
Line escr r c
Purchaser Date .10
Approv. AIIIPP Date i 4C `C
P
c�---
L., JAN 1 9 2010
Thank you Subtotal $1,065.00
-Tax $0.00
Tracking (if applicable): Freight $85.20
053287830538299 Deposit Received $0.00
aTotal Z -US$ $1,150.20
Remit to: Canadian Customers: Please remit payment to: Tax exempt organizations:
Crisis Prevention Institute, Inc. Crisis Prevention Institute, Inc To avoid sales tax, we must have your tax exempt certificate on file.
3315 -H North 124th Street Lockbox 1566 Open enrollment program cancellation policy: please reference cancellation
Brookfield, WI 53005 USA PO Box 1566, Station A policy available on training confirmation letter or www.crisisprevention.com.
Toronto, ON M5W 3N9 Canada Not applicable to on -site training
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
T359466 Crisis Prevention Institute, Inc. Terms
3315 -H North 124th Street
Brookfield, WI 53005
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/7/10 CUSI000240 Training materials 20534 F 1,150.20
Total 1,150.20
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
Clerk- Treasurer
Voucher No. Warrant No.
T359466 Crisis Prevention Institute, Inc. Allowed 20
3315 -H North 124th Street
Brookfield, WI 53005
In Sum of
1,150.20
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #TTITLE AMOUNT
Dept
1081 CUSI000240 4357003 1,150.20 I hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
28 -Jan 2010
i
-V77V
Signature
1,150.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund