HomeMy WebLinkAbout189090 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364131 Page 1 of 1
ONE CIVIC SQUARE BETH EARLYWINE
CARMEL, INDIANA 46032 4931 N KITLEY AVENUE CHECK AMOUNT: $127.70
INDIANAPOLIS IN 46226 CHECK NUMBER: 189090
CHECK DATE: 811 812 01 0
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 127.70 EXTERNAL TRAINING TRA
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REGISTRATION CONFIRMATION
COURSE INFORMATION YOUR INFORMATION
Course 10 -1003 Carmel Clay Communications
Type: Suicide Intervention TN Contact: Mi Heinzman
Location: New Haven Police Department 31 First Ave Nw
815 Lincoln Highway East Carmel, IN 46032
New Haven, Indiana 46774 Phone: (317) 571 -2586
5, 2010 Fax: (317) 571 -2585
Dates Aug E -mall: mheinzman @carmel.in.gov
Hours: 08:30 AM 04 :30 PM
Host: New Haven Police Department Total Students Registered: 4
Contact: Ms. Sonja Tompkins
Phone: (260) 493 -1517
E- mail:: tompkinssl @verizon.net
STUDENTS REGISTERED.
Please call PowerPhone immediately with any changes or substitutions.
1. Earlywine, Elizabeth
2. McGee, Bill
3. Moore, Lavernezetta
4. Paulin, Kent✓
Directions and Local Information:
For additional information regarding course location or local directions, please call the host agency's contact person at the above number.
With any other questions, or to make additional registrations, please contact PowerPhone.
Payment Terms:
Payment in full is due upon receipt of order. All course registrations must be paid in full prior to the start of class for students to attend.
Cancellation Policy:
If you cancel up to 30 days before the start of a program, there is no penalty. For any cancellation, you must call PowerPhone at 1 -800-
537 -6937 and obtain a cancellation number.
Outside the U.S., please call +1 203 245 -8911.
The agency or individual is responsible for full payment to PowerPhone for any registration cancelled less than 30 days before a program,
or for any student who is registered but does not attend.
Student substitutions may be made at any time.
Here is a selection of courses now scheduled in your area.
For a complete list, visit www.powerphone.com or call us for more information.
Jun 25, 2010 Protecting Law Enforcement Pesponders Noblesville, IN $209.00
Jun 28 -30, 2010 Emergency Medical Dispatch West Lafayette, IN $389.00
Aug 5, 2010 Suicide Intervention TM New Haven, IN $209.00
Oct 28, 2010 Suicide Intervention TM Greenwood, IN $209.00
Prescribe by Sate 2oard of Accounts General Form No. '.C' (1955)
MILEAGE CLAIM.
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(Governmental unity
On Account of Appropriation No. Q for
(Office. Board. Department or Instinu:icnj
DATE FROM TO
ODOMETER READING' :NATURF OF cuSitNESS I AUTO iA MILEAGE C 5
20 Point Point Start Finish TRAVELED PER MILE
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Auto License No. y TOTALS
SPEEDOMETER READING columns are to be used on; when distance between points cannot be determined by fixed mileage or offl'Jal highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the, amount claimed is iegally.due, after
allowing alf just credits, and that no part of the same ha been paid. l
Date
Cloim No. Warrant No. I have examined the within cicum and
hereby certify as follows:
IN FAVOR OF
r That it is In proper form;
Thcrt it is duly authenticated as required
by law;
That it is based upon statutory authority;
7` Z That it is apparently {NCO 12- correct
On Account of Appropriation No.` for
Disbursing Ufflcer
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VOUCHER NO., WARRANT NO.
ALLOWED 20
Beth Earlywine
IN SUM OF
4931 N. Kitley Avenue
Indianapolis, IN 46226
$127.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 43- 430.02 $127.70 1 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
Friday, August 13, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/13/10 I I I $127.70
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