189849 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350628 Page 1 of 1
ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT
CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK AMOUNT: $895.00
12000 ALUMNI DRIVE CHECK NUMBER: 189849
JACKSONVILLE FL 32224 -2678
CHECK DATE: 9/1412010
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 26990 2201100314 895.00 TRAINTNG
l tilllvl�L r%JL1l.D LJr.r I IVIE V 1
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 6/22/2010 Employee: Michael G. Miller
Name of School: Traffic Crash Reconstruction 7 11 2 -1 2-z J0
Cost: $875
Location of School: Scottsdale, AZ
State: IN
Topic Subject Matter: Crash Investigations
Dates of School: From: 10/11/2010 To: 1.0/22/2010
Contact Person: IPTM
http: /www.iptm. org/Regi strationFonn. aspx ?CourseNumber-
Telephone Number: (904) 620 -4786
How will this School benefit You and the Department? This course will certify me in
traffic crash reconstruction for both the Carmel Crash Team and the FACT team. This
course is the last one needed out of a three course series to become a certified
Reconstructionist. This course will assist me with expanding my knowledge regarding
airborne, commercial motor vehicles, motorcycle, along with passenger vehicle crashes.
Will you need C.P.D. Transportation? ®Yes oNo
Will you need accommodation? NYes ❑No
"OVERTIME COMPENSATIO T BE PAID IF YOU VOLUNTEER
TO ATTEND A SCHOOL LY IF YOU A ORDERED TO ATTEND.
Officer's Signa re:
Supervisor' Signature: Date:
Division Commander: 4 Date:
Training Officer: Date:
*OFFICE USE ONLY B W THIS E*
Vnline Kegtstration Page 1 of 1
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Contact Us Course Title: Course Data:
TRAFFIC CRASH RECONSTRUCTION Monday, October 11, 2010
Staff fisting Location: Course Fea:
SCOTTSDALE, ARIZONA $895
Register a nother student in this c ourse.
your agency with e have receiv our
Bring IPTM W h rived registration request for enrollment in the above referenced IPTM course.
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Registration 10422
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l ittp:// www. 1 ptm. org/ RegistrationFonn .aspx ?CourseNumber 129298 7/12/2010
1PTM Registration Request Page 1 of 1
Mates, Luann
From: webmail @iptm.org
Sent: Monday, July 12, 2010 10:23 AM
To: Mates, Luann
Subject: Your IPTM Registration Request
i strati o
G
civ
Thank you for your registration request for an IPTM training course.
Your Registration Code: 10422
Course Title: TRAFFIC CRASH RECONSTRUCTION
Course Date: Monday, October 11, 2010
Course Location: SCOTTSDALE, ARIZONA
Course Fee: $895
Course Number: 021129298
To pay for an IPTM couse click Online Payment.
A minimum number of registrations must be received for a class to be confirmed.
At that time, written confirmation will be mailed, faxed, or emailed to you.
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until you receive this written confirmation.
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that an emailed confirmation will be blocked.
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If this is for an ONLINE training course, advanced payment is required at least one
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will not be enabled until payment is received.
For registrations from international locations or the U.S. territories, advanced
payment is required before your registration will be processed.
For classroom courses on software training or held in the IPTM computer lab,
a $250 non refundable deposit is required to complete your registration.
For credit card payments, visit our site at http: /www.iptm.org /billing.
Or please mail or fax your payment or agency purchase order to IPTM at:
Institute of Police Technology and Management
12000 Alumni Drive Jacksonville, FL 32224 -2678
FAX (904) 620 -2453
7/12/2010
01 City of Carmel
One Civic Square
sh Carmel, Indiana 46032
UT s
317.571.2400
Price Quote Data Form
Date: 7/20/2010 P.O. 26990
Vendor Item Price Quotation
(Name, Address Telephone Number)
IPTM training $895.00
12000 Alumni Drive
Jacksonville, FL 32224
Buyer: Institute of Police Technology Management
Reason Order Was Placed With Successful Vendor: Training,
Order placed by: Major Jim Barlow
Institute of Police Technology and Management
University of North Florida
12000 ALUMNI DRIVE IPM
Jacksonville, FL 32224 -2678
Phone: 904 620 -4786
Fax: 904 620 -2453
Federal I.D. 59- 1982921 Cage Code: 68207
Invoice 2201100314 Course 021129298
Invoice Date: 07/13/2010 Date: 10/11/2010 To 10/22/2010
Please make Check payable to:
ATTN: TERESA ANDERSON Institute of Police Technology
CARMEL PD and Management
Please show Invoice on Check
3 CIVIC SQUARE
CARMEL, IN 46032
Agency PO
Description of Item or Program Cost
Traffic Crash Reconstruction
OFFICER MICHAEL G. MILLER 895.00
TOTAL: 895.00
Payment due on or before first day of class.
Please return a copy of this invoice with your payment
Comments:
INDIANA RETAIL TAX EXEMPT PAGE
Cuy of C atMe CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 g=CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING'LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED' REQUISITION NO. LVENDOR NO. DESCRIPTION
July 20 2000_ training
VENDOR Institute of Police Technology 13 Management SHIP City of Carmel Police Department
University of North Florida TO 3 Ciftc Square
12000 Alumni Drive Carmel IN 46032
Jacksonville, FL 32224 -2678
CONFIRMATION BLANKET CONTRACT P FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Traffic Crash Reconstruction school for Officer 895.00
Mike Miller on October 11 22, 2010 in
Scottsdale, AZ
I
401 1a�,
L
41
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
210 570 conteed fund
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
S UMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF�HAT, THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPR 9 A ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. A istant Chief 56 Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 9 9® A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. NO,
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
signature
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
Institute of Police Technology Manageme Purchase Order No. 26990F
University of North Florida Terms
12000 Alumni Drive
Jacksonville, FL 32224 -2678 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/13/10 2201100314 payment for Traffic Crash Reconstruction school 895.00
for Officer Mike Miller on October 11 22 2010 in
Scottsdale AZ
Total
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.
ALLOWED 20
Institute of Police Technology IN SUM OF
Management
University of North Florida
12000 Alumni Drive
Jacksonville, FL 32224 -2678
895.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
p INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
26990F 2201100314 570 895.00 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
September 3 20 10
&m� i
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund