190313 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 148500 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA DRUG ENFORCEMENT ASSOCNCK AMOUNT: $50.00
CARMEL, INDIANA 46032 PO BOX 1301
LOGANSPORT IN 46947 CHECK NUMBER: 190313
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 8 -4 25.00 TRAINING SEMINARS
210 4357000 21894 8 -4 25.00 TRAINING
Indiana Drug Enforcement Association 0Q
P. 0. Box 1301
Logansport, IN 46947 30- Aug -10
Phone 800 -558 -6620 Fax 765472 -7520
Invoice 84
e
Carmel Police Department
Attn: Accounts Payable
3 Civic Square
Carmel, IN 46032
AMOUNT
Registration Poly Pharming Fort Wayne August 26, 2010
Two attendees $25.00 each $50.00
Collins, W.
Williams
ALL REGISTRATIONS ARE NON REFUNDABLE
Tax ID 35- 1845582
TOTAL $50.00
Make all checks payable to Indiana Drug Enforcement Association, P.O. Box 1301, Logansport, IN 46947
If you have any questions concerning this invoice, contact NE Cathi Collins
THANK YOU I
IDEA Training Course Registration Form
Name 1 j I l t L. C_.,o1I r -'D Rank I'
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Course /Reservation Information
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Do you have any medical conditions we should know about?
If yes, please explain fully
Billing Information
Person to bill and contact regarding this course enrollment will be:
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Agreement
IDEA, Inc. will provide instruction in the course under competent instructors and assumes no
responsibility other than the opportunity to learn under suppervision. Acceptance of enrollment in
a course constitutes an agreement to the conditions stated. IDEA, Inc. is hereby relieved of all
liability. All courses are subject to cancellation. ALL REGISTRATIONS MUST BE RECEIVED 30
DAYS PRIOR TO COURSE. IDEA SCHOOLS HAVE LIMITED SEATING ON A FIRST COME
BASIS AND TUITIONS ARE NO EFUNDABLE.
Applicant Signature A thorizing Supervisor Date
Mail to IDEA Training is ation, P.O. Box 1301, Logansport, IN 46947
Or fax to IDEA raining Center 765 -472 -7520
REGISTRATION FORM
Poly Pharming Prescription Drug Abuse
Ft. Wayne, Indiana I
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1 Registration Deadline: August 20, 2010 I
I Registration Fee: $25.00 I
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1 Register On -Line: www.indianadea.com I
Mail or Fax Registration To:
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I FAX: 765472 -0852
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C 0 INDIANA RETAIL TAX EXEMPT PAGE
ity CERTIFICATE NO.003120155 002 0 1 Of 1. o �f� L Carmel PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21894
30K CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
A Pr11 27. 2010 training
VENDOR IDEA Training Registration SHIP City of Carmel police Department
P.O. Box 1301 TO 3 Civic Square
Logansport, IN 46947 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Prescription drug Abuse training for Officer 25.00
Willie Collins on August 26, 2010 in Fort
Wayne, IN
i`
5 1
All
Send Invoice To: City of Carmel Pol
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
210 570 coat eddfund PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
h1 1 -41' 4 C.O.D. SHIPMENTS CANNOT BE ACCEPTED. y., PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Pti 5 6 J i w /?ff A
v
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chiefo6fPPa13ce
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
yy
1 CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE 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
o INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
City of Carme PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
MCIVIC 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Hay 21, 0 T trainin
VENDOR Indiana Drug Enforcement Association SHIP City of Carmel POhice Department
P.O. Box 1301 TO 3 Civic Square
Logavorport, IN 46947 Camel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
PEIly Pharming Prescription Drug Abuse school 25.00
Officer Ashley Williams on August 26, 2010 in
Ft. Wayne, IN
j am; a
1} f r
0
t
Send Invoice To: CitgyoffCarmel Pol Ice De�lrt ne�
ATTN: Teresa Andemem.:
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT jPROJECT PROJECTACCOUNT AMOUNT
210 570 oont ed fund PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TltE JRE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATI N U IENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AssiEs ant Chief of Volice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 0 26 4 91 2
A.P.V. COPY -SIGN AND RETURN TO CLERK'S. OFFICE
VOUCHER NO._ WARRANT 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
Prescribp,d 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
Indiana Drug Enforcement Association Purchase Order No. 21894F 26912F
P.O. Box 1301 Terms
Logansport, IN 46947 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/30/10 8 -4 payment for Poly Pharming training for Officer Willie 50.00
Collins and Officer Ashley Williams on August 26 20T
in Ft. Wayne, IN
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
Indiana Drug Enforcement Association IN SUM OF
P.O. Box 1301
Logansport, IN 46947
50.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
NXX� YXWXXXXXXM
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21894F 8 =4 570 25.00 bill(s) is (are) true and correct and that the
26912F 8 -4 570 25.00 materials or services itemized thereon for
which charge is made were ordered and
received except
September 24 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund