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Home My WebLink About195359 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 363633 Page 1 of 1 ONE CIVIC SQUARE C E S S W I, INC CHECK AMOUNT: $525.00 CARMEL, INDIANA 46032 49 STATE STREET MARION NC 28752 CHECK NUMBER: 195359 CHECK DATE: 3/1612011 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4343002 0084- 10 /11 -C 175.00 EXTERNAL TRAINING TRA 2200 4343002 0085- 10 /11 -C 200.00 EXTERNAL TRAINING TRA 2200 4343002 0087- 10 /11 -C 150.00 EXTERNAL TRAINING TRA CESSWI Invoice Page 1 of 1 CESSWI, Inc. 49 State Street, Marion, NC 28752 Invoice No. 0087- 10 /11 -CI phone: (828) 655 -1600 fax: (828) 655- 1622 INVOICE Invoice To: CITY OF CARMEL Date Mar. 2, 2011 ATTN: Date Mar. 2, 2011 ONE CIVIC SQUARE EIN 26- 3442469 CARMEL, IN 46032 PO Invoice Details: Qty Description Unit Price Total 1 CESSWI Application Fee $150.00 $150.00 TOTAL $150.00 Memo: Total past due 30 days from Re: Kurt M. Anderson invoice date. To ensure proper credit return this form with pa We accept check, money order, or credit card for payment. Thank you for your business. CESSWI, Inc. is an EnviroCert International, Inc. organization. file: /C:ADocuments and Settings \kanderson \Local Settings \Temporary Internet FilesTonten... 31312011 CESSWI Invoice Page l of 1 CESSWI, Inc. 49 State Street, Marion, NC 28752 Invoice No. 0085- 10/11 -CI phone: (828) 655 -1600 fax: (828) 655- 1622 INVOICE Invoice To: CITY OF CARMEL Date Mar. 1, 2011 ATTN: Date Mar. 1, 2011 ONE CIVIC SQUARE EIN 26- 3442469 CARMEL, IN 46032 PO 28138 Invoice Details: Qty Description Unit Price Total 1 CESSWI Exam Review and Exam $200.00 $200.00 TOTAL $200.00 Memo: Total past due 30 days from Re: Kurt Anderson invoice date. March 15th and 18th 2011 Exam Review and Exam To ensure proper credit return this form with pa We accept check, money order, or credit card for payment. Thank you for your business. CESSWI, Inc. is an EnviroCert International, Inc. organization. fle://CADocunients and SettingslkandersonlLocal Settings\Temporary Internet F11es \Coiiteii... 3/1/2011 Invoice Page 1 of 1 CMS4S, Inc. 49 State Street, Marion, NC 28752 Invoice No. 0084- 10 /11 -CS phone: (828) 655 -1600 fax: (828) 655 -1622 web: www.cros4s.org INVOICE Invoice To: CITY OF CARMEL ATTN: Date: Mar. 1, 2011 ONE CIVIC SQUARE EIN: 00- 0000000 CARMEL, IN 46032 PO 28138 Invoice Details: Qty Description Unit Price Total 1 CMS4S Application Fee $150.00 $150.00 1 CMS4S Exam Review and Exam $25.00 $25.00 TOTAL $175.00 Memo: Total past due 30 days from invoice Re: John Thomas date. March 18, 2011 Exam Only To ensure proper credit, return this form with payment We accept check, money order, or credit card for payment. Thank you for your business. CMS4S, Inc. is on EnviroCert International, Inc. organization. file: /C:\Documents and SettingsljthomaslLocal SettingslTemporary Internet Files\OLK4FA... 3/2/2011 CESSWI Exam Review ana Exam Where and When Important! c R r r E o Banning Engineering Facility To write the Exam, you must 853 Columbia Road first gain approval through the Plainfield, IN 46168 CESSWI application process. Application approval can take Exam Review Mar. 15, 2011 up to 45 days. Application Exam Mar. 18/19, 2011 forms are available on the web I i site at: www.cesswi.org Registration Cutoff: Mar. 1, 2011 Registration Fees Select One of the Following The Study Guide and Handouts are 3 $200.00 Exam Review Exam Mar. 15 and 18 included in the registration fee and will $200.00 Exam Review Exam Mar. 15 and 19 be provided on the day of the Review. 25.00 Exam Only Mar. 18 25.00 Exam Only Mar. 19 Registrant In First Name l Ur Last Name /'7rT�e�JOv� �i 2 Cc� Com �1 O Address City State Zip p Phon S7/ ayy1 Fax 3i?- S7r �y� Email �Cwt�{er�,� Payment Information Payment amount (in US dollars) CHECK Make check payable to CESSWI, Inc. and mail with this form to the address shown below. CREDIT CARD Complete the form below and mail or fax as shown below. Card Type Visa American Express MasterCard Discover Card Number Expiration Date Card Security Code Name on Card Card Billing Address Signature of Card Holder CESSWI, INC. 49 STATE ST MARION, NC 28752 PHONE: 828,655.1600 FAX: 828.655.1622 WWW.CESSWI.ORG C Exam review and Exam Where and When Important! Banning Engineering Facility To write the Exam, you must 853 Columbia Road first gain approval through the CMS4S application process. Plainfield, IN 46168 u:�:ePN:uw'r�syT,t Application approval can take Exam Review Mar. 14, 2011 up to 45 days. Application Exam Mar. 18/19, 2011 forms are available on the web site at: www.cros4s.org M Registration Cutoff: Mar. 1, 2011 Select One of the Following Registration Fees $200.00 Exam Review Exam Mar. 14 and 18 The Study Guide and Handouts are $200.00 Exam Review Exam Mar. 14 and 19 included in the registration fee and will 25.00 Exam Only Mar. 18 be provided on the day of the Review. 25.00 Exam Only Mar. 19 Registrant Information First Name B Last Name I /L Old c Company /Agency Address one V I C- �Gi U 0. -re- City 6 rme- State Zip 6 Q 3 Phone 571 -231 Fax 3)�- X 71 Email rws rne 1 n 0"J Payment Information Payment amount (in US dollars) CHECK Make check payable to CMS4S, Inc. and mail with this form to address shown below. CREDIT CARD Complete the form below and mail or fax as shown below. Card Type Visa American Express MasterCard Discover Card Number Expiration Date Card Security Code Name on Card Card Billing Address Signature of Card Holder P D, 2- S� 13� CMS4S, INC. 49 STATE ST MARION, INC 28752 PHONE: 828.655.1600 FAX: 828.655.1622 WWW.CMS4S.ORG Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 3995) 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. CESSWI Payee Purchase Order No. 49 State Street Terms Marion, NC 28752 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 312111 0087-10/11-Cl CESSWI Application Fee (Kurt Anderson) $150.00 G eSSWI class and exam (Kurt Anderson 311/11 0084 CESSW!exdiiiaiidapplita,.ion'I'F $i7s.00 Total $325.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. CESSWI ALLOWED 20 49 State Stre IN SUM OF$ Marion, NC 28752 $525.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n/a 87 2200- 4343002 $150.00 bill(s) is (are) true and correct and that the 85 2200 -4343002 $200.00 materials or services itemized thereon for 84 2200-4343002 175.00 Which charge is made were ordered and received except 3 20 Signat re C ifit IEyte i Title Cost distribution ledger classification if claim paid motor vehicle highway fund