HomeMy WebLinkAbout195359 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