HomeMy WebLinkAbout196862 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365259 Page 1 of 1
ONE CIVIC SQUARE LAWRENCE POLICE TRNG DONATION Fllll
CARMEL, INDIANA 46032 LAWRENCE POLICE DEPARTMENT CHCK AMOUNT: $120.00
9001 E 59TH STREET
LAWRENCE IN 46216 CHECK NUMBER: 196862
CHECK DATE: 4/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 120.00 TRAINING SEMINARS
INVOICE
April 22, 2011
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Common Sense Leadership training for Lt. Mike Dixon and Sgt. Bruce Graham on May
2, 2011 in Lawrence IN
TOTAL DUE: $120.00
Please make check payable to:
Lawrence Police Training Donation Fund
Lawrence Police Department
9001 E. 59` Street
Lawrence, IN 46216
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t
J
COMMON SENSE LEADERSHIP
Presented By
Colonel Pete Blaber (ret), Commander, US Army Special Operations
Seminar Registration Form
Host Site: Lawrence Police Department
Lawrence Government Center Public Assembly Room
9001 E. 59"' Street
Lawrence, IN 46216
Return To: Deputy Chief Gary Woodruff
woodruff a cityoflawrence.org e -mail
PHONE: (317) 281 -8875
FAX (317) 549 -8675
Seminar Date: May 2, 2011, 8:00 am -12:00 pm (book signing following seminar)
Certificates and Continuing Education Credit will be provided.
Registration
Name tt- -t A Title
Agency
Address C' c S 6410 +`e.
City /State /ZIP
Telephone Fax
E -Mail 9k'417i4N1(0'? p'1 -�/`J-
Seminar Fee: $60.00*
*Checks should be made to Lawrence Police Training Donation Fund, and received prior to
attendance (checks may be brought with you).
Authorized Signature* Date V 9 j l
*Your signature secures a seat for the se a r, and OBLIGATES your agency for payment. Iffor
any reason you are unable to attend this seminar, another person may attend.
COMMON SENSE LEADERSHIP
Presented By
Colonel Pete Blaber (ret.), Commander, BS Army Special Operations
Seminar Registration Form A
Host Site: Lawrence Police Department
Lawrence Government Center Public Assembly Room 1
9001 E. 59` Street n y
Lawrence, IN 46216
Return To. Deputy Chief Gary Woodruff
goodruff( )cityoflawrence.or e -mail
PHONE: (317) 281 -8875
FAX (317) 549 -8675
Seminar Date: May 2, 201 1, 8:00 am -12:00 pm (book signing following seminar)
Certificates and Continuing Education. Credit will be provided.
Registration
Name Micheal R. Dixon Title Lieutenant
Agency_Carmel Police Department
Address 3 Civic Square
City /State /ZIP_Carmel, Indiana 46032
Telephone 317 571 -2500 Fax
E- Mail mdixo carmel.in.gov
Seminar Fee: $60.00*
*Checks should be made to Lawrence Police Training Donation Fund, and received prior to
tendance (checks may be brought with you).
Authorized Signatur Date
*Your signature secures a seat for the semi and OBLIGATES your agency for payment. If for
any reason you are unable to attend this seminar, another person may attend.
Carmel INDIANA RETAIL TAX EXEMPT PAGE
C i CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 277
35- 60000972
ONE 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
412112011
Lawrence Police Training Donation Fund Carmel Police Department
Lawrence Police Department SHIP 3 Civic Square
VENDOR
9W1 E. 59th Street T O Cannel, IN 46032
Lawrence, IN 46216 (317) 571 209
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00.670.00
2 Each training $60.00 $120.00
Sub Total: $120.00
77M_
n� ,tee
Common Sense Leadership training for =Lt,MII*Dixon add Sgt: Bru Graham on May 2, 2011 in Lawrence, IN
Send Invoice To:
Carmol Police Departmont
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $120.00
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 T E PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER ATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPRO I SUFFICIE TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Ief
of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
27 786 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lawrence Police Training Donation Fund
Lawrence Police Department IN SUM OF
9001 E. 59th Street
Lawrence, IN 46216
$120.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
210 570.00 $120.00 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
Friday, April 22, 2011
Chief of Police
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))
04/22/11 payment for training for Lt. Dixon and Sgt. Graham $120.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer