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HomeMy WebLinkAbout198138 06/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 00352324 Page 1 of 1 ONE CIVIC SQUARE I A I CONFERENCE P o BOX 17470 CHECK AMOUNT: $370.00 CARMEL, INDIANA 46032 NORTH LITTLE ROCK AR 72117 CHECK NUMBER: 198138 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 25762 F0000213 370.00 TRANING 96th IAl International Educational Conference International Association for Identification Conference Registrar INVOICE P.O. Box 155908 Fed IRS 14- 1431629 Lufkin, TX 75915 Date Invoice Na. Fax: (212) 500 -0004 Bill 05 -26 -2011 F0000213 Teresa Anderson P. O. 25762 Carmel Police Department 3 Civic Square Please send Payment to: Carmel, IN 46032 USA lAl Conference PO Box 155908 Lufkin, TX 75915 Description Fee Total Registration for John R. Elliott to attend W002 Digital 45.00 45.00 Photography of Latent Prints Registration for John R. Elliott to attend MEMBER Member Full 295.00 295.00 Conference Registration Registration for John R. Elliott .to attend W050 -The Proper Use 30.00 30.00 of Reflected Ultraviolet Imaging Systems RUVIS Slot(s) in workshop sessions are not guaranteed until Invoice Total 370.00 payment is received. Thank you. Total Paid 0.00 Balance Due 370.00 Voice: 509 -425 -5409 Roy J. Reed, Conference Registrar Email: register@theiai.org Conference Attendee T o Register Online Click H ere www.theial.org Registration Form Page 1 CONFERENCE ATTENDEE INFORMATION SPEAKER YES dNO LAST NAME: Ell FIRST NAME: J n q M.I.: R- NICKNAME: IAI INTERNATIONAL MEMBER? YES C1 NO MEMBER*. 12344 AGENCY /ORGANIZATION: Carmel Police D epartment ADDRESSS: C 3 Civic Square fl CITY: e l STATEIPROVINCE: Indiana ZIPIMAILCODE: 4603 COUNTRY: USA BUSINESS PHONE; (3 1 7) 571 -2515 CELL PHONE (AREA CODE): (3 1 7) 416 E -MAIL: ielliat@carmal .in ami CONFERENCE ATTENDANCE INFORMATION PLEASE INDICATE IF YOU HAVE ANY SPECIAL NEEDS OR REQUESTS TO FULLY PARTICIPATE IN THE CONFERENCE: YES NO FIRST TIME ATTENDING AN [At CONFERENCE I PLAN TO ATTEND THE FRIDAY EVENING BANQUET ATTENTION CONFERENCE REGISTRANTSI Preregistration deadline is July 7, 2011. Registration forms must be postmarked by this date. The deadline is firm with no extensions. Forms received after 7f7111 will not be processed and will be returned to the registrant. After 717111 only on -site registrallons will be accepted. Cancellation Policy: Cancellations received prior to 717111 will receive a full refund less a $50 REGISTRATION FEES processing fee. There will be no refunds for cancellations after 717111. POSTMARKED BEFORE ON -SITE TOTAL July 7, 2011 1. MEMBER IAI INTERNATIONAL (5 DAYS) $295.00 $345.00 2. NON- MEMBER (5 DAYS) $395.00 $445.00 3. AAFS MEMBER, MEMBER $285.00 $345.00 4. STUDENT $158.00 $183.00 5. DAILY REGISTRATION (PER DAY) $85.00 $100.00 5A. INDICATE DAYS MONDAY 0 TUESDAY WEDNESDAY THURSDAY FRIDAY DAILY REGISTRATION WILL RECEIVE ONLY THE NON -FEE EDUCATIONAL SESSIONS FOR THAT DAY NOT TO INCLUDE SOCIAL EVENTS. WORKSHOPS ARE ADDITIONAL FOR THAT DAY- I SECTION 3: PLEASE CONTINUE ON NEXT PAGE 112 L -ooafervno e-Atte n-d To Re Online Click Here: www.theiai.©r Registration Form Page 2 PRINT NAME HERE: John R. Elliott 0 WORKSHOP INFORMATION W16 $60 W31 $40 W46 $60 W61 $60 W76 $40 W91 $30 W106 $30 $W02 $45 W17 $30 W32 $40 W47 $45 W62 $70 W77 $70 W92 $45 W107 $30 W03 $45 W18 $45 W33 $75 W48 $30 D W63 $30 W78 $50 W93 $50 W108 $70 W04 $30 W19 $20 W34 $75 W49 $30 W64 $45 W79 $70 W94 $50 W109 $70 W05 $70 W20 $45 W35 $75 O(W50 $30 W65 $45 D W80 $45 D W95 $60 W110 $60 D W06 $60 W21 $30 W36 $60 W51 $30 W66 $45 D W81 $45 D W96 $70 W111 $30 W07 $30 W22 $30 W37 $60 W52 $70 W67 $45 W82 $45 W97 $45 W112 $50 W08 $75 W23 $30 W38 $60 W53 $30 W68 $30 W83 $50 W98 $75 W113 $30 W09 $75 W24 $45 W39 $45 W54 $30 W69 $45 W84 $80 W99 $45 W114 $30 W10 $45 W25 $30 W40 $70 W55 $40 W70 $45 D W85 $50 W100 $45 D W11 $70 D W26 $30 W41 $60 D W56 $60 D W71 $45 W86 $20 W101 $45 W12 $45 D W27 $30 W42 $60 W57 $30 W72 $50 W87 $30 W102 $45 W13 $45 D W28 $70 W43 $25 W58 $30 W73 $50 W88 $45 W103 $30 W14 $60 W29 $70 W44 $70 W59 $60 W74 $40 W89 $45 D W104 $30 W15 $60 W30 $60 O W45 $60 W60 $60 W75 $40 D W90 $100 D W105 $45 WORKSHOP CHANGES WILL NOT BE ACCEPTED AFTER 6:00 PM MONDAY, August 8, 2011. CANCELLATIONS OF WORKSHOPS AFTER 6:00 PM MONDAY, August 8, 2011 WILL NOT RECEIVE A REFUND OR CREDIT. HOWEVER, WORKSHOPS MAY BE ADDED AFTER THIS DATE. TOTAL SECTION 4: s 19 PAYMENT INFORMATION TOTAL AMOUNT DUE IN USD: CHARGE TO MY (CHECK ONE): VISA MASTERCARD AMERICAN EXPRESS NOVUSlDISCOVER CREDIT CARD NUMBER: EXPIRATION HATE: SIGNATURE OF CARDHOLDER: NAME AS ITAPPEARS ON CARD: Zip Code: CHECK ENCLOSED. PAYABLE TO THE IAI CONFERENCE. PAYMENT MUST BE POSTMARKED PRIOR TO DEADLINES TO RECEIVE DISCOUNTED RATES. TOTAiAL! SECTIONS: c STUDENT REGISTRATION IAI FEDERAL ID #:141431629 To qualify as a Student Registrant, individuals must be a full -time student, Payment must accompany registration in the form of a check or charge, not gainfully employed by a law enforcement agency, and provide a letter of authorization from the dean or their professor on school letterhead. A Student Registrant receives all benefits of the Futl Registration with the THIS FORD MAY BE DUPLICATED. exception of the Friday -night Banquet. Tickets may be purchased separately PLEASE SUBMIT ONE FORM FOR EACH REGISTRANT. for the banquet. YOU MAY REGISTER BY: MAIL: FAX: ONLINE REGISTRATION: IAI CONFERENCE 4iii) 1.212. 500 -0004 Credit Card Only P.O. Box 155908 www.theiAl.org Lufkin, TX. 75915 or 113 INDIANA RETAIL TAX EXEMPT PAGE Ci qf CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER �r FEDERAL EXCISE TAX EXEMPT 25762 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. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 525=1 IAI Cenfemnco Carmel Police Delpwtrngnt VENDOR SHIP 3 CI l qum P.O. BON i6sm TO Carmol, IN 46w Lufkin, Yet 769% 5712S9 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00 70.00 i Each t raining $370.00 $370.00 Sub Total: $370.00 it •e• A W conbrenca for Jla n 8� 9 OA I aukoo Send Invoice To: Carmel Police De artm9n Attn: Toroaml Andera 3 Civic square Carmol, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT s ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cmtt?mel Police Dept. PAYMENT 70. 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 HERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRI Ili FICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL R o SHIPPING LABELS. 1{al a/} police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. rj CLERK TREASURER DOCUMENT CONTROL No. 2 2 A.P.V. COPY SIGN AND RETURN TO CLERK 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 Prescribed by State Board of Accounis 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)) 05/26/11 F0000213 payment for training for John Elliott $370.00 1 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 [Al Conference IN SUM OF P.O. Box 155908 Lufkin, TX 75915 $370.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO# Dept INVOICE NO ACCT /TITLE AMOUNT Board Members 25762 1= 000Q213 570.00 $37Q.QQ 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, June 03 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund