HomeMy WebLinkAbout198209 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 364092 Page 1 of 1
ONE CIVIC SQUARE NATIONAL CHILD PROTECTION TRAINI NECK AMOUNT: $200.00
CARMEL, INDIANA 46032 CENTER
2314 UNIVERSITY AVE WEST SUITE 14 CHECK NUMBER: 198209
ST PAUL MN 55114
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 27806 2205 200.00 TRAINING
NCPTC a y
a k
2324 University Ave. West
Suite 105 Invoice Number: 2205
St Paul, MN 55114 Invoice Date: May 20, 2011
Voice: 651.714.4673 N•C•P•T•C
Fax: 651.714.9098 NATIONAL CHILD PROTECTION
TRAINING CENTER
BiII To Ship to
City of Carmel City of Carmel
City of Carmel Police Dept. City of Carmel Police Dept.
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
k Customer ID Customer PO P Terms
Net 30 Days
City of Car W W M 20
T "Sales R e p ID Shipping Method S hip Date J` Due Date
Airborne 6/19/11
x
Quantity Item Des cription Unit Price Amount J
Lana Howard registration 200.00
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Subtotal 200.00
Sales Tax
Total Invoice Amount 200.00
Check /Credit Memo No: Payment /Credi Applied
TOTAL 200.00
2314 University Avenue West Suite 14 St. Paul, MN 55114
T: 651.714.4673 F: 651.714.9098 www.ncptc.org www.napsac.us
WH WORDS MATTERO'
''Em'erging s in Forensic Interviewing
Issue
Chicago, Illinois September 19 -22, 2011
DoubleTree Chicago Magnificent Mile Hotel
Registration Form
To register online for When Words Matter, visit the "Trainings and Conferences" page at
www.ncptc.org. If you prefer to register by mail, complete the form below and send your
check, payable to the National Child Protection Training Center to:
NCPTC -JWRC N• C P• T• C
2324 University Ave. West, Suite 105 NATIONAL CHILD PROTECTION
Saint Paul, MN 55114 I P TRAINING CENTER
Phone: 612 207 -6176 Email: admin @ncptc jwrc.org
First Name ANA Last Name
Title Organization iCJ
Address
G'
City Sta Zip y<O D Z
Phone S/7 5 71- 25_()U Fax S 7/ Z-/ L
Email Z_ Ab c,Ja. r
If you would like to pay by credit card:
Card Number Exp. Date Type
Name on Card
Business Address
City State Zip
If post- marked by 9/1/11 or later Same Day Registration
8/3 1
Registration Fee $200 $250 $275
Refunds for training conferences are available if requests are received 30 days prior to the event. For all training
conferences that cost over $100 per registrant, NCPTC will reserve an administration fee of $25 per refund.
Contact admin @ncptc jwrc.org for the refund form.
Online Seminar
When Words Matter 2011
Emerging Issues in Forensic Interviewing
Dates: December 5 17, 2011
Registration Form
If you attended When Words Matter in Chicago, you will be able to register yourself and four team members for the online
seminar for $15 per registrant. Detailed instructions and registration confirmations will be emailed to you. Please send a
check /money order payable to NCPTC or include your credit card information at the bottom of this form. Please submit the
registration form and payment as a team.
Registrant Attending When Words Matter in Chicago $15 Total
First Name Last Name
Title Organization
Address
Phone Email
Team Member 2 $30 Total
First Name Last Name
Title Organization
Address
Phone Email
Team Member 3 $45 Total
First Name Last Name
Title Organization
Address
Phone Email
Team Member 4 $60 Total
First Name Last Name
Title Organization
Address
Phone Email
Team Member 5 $75 Total
First Name Last Name
Title Organization
Address
Phone Email
If you would like to pay by credit card for your online seminar registration fee, please fill the information below:
Card Number Exp. Date Type
Name on Card
Business Address
Online registration must be postmarked by November 28th, 2011. If you would like to register online for this training,
please visit our website at www.ncptc.org.
*Please note that the online training will not qualify for most educational credit hours as it is a showing of the video footage of
the conference and will not be interactive with the trainers themselves. Participants will not receive certificates of completion.
INDIANA RETAIL TAX EXEMPT PAGE
City of C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
�f2�9 9
Nstionmi Child Protection Training Cent @r Camel Police Depadment
NCPTC4MC SHIP 3 Civic 8quaao
VENDOR
224 Universft Ave. Test, Suite 906 TO C&rmel, IN 462
St. Pmul, MN 5994 (397) 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00 -690.00
9 Each training $200.00 $200.00
Sub Total: $200.00
When V6rds Matter trminingjor H' am �p� s 22, 2019 In Chicago, IL
Send Invoice To:
Cumel Police Dep@tment
Attn: Teresa Anderuon
3 Citric Squm
Carmel, IN 462- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. .�7
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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �a 6
SHIPPING LABELS. ChloF of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 8 ®6 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 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))
05/20/11 2205 payment for frainig for Det. Howard $200.00
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
National Child Protection Training Center
IN SUM OF S
NCPTC -JWRC
2324 University Ave. West, Suite 105
St. Paul, MN 55114
$200.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27806 2205 570.00 $200.00
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, June 03, 2011
C o Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund