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HomeMy WebLinkAbout160822 06/25/2008 i a CITY OF CARMEL, INDIANA VENDOR: 361213 Page 1 of 1 'j ONE CIVIC SQUARE DEFENSE TECHNOLOGY CHECK AMOUNT: $275.00 CARMEL, INDIANA 46032 ATTN:JENNIFER WOOD PO BOX 248 CHECK NUMBER: 160822 CASPER WY 82602 -0248 CHECK DATE: 6125/2008 DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION -1110 4357004 16685 D0805279I 275.00 TRAINING t INVOICE Invoice ID: D08- 052791 Date: 06/03/2008 Defense Technology Corp. of America Sales Order No: T08 -00698 13386 International Pkwy. Page No: 1 DEFENSE TECHNOLOGY Jacksonville, FL 32218 F.O.B: Origin Sold To Ship To'., CITY OF CARMEL POLICE DEPARTMENT CITY OF CARMEL POLICE DEPARTMENT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, CA 46032 CARMEL, CA 46032 U5 US v CUSTOMER ID CUSTOMER PO PAYMENT TERMS. FREIGHT TERMS ZZZCARIND 16685 Due on receipt Freight: Prepaid .SALES-REP, ID ;CUST SVCREP ID .SHIPP,ING METHO6 SHIP'DATE INVOICE DUE "DATE, 700 06/03/2008 We on Receipt QUANTITY T UNIT EXTENDED'., ORD SHP BCK •PART DESCRIPTION X PRICE PRICE. 1 1 0 TRAINING $275.00 $275.00 Course: SI- ICP -08 Student: FROST Location: ICP -08 -FORT WAYNE -0508 SUB TOTAL: $275.00 TOTAL AMOUNT DUE: $275.00 IF YOU HAVE QUESTIONS ON HOW THIS INVOICE WAS CALCULATED, OR QUESTIONS ABOUT ANY OF OUR OTHER PRODUCTS, PLEASE CONTACT CUSTOMER SERVICE AT 877- 248 -3835. IF YOU HAVE ANY QUESTIONS REGARDING PAYMENTS ON YOUR ACCOUNT OR YOUR ACCOUNT BALANCE, PLEASE CONTACT OUR CREDIT DEPARTMENT AT 904 -741 -1776. PLEASE REFERENCE THIS INVOICE NUMBER ON YOUR CHECK AND REMIT TO: Defense Technology Corporation of America P.O. Box 18421 Jacksonville, FL 32229 -8421 e TRAINING ACADEMY OF DEFENSE TECHNOLOGY Defense Technology Corporation LESS- LETHAL PROGRAMS INSTRUCTOR CERTIFICATION PROGRAM (ICP) 2008 REGISTRATION FORM 2008 Please enroll the followinq individual: (print name as it should appear on the certificate First Name: c❑ tv❑ ©0[iJ❑ [I❑ MI: P Last Name: ®l❑a]M❑❑❑❑❑ Social Security Number (Student ID): Department: 12- P 0 Y C c' Billing Address: 3 C. u ti C_ City: e nr-t- ST: :�:NL Zip: C16 d 3 i Work Phone: 3 11- Work Fax Required: .3f 2 Lg( s y Email Address Print Clearly: �'r'� S 1 Q Cr, ✓11^ f h 1 a V Back by popular demand: Any paid officer attending all 4 modules will receive a $300.00 voucher that is redeemable through your local distributor or our Customer Service Center I Defense Technology 877 -248 -3835 DESIRED COURSE LOCATION DATES: FORT WAYNE, IN 1 MAY 19 -22,2008 REGISTRATION DEADLINE: WEDNESDAY, MAY 14, 2008 ARE YOU RECERTIFYING? YES NO ARE YOU A UNITED STATES CITIZEN? YES NO 4 -DAY BASIC INSTRUCTOR CERTIFICATION OC -ICP (Monday) $100.00 All OC Aerosol students will be contaminated Do you have any major health problems? Yes No SM -ICP (Tuesday) $275.00 CH -ICP Wednesday) $350.00 DD -ICP (Thursday) $350.00 4D -ICP (Mon Thur) $895.00 Check Shirt Size XXLCI XL5d LG❑ Med *$25.00 Late Fee will be charged if registration& payment (or purchase order) are not received by APRIL 28, 2008 RETURN THIS FORM BY FAX TO :307-473-2713 Questions call Jennifer Woods (a. 877 248 3835 Payment Method: Check Enclosed Credit Card X Dept. Purchase Order (V CC Exp. Date: DEFENSE TECHNOLOGY Name as it appears on card: PREPAYMENT IS REQUIRED IN THE FORM OF CHECK, CREDIT CARD, OR FAX COPY OF THE PURCHASE ORDER. CANCELLATION POLICY: WRITTEN CANCELLATION IS REQUIRED BY FAX NO LATER THAN ONE WEEK PRIOR TO COURSE START DATE OR NO REFUND WILL BE GIVEN. REMIT PAYMENTS TO: Defense Technology Phone: 877 -248 -3835 ATTN: Jennifer Woods PO Box 248 Fax: 307 -473 -2713 Jennifer. L.Woods @baesystems com Casper, WY 82602 -0248 Email: trainingQarmorholdings.com Federal Tax ID: 830318312 Q ity \INDIANA RETAIL TAX EXEMPT PAGE of f CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Departzi�nt FEDERAL EXCISE TAX EXEMPT 35- 60000972 1668 3 {7N-E. CIVIC SQUARE THIS NUMBER MUST APPEAR ON.INVOICES, A/P CARMEL, INDIANA 46032 2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM*APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION May 6 2008 trainin VENDOR Defense Technology SHIP City of Carmel Police Department ATTN: Jennifer Woods TO 3 Civic Squarew P.O. IB=248 Carmel, IN 46032 Casper; WY 82602 -0248 CONFIRMATON BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Specialty Impact Munitons school for Lt. Dwight 275.00 Frost on May 19 22, 2008 in Fort Wayne, IN ire r n n x8 k le r� a� Syr° is' e 0 City of Carmel Po #t p Send Invoice To: ATTN: Teresa Anders 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 670 -04 instructional fee 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 d' VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chieffof Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO.1 6 8 5A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TlTLE 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 Pre kribetl by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) s 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 Defense Technology Corp. of America Purchase Order No. 16685F 13386 International Parkway Terms Jacksonville, FL 32218 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/3/08 D0805279I payment for Specialty Impact Munitions school for Lt. 275.00 Dwight Frost on May 19 22, 2008.in Fort Wayne, IN Total 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. ALLOWED 20 Defense Technology Corp. of America IN SUM OF 13386 International Parkway Jacksonville, FL 32218 275.00 ON ACCOUNT OF APPROPRIATION FOR police general ufud Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 16685F D0805279I 570 -04 275.00 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 June 13 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund