160810 06/25/2008 a
CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 3315 H NORTH 124TH ST
BROOKFIELD WI 53005 CHECK NUMBER: 160810
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTI
1046 4357004 IUSI805716 100.00 EXTERNAL INSTRUCT FEE
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International Association of Nonviolent Crisis Intervention
Inter national Association of Certified Instructors Invoic IUS1805716
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Nonviolent Crisis Interventlon For invoice questions, call toll -free: Dat /27/2008
US1Canada:l -877- 877 -5409 e
iANCICI Certified Instructors Australia: 800 55 3247 Include a copy of this invoice or Customer ID# with payment.
New Z 0800 44 9187
Bill To: k Ship To:
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1235 Central Park Dr E 1235 Central Park Dr E
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1 1 0 CPI RECERT FEI IANCICI Annual Membership Fee $100.00 $100.00
Cert Year from 7/27/2008 to 7/2712009
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JUN 0 9 2008
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For your convenience pay online at www-.ia`ncici.org Thank you Tote! $100.00
or remit to: Crisis Prevention Institute, Inc.
3315 -H North 124th Street Federall.D.: #39- 2012874
Brookfield, WI 53005 USA Original Invoice GST 86192 3753 RT0001
Canadian Cuss Please remit payment to:
Lockbox 1566
JP Morgan Chase Bank
PO Box 1566, Station A
Toronto, ON M5W 3N9 Canada
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Crisis Prevention Institute, Inc.
3315 -H North 124th St. Date Due
Brookfield, WI 53005
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
5127108 IUS1805716 Annual Membership fee
100.00
International Assoc. of Nonviolent Crisis
Intervention Certified Instructors
Total 100.00
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.
0 Allowed 20
Crisis Prevention Institute, Inc.
3315 -H North 124th St.
Brookfield, WI 53005 In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 IUS1805716 4357004 100.00 1 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 -Jun 2008
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund