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Home My WebLink About200820 08/30/2011 F CITY OF CARMEL, INDIANA VENDOR: 365625 Page 1 of 1 ONE CIVIC SQUARE CLANDESTINE LAB INVESTIGATION CARMEL, INDIANA 46032 PO BOX 22074 CHECK AMOUNT: $700.00 %w HONOLULU HI 96823 CHECK NUMBER: 200820 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 27902 350.00 TRAINING 210 4357000 27902 11 -006 350.00 TRAINING I i Clandestine Laboratory n vo ce Ce Investigators Association P. O. Box 22074 Honolulu, Hawaii 96823 Clandestine Laboratory Honolulu, (808) 478 -2880 Invoice Number: 11 -006 Investigators Fax: (808) 356 -1524 TIN: 91- 1519230 Association Email: clia(@clialabs.com Date: August 24, 2011 V40Y Website: www.clialabs.com Bill To: Previous Balance: -0- Carmel Police Department 3 Civic Square Payment: $700.00 Carmel, Indiana 46032 USA Past Due After: Not applicable Attention: Teresa Anderson Luann Mates Q DESCRIPTION UNIT PRICE TOTAL T Y 2011 Conference fees for Ryan Meyer and Darin Troyer to attend the CLIA Training $700.00 Conference, September 19 -23, 2011, Indianapolis, Indiana. Reference CPD PO No.:27902 SUB -TOTAL $700.00 TOTAL $700.00 Charges are due and payable upon receipt of this bill. C.I_,.I.A. Indianapolis, Indiana September 19 23, 2011 Association 1 Last Name Firs m t Nae Middle;;Initial.= Department /Agency Cqg iy ?o cs Address: ;`Work` Hotne (Check only one) Ctfy State Country Z�p/Postal Code, Telephone (Include area code) Fax (Include area;code Cell andline 3/ �-��1- ZSZ�C� /'1 -S 7/ -23/,,> reakout /S_peeial- Course (Acceptance is based on when this form �s received) Lab Recertification Tuesday (check only one) 40 per course Train the Trainer Wednesday Thursday 50 per course Methamphetamine`Synthesis Tuesday E] Thursday (check only one) 30 p /course Site Safety Supervisor Thursday *Type or Print LEGIBLY No Rezistration payments will be refunded after Au ,-ust 1, 2011 $350 (US) registration fee. Check/PO Enclosed Will pay at the door Credit Card at the door (MasterCard or Visa only) Mail or fax completed form to: CLIA PO Box 22074 Honolulu, Hawaii 96823 Fax: 808.356.1524 Email: cliagelialabs.com When you register at the conference you will need photograph identification, preferably your agencies issued identification. CLIA IRS TAX ID# 91- 1519230 C.L.I.A. Indianapolis, Indiana Cla "ne'� September 19 23, 2 Q 11 Invrst,�:wrs Aswc'apon 1 Last Name FirSt: Name middle r..._" e2 Department /Agency co-71;w/ �d /cQ A ?P/ 9 v 2 el" Addressa" Work; lfoMe '(Check only_ gne)V City -State Co "untry Zip%Po5 #al .Code" Telephone (Incl'ude area :code) .,(Include area code);' Cell 54 Landline /'�_S �fJ_ j�V /7 -S 7i ZS z E -mail Breakout /Special' Course (Ac6eptance is'based on wt en th s�form is °received) Lab Recertification Tuesday (check only one) 40 per course Train theTrainer Wednesday Thursday 50 per course Methamphetamine Synthesis Tuesday Thursday (check only one) 30 p /course Site Safety Seipervisor ❑Thursday *Type or Print LEGIBLY No Registration payments will be refunded after AuQust 1, 2011 5350 (US) registration fee. Check/PO Enclosed Will pay at the door Credit Card at the door (MasterCard or Visa only) Mail or fax completed form to: CLIA PO Box 22074 Honolulu, .Hawaii 96823 Fax: 808.356.1524 Email: clia @clialabs.com When you register at the conference you will need photograph identification, preferably your agencies issued identification. CLIA IRS TAX ID# 91- 1519230 INDIANA RETAIL TAX EXEMPT PAGE Ck i' Carmel CERTIFICATE NO. 003720155 002 fl J+• PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION CLIA Camol Polieo Dopari moat VENDOR SHIP 3 CIVIC squ P.O. B ait 221'}74 TO Cumol, IN 46M Honolulu, HI MM (W) 679 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASU DESCRIPTION UNIT PRICE EXTENSION RE Account 00. 670.00 2 Each tra ining $350.00 $700.00 Saab Total: $700.00 1 Clandostino Laub Investigatons training fir �-P, I�Row" "i D04 1 Q n r r on Sept 10 23, 2011 In In,r l=polis Sen Invoice o, Cafnel Polito Doparl'moni't Attn: Toms& Anderson 3 CIVIC squm Cwmol, IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel police Dept, PAYMENT $70 0.03 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 T, $THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRI TI N UFFICIENT TO PAY FOB THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY R SHIPPING LABELS. Clrlra� oY Ir I� oll�l� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE b AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 9 0 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO.- ALLOWED 20 W THE SUM OF f 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 VOUCHER NO. WARRANT NO. CLIA ALLOWED 20 r S IN SUM OF P.O. Box 22074 Honolulu, HI 96823 ON ACCOUNT OF APPROPRIATION FOR CPD Continuin d Fund PO# 04t. INVOICE NO. I A CT #fTITLE AMOUNT Board Members 27902 11 -006 570.00 $350.00 I hereby certify that the attached invoice(s), or I I �j bill(s) is (are) true and correct and that the �1 l q 5 materials or services itemized thereon for 911 which charge is made were ordered and received except Friday, August 26, 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)) 08124/11 11 -006 payment for training for Sgt. Meyer and Det. Troyer $3�8 =6tr 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