175576 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363190 Page 1 of 1
ONE CIVIC SQUARE ALLEN COUNTY JUVENILE FIRESETTER
CARMEL, INDIANA 46032 TASK FORCE -FT WAYNE TASK FORCE CHECK AMOUNT: $20.00
1270 SOUTH PHOENIX PARKWAY CHECK NUMBER: 175576
FT WAYNE IN 46616
CHECK DATE: 8/6/2009
DE PARTMENT A PO NUMBE INVOICE NUMBER AM DESCRIPTION
210 4357000 21064 1000 20.00 TRAINING
07/27/09 09:54 FAR [a 02
Allen nth/ Juvenile Firesettim Task INVOICE
ft"M
1270 South R erbx Parkway
Fort Wayne, IN 46816
Phone 260 -427 -1483 Fax 260- 427 -5082 RiMCE #1000
DATE: ALLY 24, 2009
Ted;
PdR:
City of Cannel Police DePL Juvenile RreSetters Conference on August 27, 2009
3 Civic Square
Carmel, IN 46032
O SCOt MON AN&=
Det. Lana Howard Registration $2000
Pte 0 2-1064 dated July 22, 2009
TDTAL $20.00
Wake all p 1 -1- payable to: Allen County Juvenile Firesetters Task Force
Payment is &1e upon rempt
If you hale arty questions =xanWV this In-oft, WnWa.'
Captain Dave Meaoms 264 -427 -1483 dave,MeadDwS@ iityoffortwayn6,m9
'hank you!
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The All County J uvenile F iresetters Task.
l was formed to identify and help those
jUV(:nilcs �%ho hay(, be*ull to c°xperinlcnt c•;
i r
with firescttii The task force is made up J U}
of professionals from a variety of local agen-
cies, such as fire departments, probation t
departments, department of corrections, 'w
hospitals, schools, mental health facilities,
and social service agencies.
Referrals for an assessment can be made by
anyone, including parents or caregivers,
schools, counselors, doctors, or anyone else
who interacts with the child- You can set Rin of Fir e: The
up a time liar an assessment by calling (260) T l
427 -1453. At the assessment, the parent Cycle Q J uveril LL
and the child will meet with the Safety Edu-
cator of the Fort Wayne Fire Department Firesettinu
and a counselor. Once the assessment has
been completed, it will be determined what
level of intervention is needed for the child.
AUGUST 27, 2009
8:00AM- 3.30PM.
KACHMANN AUDITORIUM
s
j P LL LUTHERAN HOSPITAL
U' E t 7836 WEST JEFFERSON AVE
FORT WAYNE, IN 46804
0
L-
(260)427 -14tH 3 o
hnr: /w"- ncinbc .c),'g /ildofallmcounty. lit ml o Q t o C O- S P O N S O R E D
11 BY:
*n................
a INDIANA RETAIL TAX EXEMPT PAGE
Car CERTIFICATE NO. 003120155 002 0 Ci PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 91 (lfil►
3 9AEZ CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 48032 -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
11v 99 909Q t rainin
Allen County 31hvenile Firese 'Task Force
SHIP
VENDOR Fort Wayne Fire Department CIty of Carmel Police Department
1270 South Phongix Parkway TO 3 Civic Square
ATTN: Captain Have Meadows Carml, IN 46032
Ft Wayne, IN 46816
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Ring of Fire: The Cycle of Juvenile Firesetting 20.00
training for Det. Lana Howard on August 27, 2009
in Ft. Wayne, IN
Send Invoice To:
City of Carmel Po�l m `t
ATTN: Teresa Andee son
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
210 570 cont ed fund 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 ES 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 l 1
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. COPY COPY SIGN AND RETURN TO CLERK'S OFFICE
VO -JCHFR 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
Pre �ribed 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
Allen County Juvenile Firesetters Task For Purchase Order No. 21064F
.1270 South Phoenix Parkway Terms
Ft. Wayne, IN 46816 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/24/09 1000 payment for Ring of Fire: The Cycle of Juvenile 20.00
Firesetting training for Det. Lana Howard on August
27, 2009 in Ft. 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
Allen County Juvenile Firesetters IN SUM OF
Task Force
1270 SOuth Phoenix parkway
Ft. Wayne, IN 46816
20.00
ON ACCOUNT OF APPROPRIATION FOR
runt ed fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21064F 1000 570 20.00 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
July 29 20 09
Signature If
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund