HomeMy WebLinkAbout203407 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $125.00
s CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600
MILWAUKEE WI 53224 CHECK NUMBER: 203407
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4355300 IUSI112773 125.00 ORGANIZATION MEMBER
From:CPI 10/27/2011 06:56 4578 P.002/002
HISTORICAL INVOICE
Nonviolent Crisis Intervention® program "6`Cei IUS1112773
Prepare Training® program ;bae;:<I:Is::> 10/2/2011
Dementia Care Specialists Federal I.D. 39- 2012874
CPl Matters at Work GST 86192 3753 RT0001
Positive Options
Bill To: Ship To:
Brooke Taflinger Brooke Taflinger
1235 Central Park Dr E 1235 Central Park Dr E
Carmel IN 46032 Carmel IN 46032
US US
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803058 NET 30 10/2/2011
em: Numb?er:........ D.escriptton Un1f Prit t Exf:.Price...
1 EACH 1 0 CPI RECERT FEE Annual Membership Fee $125.00000 $125.00
Cert Year From 12/5!2011 to 12/5/2012
Thank you !Subtotal! $125.00
Remit to: CPI be rJ9.it'Re6e1 ved.:: $0.00
10850 W. Park Place, Suite 600 Total Z US$ $125.00
Milwaukee, WI 53224 USA
I nclude invoice number or customer ID with payment.
Canadian Customers Please remit to: For Inquiries or to place an order, tolk ree:
Lockbox #1566 US /Canada: 1 -877- 877 -5390
PO Box 1566. Station A New Zealand: 0800 44 9187
Toronto, ON M5W 3N9 Canada Australia: 800 55 3247
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.
T359466 Crisis Prevention Institute, Inc. Terms
10850 W Park Place, Suite 600
Milwaukee, WI 53224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/2/11 IUS1112773 Membership B.Taflinger 12/5/11- 12/5/12 125.00"
Total 125.00
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.
T359466 Crisis Prevention Institute, Inc. Allowed 20
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 IUS1112773 4355300 125.00 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
3 -Nov 2011
XJ
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund