HomeMy WebLinkAbout172497 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 358751 Page 1 of 1
ONE CIVIC SQUARE POLICE K -9 MAGAZINE
D CARMEL, INDIANA 46032 PO BOX 280941 CHECK AMOUNT: $300.00
d LAKEWOOD CO 80028 CHECK NUMBER: 172497
CHECK DATE: 5/1312009
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357004 20072 300.00 TRAINING
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FROM: Police K -9 Magazine, Inc. BILL HITS09 -0107
P.O. Box 280541 TO: City of Carmel
Lakewood, CO 80228 3 Civic Square Invoice Date 4/28/09
866 -988 -1545 Carmel, IN 46032
303 932 -0328 Fax Customer ID
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1 2009 HITS Seminar $300.00 $300.00
PO #20072
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Subtotal $300.00
Tax
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Amount Paid $.00
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$300�Ogs
BALANCE DUE- 1_
Please return the portion below with your payment.
REMITTANCE
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H.I.T.S Seminar Registration .Y
Date: 0 07- EoO) Department CKMMCE Title Aob
Name �(Zo� 5►� 11`I� 4
Address: 3 Civic SOONKt
City: _ckgm L State: zip:
Phone Number: 31j 6 11- 25 00 Email Address +sm a {fn i f)
I would like to register for the H.I.T.S. Seminar in Louisville, April 20 -23 2009.
(Check One)
Single Registration Prior to March 20th, 2009 $350.00
Single Registration After March 20th, 2009 $375.00
V-Two Attendees Registering Together $300.00 (Per Person)
(Deadline March 20'' 2009 for special Price)
Three of More Attendees Registering Together $275.00 (Per Person)
(Deadline March 20' 2009 for special Price)
Are you going to attend the Hands on Demo Day? ❑Yes ❑No
List attendee's names and addresses below:
#1
#2
#3
Return this form along with payment
(Checks made payable to Police K -9 Magazine) to: Police K -9 Magazine
PO Box 280541
Lakewood, CO 80028
OR
Register by phone 1- 866 -988 -1545
OR
FAX TO 303- 932 -0328 (with credit card information)
MasterCard Visa American Express
Card Number Exp.
Name on Card:
Billing Address
Signature:
*Call the hotel directly for hotel reservations at 800 -533 -0127
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C C' INDIANA RETAIL TAX EXEMPT PAGE
o 11 Carmel CERTIFICATE NO. 003120155 002 0 11 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 90079
3 qNE CIVIC SQUARE EHISN BER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2554 DELIVERY MEMO, PACKING SLIPS,
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
March 5 2009 training
VENDOR Police K Magazine SHIP City of Carmel Police Department
P.O. Box 280541 TO 3 Civi S
Lakewood, CO 80028 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
HITS Seminar for Officer 'Troy Smith on April 20 300.00
23, 2009 in Louisville, KY
i
4
-City of Carmel Po
Send Invoice To:
ATTNe Teresa Anders
3 Civic Square
CCarmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT j PROJECT ACCOUNT AMOUNT
1110 570 -06 instructional fees
PAYMENT
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 fff I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
J'/ j
C .O.D. SHIPMENTS CANNOT BEACCEPTED. ORDERED BY 1.�1'l1,
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 007 2 CLERK- TREASURER
DOCUMENT CONTROL NO A.P COPY SIGN AND RETURN TO CLERK OFFI
�OOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
_d
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 j
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Preg6Eed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Police K -9 Magazine, Inc. Purchase Order No. 20072F
P.O. Box 280541 Terms
Lakewood, CO 80228 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/28/09 a ent for the 2009 HITS Seminar for Officer T roy 300.00
Smith on April 20 23 2009 in Loiusville KY
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.
;f
J
ALLOWED 20
P olice K -9 Magazine, Inc. IN SUM OF
P.O. Box 280541
Lakewood, CO 870228
300.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20072F 570 -04 300.00 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
May 7 20 09
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund