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Home My WebLink About170068 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00352990 Page 1 of 1 0 ONE CIVIC SQUARE PRIORITY DISPATCH CARMEL, INDIANA 46032 139 E SOUTH TEMPLE STE 500 CHECK AMOUNT: $1,100.00 SALT LAKE CITY UT 84111 CHECK NUMBER: 170068 CHECK DATE: 3/18/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4357004 18418 45368 1,100.00 REGISTRATION FEES I Date: 2/2312009 EL 0 NvOICE p Disparcp& Attn: Accounting Department 139 East South Temple, Suite 500 Saft Lake City, UT 84111 No 4 5 3 6 8 (801) 383- 9127' (801) 363 -9144 fax (800) 363 -9127 toll -free Customer Id: 740 Bill To: Carmel Clay Comm Ctr For: Carmel Clay Comm Ctr 31 1 st Ave NW 31 1 st Ave NW Carmel, iN 46032 -1715 Carmel, IN 46032 -1715 Phone: Fax: 317- 571 -25851 Sales Contact: Base license: 0000OA01AE Payment Method: Purchase Order Payment Terms: Net 30 Days Course Lawrenceburg, IN EMD Qualify Assurance 2/11/2009) Qty Description Unit Price Extended Price 1 Course Registration(s) (Medical Standard North American English) $550.00 $550.00 Carmel Clay Comm Ctr Heinzman, David 1 Course Registration(s) (Medical Standard North American English) $550.00 $550.00 Carmel Clay Comm Ctr Collins, Mindy Sub Total: $1,100.00 Tax: $0.00 Shipping Handling: $0.00 Total: $1,100.00 Amount due this Invoice: $1,100.00 Payment Method Details: PO 18418 Please pay this invoice in US Dollars. Make checks payable to Priority Dispatch Corporation. "To lead the creation of meaningful change in public safety and health." Page 1 of 1 Generated: 2123/2009 2:53 PM X cloq ®f a n a l INDIANA RETAIL TAX EXEMPT PAGE s CERTIFICATE NO. 003120155 002 D PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT /'C 35- 60000972 ONE CIVI(',SQUARIE THIS NUMBER MUST APPEAR ON INVOICES, AIP CARMEL, INDIAA 46032 2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 j SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO: VENDOR NO. DESCRIPTION VENDOR :�Z-, r f� J SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 a W s ;M f Send Invoice To: Ile PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT PAYMENT J1� •s 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 IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPR PRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER. G.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY i.r �ae+• .�"a� I SHIPPING LABELS. f THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 4 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 18 CLERK TREASURER DOCUMENT CONTROL NO J COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE N0. 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 I 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Priority Dispatch IN SUM OF Attn: Accounting Dept 139 E. South Temple, Ste. 5 a' Salt Lake City, UT 84111 $1,100.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 18418 45368 43- 570.04 r$1,100.00 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 Wednesday, March 11, 2009 Director 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)) 02/23/09 I 45368 I $1,100.00 1 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