HomeMy WebLinkAbout170068 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