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HomeMy WebLinkAbout175739 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 362629 Page 1 of 1 ONE CIVIC SQUARE INDIANA DIV OF INTNTL ASSOC FOR ID i CHECK AMOUNT: $125.00 CARMEL, INDIANA 46032 4519 MAPLE TERRACE PARKWAY o FORT WAYNE IN 46835 CHECK NUMBER: 175739 CHECK DATE: 8/6/2009 DEPARTMENT AC COUNT PO NUMBE I NVOI CE NUM BER J AMOUNT DESCRIPTI 210 4357000 21056 125.00 TRAINING ti r INDIANA DIVISION INTERNATIONAL ASSOCIATION FOR IDENTIFICATION Federal Employer Identification Number 35- 1934954 4519 Maple Terrace Parkway, Ft. Wayne, IN 46835 INVOICE TO: Ms. Teresa Anderson DATE: July 25, 2009 REFERENCE: 2009 Indiana Division IAI Educational. Conference/ John Elliott DESCRIPTION: IAI Conference Registration Fees AMOUNT: $125.00 P.O. 21056 TOTAL AMOUNT DUE $125.00 REMIT TO: Indiana Division of the International Association for Identification Attention: Eric Black, Secretary Treasurer 4519 Maple Terrace Parkway, Ft. Wayne, IN 46835 Telephone: (260) 486 -3150 E -Mail: ericb277nyverizon.net 5h r Q9 �EMTFGp�1 CONFERENCE REGISTRATION FORM (Complete one form per attendee, make copies if necessary) NAME o 7' INIAI MEMBER NUMBER DEPARTMENT NAME: K�n�g,�� d 7 �0 L ZCL ADDRESS: CZd7� s'c�Ui92i CITY, STATE, ZIP: �2irl Q3 Z PH N 77�� ONE ADDRESS: E A131J1 SS: ✓EMBER REGISTRA N FEE: $125.00 1`t ,%IEN, fBER REGISTRATION FEE: $150.00 SINGLE CONFERENCE DAY ATTENDENCE FEE: $50.00 per day NUMBER OF SINGLE DAY ATTENDENCE WHAT DAYS WILL YOU BE ATTENDING Please send your registration form and conference fee to Eric Black. Make checks payable to Indiana Division of IAI. Eric Black, Secretary- Treasurer 4519 Maple Terrace Pkwy. Fort Wayne, IN 46835 INDIANA RETAIL TAX EXEMPT PAGE C i ty o C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER JJJjjj,,, \��jjj Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 2 0 S �;,©N.QPIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING 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 Julv' 2009 training VENDOR Indiana Division of IAI SHIP City of Carmel Police Department ERic Black, Secretpry- Treasurere TO 3 Civic Square 4519 Maple Terrace Parkway Carmel, IN 46032 Fort Wayne, IN 46835 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Indiana Division of'IAI Conference for Sohn Elliott 125.00 on October 19 21, 2009 in Indianapolis �a City of Carmel Poi Send Invoice To: ATTN: Teresa Anders 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT r PROJECT ACCOUNT AMOUNT 210 670 cone ed fund PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS JHE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. i SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE ]SAN 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 SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 05 CLERK TREASURER DOCUMENT CONTROL NO. A.A. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #MTLE 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 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 Indiana Division of the International Purchase Order No. 21056F Association for Identification ATTN: Eric Black, Secretary- Treasurer Terms 4519 Maple Terrace Parkway Ft. Wayne, IN 46835 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/25/09, payment for the 2009 Indiana Division of IAI Conference 125.00 on October 19 21, 2009 in Indianapolis for John Elliot 1. 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 Indiana Division of the International 'Association for Identification IN SUM OF ATTN: Eric Black, Secretary= Treasurer 4519 Maple Terrace Parkway, Ft. Wayne, IN 46835 125.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21056F 570 125.00 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 28 20 09 Signature Chief of POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund