179173 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC
CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 3315 H NORTH 124TH ST
BROOKFIELD WI 53005 CHECK NUMBER: 179173
CHECK DATE: 11/11/2009
'DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1046 4355300 IUSI911504 100.00 ORGANIZATION MEMBER
International Association of Nonviolent Crisis Intervention
IM International of Certified Instructors Invoice LUS1911504-
X Nonviolent Crisis Intervention For Customer Service inquiries or to place an order: call toll -free: Date a�
US /Canada: 1- 877 -877 -5390 r- 10/6/2009
IA NC I CI Certified Instructors Australia: 800 55 3247 Include a copy of this invoice or Customer ID# with payment.
New Zealand: 0800 44 9187
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
P= __urchase Order No. Customer ID Shi" m :Nletho i Pa mentTer'ms VlRe iSF i ,Date`
803058 NET 30 10/6/2009
Crderdid St a ppe 310 ItdhV ;Nue_ber 'Descdd jAiut Y h T Jrtit ea Eft l l e
1 1 0 CPI RECERT FEE Annual Membership Fee $100.00 $100.00
Cert Year from 12/5/2009 to 12/5/2010
P.O. 0 ParP
Bd
RNA
v Do
O CT 2 2 2009
For your convenience pay online at www.iancici.org Thank you -Total$1 00.00 f
r or remit to Crisis Prevention Institute, Inc. Fed 4 d eral I.D.: #39-
2012874
3315 -H North 124th Street Or final Invoice GST 86192 3753 RT0001
Brookfield, WI 53005 USA 9
Canadian Customers Please remit payment to:
Crisis Prevention Institute, Inc
Lockbox 1566
PO Box 1566, Station A
Toronto, ON M5W 3N9 Canada
International Association of
9 _9 11® Nonviolent Crisis Intervention'
IANCICI® Certified Instructors
Brooke Taflinger October 06, 2009
Inclusion Supervisor of The Monon Center
Carmel Clav Parks And Recreation
1235 Central Park Dr E
Carmel, IN 46032 US
Re: Instructor Excellence Renewal Process and IANCICI® Membership Fee
Dear Brooke:
Congratulations! You have successfully completed your teaching hours requirement for
certification year as an Instructor of the Nonviolent Crisis Intervention 10 training program.
Your commitment to provide the best Care, Welfare, Safety, and Security"' is admirable,
and you are an asset to your organization.
This letter is to remind you that your Membership fee is due before December 05. 2009•
Please note that payment is due before your certification ends, via check or credit card.
Please note that this fee does not apply to Master Associate Level Instructors.
We recognize and support your continual efforts to provide the highest quality of staff
training. To review the requirements of certification, please visit www.iancici.org or call
us toll -free at 1- 877 877 -5390.
Sincerelv.
Kathy Clark
Associate Director of Recertification Renewal
PS. For your convenience, Instructors in good standing can review training hours, association benefits and standards, and
learn more about the Instructor Excellence Renewal Process at www.iancici.org. To login, use your Instructor 1D number
803058 as your User ID number and your last name (as it appears on this letter in all lower case letters) as your Password.
Associate
OCT 2 2 2009-
L ly...
3315 -H North 124th Street, Brookfield, WI 53005 USA 1- 877 877 -5390 1- 888 758 -6048 TTY (Deaf, hard of hearing, or speech impaired)
IANCICI. 1- 262 783 -5787 Fax: 1- 262- 783 -5906 Email: support@iancici.org Website: www,iancici.org
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
3315 -H North 124th Street
Brookfield, WI 53005
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/6/09 IUS1911504 Annual Membership fee 12/5/09 12/5/10 100.00
Total 100.00
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
3315 -H North 124th Street
Brookfield, WI 53005
In Sum of
d
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 IUS1911504 4355300 100.00 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
5 -Nov 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund