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Home My WebLink About179173 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