172793 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC
CARMEL, INDIANA 46032 3315 H NORTH 124TH ST CHECK AMOUNT: $99.00
BROOKFIELD WI 53005
CHECK NUMBER: 172793
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO NUMB IN VOICE NUMBER A MOUNT DESC RIPTION
1046 4357004 CUSI905557 99.00 EXTERNAL INSTRUCT FEE
c m Crisis Prevention Institute, Inc. 4lo ce CUS1905557
For Customer Service Inquires or to place an order call: 1- 800 558 -8976 Datea, 4/29/2009
For Accounting inquiries: Call toll -free 1- 877 877 -5409 B8 1
O Fax: 1- 262 317 -6512 Federal I.D. #39- 2012874 GST# 86192 3753 RT0001
R
Include a copy of this invoice or Customer ID# with payment.
Bill To: Original Invoice Snip To:
Brooke Taflinger Brooke Taflinger
Carmel Clay Parks And Recreation �V;�T 'VED Carmel Clay Parks And Recreation
1235 Central Park Dr E 1235 Central Park Dr E
Carmel IN 46032 -4421 MAY 5 2009 Carmel IN 46032 -4421
1
USA I3Y: USA
P ru ch se Order No Customer:ID In "Metlio'i Fainent- Terms�,��'. ReSh
02- OR -A001 LK9 FE EX GRID Prior to Proqram 4/28/2009
Ordered "11A)" M _hi 00-11 B/O Item „Number M. p u
Descrl ton UE
„U,nit� Price
1 EACH 1 0 WBNR0025 NCI Webinar $99.00 $99.00
Brooke Taflinger Brookfield 5/14/2009
purchase
Description p ar, P.O.
G.L.
Budget
Line Desc Date
Purchaser Date
Approval
MAY 1 1 2009
BY:
Thank you Subtotalh $99.00
Tax r $0.00
igram fee payable prior to program start. Tracking (if applicable): Freight $0.00
Deposit Received $0.00
Total $99.00
Remit to: Canadian Customers: Please remit payment to: Tax exempt organizations:
Crisis Prevention Institute, Inc. Crisis Prevention Institute, Inc To avoid sales tax, we must have your tax exempt certificate on file.
3315 -H North 124th Street Lockbox 1566 Open enrollment program cancellation policy: please reference cancellation
Brookfield, WI 53005 USA PO Box 1566, Station A policy available on training confirmation letter or www.crisisprevention.com.
Toronto, ON M5W 3N9 Canada Not applicable to on -site training.
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
4129109 CUS1905557 Training 99.00
Total 99.00
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
Voucher No. Warrant No.
j
T359466 Crisis Prevention Institute, Inc. Allowed 20
3315 -H North 124th Street
Brookfield, WI 53005
In Sum of
99.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 CUS1905557 4357004 99.00 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
21 -May 2009
Signature
99.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund