HomeMy WebLinkAbout176716 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: T362494 Page 1 of 1
ONE CIVIC SQUARE COURTYARD TYSONS CORNER FAIRFA &ECK AMOUNT: $1,084.55
ro CARMEL, INDIANA 46032 1960 -A CHAIN BRIDGE ROAD
MCLEAN VA 22102 CHECK NUMBER: 176716
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
(210 T 4357000 1,084.55 TRAINING SEMINARS
1'
INVOICE
Date: August 28, 2009
Sold to: City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
Payment for lodging for Susie Bell on October 18 23, 2009 in McLean, VA
Confirmation 990733499
Room Rate Tax Total
$199.00 $17.91 $216.91 x 5 $1,084.55
TOTAL DUE: $1,084.55
Please make check payable to:
Courtyard Tysons Corner Fairfax
1960 -A Chain Bridge Road
McLean, VA 22102
i2 Inc. Workshop Registration Fax form to: 703 -921 -0196
If you do not wish to be on the i2 Mailing List, please check this box:
FULL NAME Title:
FU
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ADDRESS (Include Suite, Floor, Mail Stop)
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CITY f STATE 1 POSTAL OR ZIP CODE
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BUSINESS PHONE NUMBER FAX NUMBER
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E -MAIL ADDRESS DONGLE NUMBER
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WORKSHOP LOCATION DATE COST
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REGISTRATION AND PAYMENT NOTICE: This Workshop Registration Form will be promptly processed and you will be contacted to confirm your
reservation. Please note that we cannot reserve a seat in a training class without complete payment information.
CHECK (Make payable to i2 Inc.) To be Mailed Brought to Class INVOICE AUTHORIZATION. See required signature below.
CONTRACT NUMBER: PO NUMBER:,
�P C)
CREDIT CARD NUMBER: EXP DATE: NAME ON CARD:
Bill Me Now Bill Me at time of Service
If your credit card billing address is different from the address above, please provide the following information:
ORGANIZATION: BILLING POC:
ADDRESS: BILLING PHONE:
BILLING FAX:
CITY! STATE t POSTAL OR ZIP CODE BILLING E -MAIL:
AUTHORIZATION: By signing this Registration Form on behalf of your organization, you certify (i) the information is complete and accurate, and (ii) your
organization authorizes you to have signature authority for the aforementioned obligation. Payment is due no later than 30 days from the date of the invoice
AUTHORIZED SIGNATURE: PRINT NAME: DATE:
WORKSHOP CANCELLATION POLICY: If you cannot attend a workshop you may contact i2 in advance to transfer to a future workshop or you can send
someone to take your place. If you need to cancel your attendance, i2 will give you a complete refund if you cancel more than 14 calendar days before the
scheduled course. To cancel, simply call the i2 Training Coordinator. If you cancel with less than 14 calendar days advance notice, you may request a
courtesy transfer to use at any future i2 workshop of the same name. The courtesy transfer must be used within 6 months of the originally scheduled
workshop. If you do not attend a workshop for which you are confirmed and do not contact i2 to cancel or transfer in advance, you will be charged the
entire workshop fee.
i2 Inc., 1430 Spring Hill Rd., Ste. 600, McLean, VA 22102 •703- 921 -0195 Toll Free: 1 -888- 546 -5242 training @i2inc.com
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must showy 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
Courtyard Tysons Corner Fairfax Purchase Order No.
1960 -A Chain Bridge Road Terms
McLean, VA 22102 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/28/09 payment for lodging for Susie Bell on October 18 23, 1,084.55
2009 in McLean, VA while attending the i2 Analyst
Notebook Level I conference
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
C our`iyard Tysons Corner Fairfax IN SUM OF
1960 —A chain Bridge Road
McLean, VA 22102
1,084.55
ON ACCOUNT OF APPROPRIATION FOR
NXXXXXXX� MIKY33 cont ed fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice or
210 570 1,084.55 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
AUyust 28 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund