168378 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362516 Page 1 of 1
1J ONE CIVIC SQUARE BRAD WIESLEY ASSOCIATES CHECK AMOUNT: $2,385.36
s CARMEL, INDIANA 46032 PO BOX 3583
BOULDER CO 80307 -3583 CHECK NUMBER: 168378
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO N INVOICE N UMBER AMOUNT DESCRIPTION
:1110 4357004 1268 795.12 EXTERNAL INSTRUCT FEE
1115 4357004 1268 795.12 EXTERNAL INSTRUCT FEE
1120 4357004 1268 795.12 EXTERNAL INSTRUCT FEE
I
Brad Wiesley Associates
PO Box 3583 Date: 1/15/2009
Invoice Number: 1268
Boulder CO 80307 -3583 PO Number:
Phone: (303) 884 -2200
Fax: (303) 673 -0751 Due Date: 2/14/2009
Email: brad(@wiesleyassoc.com Shipping Method:
Billing Address Shipping Address
Fishers Fire Department Fishers Fire Department
Fishers IN
Travel Time Travel"to Site 2009 -01 -11 1 500 500.00
Crystal Reports Training Day 2009 -01 -12 through 2009 -01 -14 3 950 2,850.00
Travel Time Travel Home 2009 -01 -15 1 500 500.00
Travel Expenses Estimated Travel 1 1,715.9 1
Customer Note: SubTotal; 5,565.90
Attn: Jim Alderman Tax: 0.00
Total: 5,565.90
The total cost for the Crystal Reports class is $5565.90
There were 14 students in the class. The cost per student is $397.56.
The following agencies /personnel attended the class...
Fishers Fire Department ($1192.68)
Jim Alderman
Jerry Nulliner
Ann Cichocky
Hamilton County Sheriff s Office ($1590.24)
Kim Jowitt
Jim Mann
Brian Reily
Graham Packham
Carmel Communication ($795.12)
Dennis Stilts
Janet Arnone
Carmel Fire Department ($795.12)
Becky Pace
Becky Lannan
Cicero Fire Department ($397.56)
Lance Overholser
Carmel Police Department ($795.12)
Laura Mulligan
Linda Ross
Please submit your portion of the invoice for payment.
If you have any questions let me know.
Thanks!
Jim Alderman
Division Chief
Fishers Fire Department
Form WN9 Request for Taxpayer Give form to the
(Rev. January 2005) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service
�i Name (as shown on your income tax return)
Brad Wiesley
m
Business name, if different from above
o Brad Wiesley Associates
4) y
CL o Individual{ Exempt from backup
Check appropriate box: Sole proprietor Corporation Partnership Other ❑withholding
o
t
Address (number, street, and apt. or suite no.) Requester's name and address (optional)
PO Box 3583
E City, state, and ZIP code
U
CL Boulder, CO 80307 -3583
N
m List account number(s) here (optional)
m
rn
ORM Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social security number
backup withholding. For individuals, this is your social security number (SSN). However, for a resident 1 5 1 21 1+716+01714 6
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number Employer identification number
to enter.
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. 1 am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See the instructions on page 4.)
Sign Signature of U /2U�2005
Here U.S. person 11 Date 01
Purpose of Form
A person who is required to file an information return with the Any estate (other than a foreign estate) or trust. See
IRS, must obtain your correct taxpayer identification number Regulations sections 301.7701 -6(a) and 7(a) for additional
(TIN) to report, for example, income paid to you, real estate information.
transactions, mortgage interest you paid, acquisition or f=oreign person. If you are a foreign person, do not use
abandonment of secured property, cancellation of debt, or Form W -9. Instead, use the appropriate Form W -8 (see
contributions you made to an IRA. Publication 515, Withholding of Tax on Nonresident Aliens
U.S. person. Use Form W -9 only if you are a U.S. person and Foreign Entities).
(including a resident alien), to provide your correct TIN to the Nonresident alien who becomes a resident alien.
person requesting it (the requester) and, when applicable, to: Generally, only a nonresident alien individual may use the
1. Certify that the TIN you are giving is correct (or you are terms of a tax treaty to reduce or eliminate U.S. tax on
waiting for a number to be issued), certain types of income. However, most tax treaties contain a
provision known as a "saving clause." Exceptions specified
2. Certify that you are not subject to backup withholding, in the saving clause may permit an exemption from tax to
or continue for certain types of income even after the recipient
3. Claim exemption from backup withholding if you area
U.S. exempt payee. has otherwise become a U.S. resident alien for tax purposes.
Note. If a requester gives you a form other than Form W -9 to If you are a U.S. resident alien who is relying on an
request your TIN, you must use the requester's form if it is exception contained in the saving clause of a tax treaty to
substantially similar to this Form W -9. claim an exemption from U.S. tax on certain types of income,
For federal tax purposes you are considered a person if you fol owing fi ea temsaatement to Form W -9 that specifies the
are: 1. The treaty country. Generally, this must be the same
An individual who is a citizen or resident of the United treaty under which you claimed exemption from tax as a
States, nonresident alien.
A partnership, corporation, company, or association 2. The treaty article addressing the income.
created or organized in the United States or under the laws 3. The article number (or location) in the tax treaty that
of the United States, or contains the saving clause and its exceptions.
Cat. No. 10231X Form w-9 (Rev. 1 -2005)
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/15/09 I 1268 I $795.12
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.
ALLOWED 20
Brad W iesley Associates
IN SUM OF
P.O. Box 3583
Boulder, CO 80307
$795.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# I Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1115 1268 43- 570.04 $795.12 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
Tuesday, January 27, 2009
Dir
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
The total cost for the Crystal Reports class is $5565.90
There were 14 students in the class. The cost per student is $397.56.
The following agencies /personnel attended the class...
Fishers Fire Department ($1192.68)
Jim Alderman
Jerry Nulliner
Ann Cichocky
Hamilton County Sheriff's Office ($1590.24)
Kim Jowitt
Jim Mann
Brian Reily
Graham Packham
Carmel Communication ($795,12)
Dennis Stilts
Janet Arnone
Carmel Fire Department ($795.12)
Becky Pace
Becky Lannan
Cicero Fire Department ($397.56)
Lance Overholser
Carmel Police Department ($795.12)
Laura Mulligan
Linda. Ross
Please submit your portion of the invoice for payment.
If you have any questions let me know.
Thanks!
Jim Alderman
Division Chief
Fishers Fire Department
Brad Wiesley Associates
PO Box 3583 Date: 1/15/2009
Invoice Number: 1268
Boulder CO 80307 -3583 PO Number:
Phone: (303) 884 -2200
Fax: (303) 673 -0751 Due Date: 2/1412009
Email: brad Cabwiesleyassoc.com Shipping Method:
Billing Address Shipping Address
Fishers Fire Department Fishers Fire Department
Fishers IN
item
Travel Time Travel to Site 2009 -01 -11 1 500 500.00
z� TM"Fle t 4�.a
CReports T,rainmg Day y .2009 O1 12 through 2009 01 14 3 950A ti 2,850' 00,,.
IJr......
Travel Time Travel Home 2009 -01 -15 1 500 500.00
�K
"_T"[c"' "T" F•'r "fi.'T"TP� '7T*4tN� r4'.' s"'— mr..^r..- ..•.1""'T"°+"�
Travel Expenses 4rR,� ;fwk E stimated Traver 5r' r 1 rG ��1,715 9* 1,715:90"x
x n �T a y
k i� I a.n...�.S..aa�w I t 'Gv .S f �Ys:+" L .La..- .a- .._..•.e.. L�.j.. .4.1..�u .aJ.+_.+w�.... s...A..�.,...�_.u.a... _...�a.� Y.....��Lt— u...... e.. r ..�.r`L.J'�+`'�.�,'i.::i. -_.r .3'
Customer Note: SubTotal: 5,565.90
Attn: Jim Alderman Tax: 0.00
Tota 1: 5,565.90
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
Purchase Order No,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1268 CFD Portion Crystal Reporting Class $795.12
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, WA RRANT NO.
ALLOWED 20
.Brad Wiesley Associates
IN SUM OF
P.O. Box 3583
Boulder, CO 80307
$795.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 1268 43- 570.04 $795.92 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
FEB 2 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Brad iesley Associates
PO Box 3583 Date: 1/15/2009
Invoice Number: 1268
Boulder CO 80307 -3583 PO Number:
Phone: (303) 884 -2200
Fax: (303) 673 -0751 Due Date: 2/14/2009
Email: brad(&wiesleyassoc.com Shipping Method:
Billing Address Shipping Address
Fishers Fire Department Fishers Fire Department
Fishers IN
Travel Tme Travel to Site 2009 -01 -11 1 500 500.00
Crystal ReportsTraming Day 2009 01 1Zuthrough 2009,061 14 3 3a 3 950
2
850 00
4 L� P E
.i,��01 5 s W ,N �.J t...�, ,r„ 4#' '.r„ p w r a "::a ;d "4 ;m a� r iy, a6 iii `g a':" .E 0 r,
Travel Time Travel Home 2009 -01 -15 1 500 500.00
Travel Expenses1 Est mated Travel 1v` "E_�
1 715 9 1 715 90
y Tsai, ✓"r.a ..-e r k .nM& �3 &i"r'i 3 3 u^ Ttt
a�sPb�f .w w W &.tEs.. z B
V
Customer Note SubTotal: 5,565.90
Attn: Jim Alderman
Tax: 0.00
Total: 5,565.90
The total cost for the Crystal Reports class is $5565.90
There were 14 students in the class. The cost per student is $397.56.
The following agencies /personnel attended the class...
Fishers Fire Department ($1192.68)
Jim Alderman
Jerry Nulliner
Ann Ciehocky
Hamilton County Sheriff's Office ($1590.24)
.Kim Jowitt
Jim Mann
)3rian Reily
Graham Packham
Carmel Communication ($795.12)
Dennis Stilts
Janet Arnone
Carmel Fire Department ($795.12)
Becky Pace
Becky Lannan
Cicero Fire Department ($397.56)
Lance Overholser
C tment $795.i2
Laura Mulligan
Linda Ross
Please submit your portion of the invoice for payment.
If you have any questions let me know.
Thanks!
Jim Alderman
Division Chief
Fishers Fire Department
1 Form w_9 Request for Taxpayer Give form to the
(Rev. January 2005) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue service
c i Name (as shown on your income tax return)
m Brad Wiesley
CU
Business name, if different from above
Z Brad Wiesley Associates
a3 0
a Individual/ Exempt from backup
Check appropriate box: Sole proprietor Corporation Partnership Other withholding
o
m Address (number, street, and apt. or suite no.) Requester's name and address (optional)
c PO Box 3583
CL U
City, state, and ZIP code
U
CL Boulder, CO 80307 -3583
(n
a) List account number(s) here (optional)
v
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid social security number
backup withholding. For individuals, this is your social security number (SSN). However, for a resident 5 2 t 7 6 0 7 4 6
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number Employer identification number
to enter.
Certification
Under penalties of perjury, I certify that
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. 1 am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See the instructions on page 4.)
Sign Signature of 1 0120/2005
Here U.S. person
III
11 1
Purpose of Form
A person who is required to file an information return with the e Any estate (other than a foreign estate) or trust. See
IRS, must obtain your correct taxpayer identification number Regulations sections 301.7701 -6(a) and 7(a) for additional
(TIN) to report, for example, income paid to you, real estate information.
transactions, mortgage interest you paid, acquisition or Foreign person. If you are a foreign person, do not use
abandonment of secured property, cancellation of debt, or Form W -9. Instead, use the appropriate Form W -8 (see
contributions you made to an IRA. Publication 515, Withholding of Tax on Nonresident Aliens
U.S. person. Use Form W -9 only if you are a U.S. person and Foreign Entities).
(including a resident alien), to provide your correct TIN to the Nonresident alien who becomes a resident alien.
person requesting it (the requester) and, when applicable, to: Generally, only a nonresident alien individual may use the
1. Certify that the TIN you are giving is correct (or you are terms of a tax treaty to reduce or eliminate U.S. tax on
waiting for a number to be issued), certain types of income. However, most tax treaties contain a
provision known as a "saving clause." Exceptions specified
2. Certify that you are not subject to backup withholding, in the saving clause may permit an exemption from tax to
or continue for certain types of income even after the recipient
3. Claim exemption from backup withholding if you area
U.S. exempt payee. has otherwise become a U.S. resident alien for tax purposes.
Note. If a requester gives you a form other than Form W -9 to If you are a U.S. resident alien who is relying on an
request your TIN, you must use the requester's form if it is exception contained in the saving clause of a tax treaty to
substantially similar to this Form W -9. claim an exemption from U.S. tax on certain types of income,
you must attach a statement to Form W -9 that specifies the
For federal tax purposes you are considered a person if you following five items:
are: 1. The treaty country. Generally, this must be the same
o An individual who is a citizen or resident of the United treaty under which you claimed exemption from tax as a
States, nonresident alien.
o A partnership, corporation, company, or association 2. The treaty article addressing the income.
created or organized in the United States or under the laws 3. The article number or location In the tax treat that
of the United States, or contains the saving clause and its exceptions. y
Cat, No. 10231X Form W -9 (Rev. 1 -2005)
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
Brad Wiesley Associates Purchase Order No.
P.O. Box 3583 Terms
Boulder, CO 80307 -3583 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/15/09 1268 paymen6t for Crystal Reports training for Laura Mulligai 795.12
and Linda Ross on January 12 14, 2009 in Fishers, IN
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
Brad Wiesley Associates IN SUM OF
P. 0 Box 3583
Boulder, CO 80307 -3583
795.12
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 7i I hereby certify that the attached invoice(s), or
1110 1268 570 -04 795.12 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
January 30 20 09
7 AdZdidd J) aed
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund