HomeMy WebLinkAbout205820 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $1,711.26
CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600
MILWAUKEE WI 53224 CHECK NUMBER: 205820
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357003 CUSI2000485 1,711.26 INTERNAL INSTRUCT FEE
HISTORICAL INVOICE invoice I CUS1200485
Nonviolent Crisis Intervention® program Dater 1/10/2012
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CPI Matters at Work
Positive Options
Federal I D. 39-2012874
Include a copy of this invoice or customer ID# with payment.
Bill To: Ship To:
Brooke Taflinger Brooke Taflinger
Carmel Clay Parks And Recreation Carmel Clay Parks And Recreation
1235 Central Park Dr E 1235 Central Park Dr E
Carmel IN 46032 -4421 Carmel IN 46032 -4421
US US
Purchasebr ►'No. j __Customer'IDl -Shipp iod Pa merit`Ter'ms Reg Sfii ,Date
02- OR -AO01 LK9 FEDEX GROUND NET 30 1/912012
Qrde`red' I UofM Ishilpoed B/O; I Item Numt►er gescription Unit Price Ext Price
100 EACH 100 0 PWKB0001 NCI Participant Workbook Revised $11.46 $1,146.00
50 EACH 50 0 PWKB0042 NCf Keypoint Refresher Workbook $8.77 $438.50
1 EACH 1 0 PWKB0043 NCI Keypoint Refresher Workbook Leaders Guide $0.00 $0.00
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Description
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Purchaser
Approval
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JAN 1 2012
Thank you Subtotal $1,584.50
Tracking (if applicable): Tax $0.00
053287830972727 Frei6ht' $126.76
Deposit Received 0.00
Total FuS$ 1711.26
Remit to: CPI t certificate on file. Tax exe organizations: we must have our tax exempt Customer Service: 1 800 558 8976 p 9 Y p
10850 W. Park Place, Suite 600 Accounting /Billing: 1- 877 877 -5409 Please refer to www.crisisprevenflon.com or
P your program contract
Milwaukee, WI 53224 USA
Customer Service Fax: 1- 414 979 -7098 for program cancellation and product return policies.
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
10850 W Park Place, Suite 600
Milwaukee, WI 53224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/10/12 CUS1200485 Workbooks for ESE staff 30355 1,711.26
Total 1,711.26
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
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of
1,711.26
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 CUS1200485 4357003 1,711.26 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
26 -Jan 2012
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Signature
1,711.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund