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Home My WebLink About178721 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363545 Page 1 of 1 ONE CIVIC SQUARE IPICD CHECK AMOUNT: $590.00 s4 CARMEL, INDIANA 46032 209 S STEPHANIE ST, SUITE B -249 HENDERSON KY 89012 CHECK NUMBER: 178721 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 590.00 TRAINING SEMINARS INVOICE R October 23, 2009 City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Recognition, Prevention, and Management of Excited Delirium and Sudden, In- Custody Death Instructor school for Lt. Dwight Frost and Det. Shane Collins on November 4 5, 2009 in Pontiac, MI. $295.00 x 2 $590.00 TOTAL DUE: $590.00 Please make check payable to: IPICD 209 South Stephanie Street, Suite B -249 Henderson, NV 89012 November 4 5 Pontiac, Michigan Registration Form Page 1 of 1 IPICD Registration Form repuiredfields _C ourse Location j Pontiac, Ml Hweniner4 -5, 2009 This course reuuiresa $295.00 reuisiratioufee Please print and mail this four alons %with our checl: of 5 to: '03 South Stephanie Street z Suite B-21, Henderson, N 'S3, E?N To P ay i3y C Card, pleas? call firstHaoie Middleliilial 'tastMille ipwignt o j Frost 'MailiugAddress 'C Slate 'liuCode 3 Ciuic square Camlel Indiana 146032 119eucy f- MailAddress I Ca leirn Police Oeparlmeni Imates-:3. -gou 119eucyMailiuuAddress City S1a1e ZiuCode 300jicSquare Carmel Indiana 46032 'Phone Alleruate Phone fax Humher 317- 571 -2500 317 571 -2530 1317-571-2512 Tm a previous IPICD graduate of this instructor program CVfiVt19ht2095 The 117SIMIfe for 7118 T1180rtCihr-CusIooy0ealhs. lilo 411#1ghts lleSelVed http: /www.ipicd.com/ seminars /november4n5_09pontiac.html 10/21/2009 November 4 5 Pontiac, Michigan Registration Form Page 1 of 1 IPICD Registratio Form terluiretlFields Course Locatio Pontiac, mi Nouenlder4 -5, 2009 This course reuuires a $295.00 registration fee ?lease print and ni ail this form along with i i checl_ of S29 to: 2337 South Stephanie Street �endersen S_� T, ,V -C ar d E__ I o a�-B: r credit w please :all 'First Hanle Middle Initial 'cast Hanle I snane I Coiiins MailiuuAddress City Slate 'IiuCode 3 CCU is Square I Carmel Indiana 146032 Ayeu[,y E PAailAddress Carniel Police 0evarimeni imatestscarmeun you AgeucyMailiu9Address City 'State IiuCode 3 Ciuie square Carniel Indiana 146032 Phone Alternate Phone 'Est[ Huniher X317 -571 -2500 X317- 571 -2530 1317- 571 -2512 ;I'm a previous IPICD graduate of this instructor program COWN91112995.. The 11ts111we for The Frerreilpall Q1111-CuslvdY Deaths. /ilea A1111i9hts Resented http: /www.ipied.com/ seminars /november4n5_09pontiae.html 10/21/2009 INDIANA RETAIL TAX EXEMPT PAGE 1 of 1 C of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 21237 30NE~ CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION October. 21. 20 9 training VENDOR IPICD SHIP City of Carmel Police Department 209 South Stephanie Street, Suite A -249 TO 3 Oivic Square Henderson, NV 89012 Carmel IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Recognition, Prevention, and Management of 295.00 590.00 Excited Delirium and Sudden, In- Duetody Death Instructor school for Lt. Dwight Frost and Det.'Shane Collins on November 4 -55, 2009 in Pontiac, MI r 7 a E 34 �4 h Send Invoice To:p PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT NO 210 570 conteed fund PAYMENT VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTTHERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A9 stant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A• .COPY -SIGN AND RETURN TO CLERK OFFICE VOUCHER NO.....__------ WARRANT NO.____..__....___ ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT 'DEPT. I 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...... 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 IPICD Purchase Order No. 2 S. St ep h anie S treet, Suite B -24 Terms Henderson, NV 89012 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/23/09 payment for Recognition, Prevention, and Management of $590.00 Excited Delirium and Sudden, In— Custody Death Instruct r school for Lt. Dwight Frost and Det. Shane Collins on November 4 5, 2009 in Pontiac, MI Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IPICD IN SUM OF 209 S. Stephanie Street, Suite B -249 Henderson, NV 89012 590.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund X XgXKX3f3bX X$X#X Board Members PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 210 570 590.00 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 October 23+)O 20 09 Signature Assistant Chief of Poli Title Cost distribution ledger classification if claim paid motor vehicle highway fund