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Home My WebLink About177713 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363351 Page 1 of 1 ONE CIVIC SQUARE INJURY AND CRASH ANALYSIS CARMEL, INDIANA 46032 RECONSTRUCTION SEMINAR CHECK AMOUNT: $150.00 2346 S LYNHURST DRIVE SUITE E -107 CHECK NUMBER: 177713 INDIANAPOLIS IN 46241 CHECK DATE: 9/29/2009 DEPAR A CCO U NT PO NU MBER INVOICE NUMBER AMO UNT DES CRIPTION 210 4357000 21210 150.00 TRAINING INVOICE September 18, 2009 City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Accident Reconstruction seminar for Sgt. Mike Mabie on October $150.00 26 28, 2009 in Indianapolis Please make check payable to: Injury Crash Analysis Reconstruction Seminar 2346 S. Lynhurst Drive, Suite E -107 Indianapolis, IN 46241 09/16/2009 13:02 3174860457 PAGE 03 Reconstruction Seminar Registration Form October 26 28, 2009 Indianapolis, Indiana First Name 4"K '5- M.I. G Last e nd Company or Agency m� orv Street Name and Number J 1 City State Zip Code s �i Gov Tel: 1)_ Fax (319) e mail Oi e GJ e _,L A, LEI/ How long have you. worked in the field of Accident Reconstruction? If you are going to use the Hilton Garden Inn you must call and take care of your own arrangements. Tell them you are with the Reconstruction Seminar for Oct. 26 29 and you will receive the group rates. Please fill out one copy of this form for each person attending. day Accident Reconstruction course $150.00 4 to 6 hour course Identification and .Documentation of Physical Evidence $50.00 Please make the check payable to Injury and Crash Analysis. Send the check and registration form to: Injury and Crash Analysis Reconstruction Seminar 2346 S. Lynhurst Drive Suite E —107 Indianapolis, M 46241 INDIANA RETAIL TAX EXEMPT PAGE C o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 I 3 NLEKCIVIC 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 September 16, 2009 training VENDOR Ingury and Crash Analysis SHIP City of Carmel Police Department Reconstruction Seminar TO 3 Civic Square 2346 S. Lynhurst Drive, Suite 2 -107 Carmel., IN 46032 Indianapolis, IN 4621 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Accident Reconstruction seminar for Sgt. Mike 150.00 Mabie on Ocoober 26 28, 2009 in Indianapolis °A e dw r� �E Send Invoice To: City of Carmel Pol eM ATTN: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 210 570 cont ed fund pAYMENT A/P VOUCHER CANNOT BE APPOVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OFT, E VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 11 1, 0 1 1,4 PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1) /9'C•7T r� SHIPPING LABELS. I r THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 Pq CLERK- TREASURER DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO ALLOWED 20___ |N THE SUM OF$ ON ACCOUNT {}F APPROPRIATION FOR Board Members Pu# INVOICE NO. ACCT#/TITLE AMOUNT DEPT hereby certify that the attached invnico(s).or bill(s) is (are) true and correct and that the materials nr services itemized thereon for which charge ia made were ordered and received except 20____ Signature Title Cost distribution ledger classification U claim paid motor vehicle highway mrm Presbed 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 Injury Crash Analysis Reconstruction Se minar Purchase Order No. 21210F 2346 S. Lynhurst Drive, Suite E -107 Terms Indianapolis, IN 46241 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/18/09 a ent for accident reconstruction seminar for Sgt. 150.00 Mike Mabie on October 26 28 2009 in Indianapolis 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 Iniury Crash Analysis Reconstruction IN SUM OF Seminar 2346 S. Lynhurst Drive, Suite E -107 Indianapolis, IN 46241 150.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT I hereby certify that the attached invoice(s), or 2121OF 570 150.00 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 September 18 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund