HomeMy WebLinkAbout173481 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352790 Page 1 of 1
ONE CIVIC SQUARE NORTHWESTERN UNIV CENTER FOR P�g��
0 I:HECK AMOUNT: $900.00
CARMEL, INDIANA 46032 SAFETY
PO BOX 1409 CHECK NUMBER: 173481
EVANSTON IL 60204
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT P O NUMBER IN VOICE NUMBER AM OUNT DESC RIPTION
210 4357000 20999 25619 900.00 TRAINING
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z Northwestern University
Center for Public Safety
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Invoice
Accounts Payable
Carmel Police Department MAY 20 09
3 Civic Square
Attn: Luann Thurston Invoice 25619
Carmel IN 46032
Class Date/Location student/Class Tuition Amount
JUL 6 09 Brady, Sean (BRADSP) 900.00 900.00
Evanston, IL HN0960090B Hostage Negotiations
36- 2167817
Total Due 900.00
Make checks payalble'to:
ALL PAYMENTS MUST BE MADE IN U.S. FUNDS
Northwestern University F.E.I.N. 36- 2167817
Center for Public Safety
P.O. Box 1409
Evanston, Illinois 60204 Ph: 800 323 -4011 Fax: 847 491 -5270
ORIGINAL INVOICE FIRST COPY
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UAKMEL 1 tvtriv i S /O 9
APPLICATION FOR SPECIALIZED TRAINING f,��� a,
he Se,
Today's Date: 5 11 /2009 Employee: P. F)eAc V
Name of School: -J I05-'�}6�
Cost: 4 g oo
Location of School: l4O Q T"N WS r 6120 N
yt
State: A�S-fonL L
Topic /Subject Matter: H0z TA6& /I)�-COTI ATi ON
Dates of School: From: /x/2009 To: 7/10/2009
Contact Person: MdkTf w6-5r6RA) UA )i tjep517� PoLI C r- W:51' TU
Telephone Number: (RZ5 4 0 11
Z Any PART OF YI C o of 1�& i
How will this School benefit You and the Department? kt&90A'(IQ ����mA`f�Q .�IA))�.
Will you need C.P.D: Transportation? mYes ONo -T- WOV TO REqO6� THE L
OF /vtV l/N1VIAe40) PO I V6416&E
Will you need accommodation? xYes ONo `ro TIeAt/6t To
"OVERTIME COMPENSATION WILL NOT BE PAID IF YOU VOLUNTEER
TO ATTEND A SCHOOL ONLY IF YOU ARE ORDERED TO ATTEND.
Officer's Signature:
Supervisor' Signature- Date:
Division Commande Date: 0
Training Officer: Date:
*OFFICE USE ONLY BEL THIS LINE*
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INDIANA RETAIL TAX EXEMPT PAGE Ci ®�Car CERTIFICATE NO. 003120155 002 0 1 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7 q q q
3 s (�RCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
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
May 28 2009 training
I
VENbOR Northwestern University SHIP Clty of Carmel Police Department
Center for Public Safety TO 3 Civic Square
P.O. Box 1409 Carmel, IN 46032
Evanston, IL 60204
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Hostage Negotiations school for Det. Sean Brady 900.00
on July 6 10, 2009 in Evanston, IL
ry
s
Send Invoice To. r
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
210 570 cont dd fund PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chdfif of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
'AV. COPY SIGN AND RETURN TO CLERK'S OFFICE
V OUCHER NO.____.___-._ WARRAJNT 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
s
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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
Northwestern University Purchase Order No. 20999F
Center for Public Safety Terms
P.O. Box 1409
Evanston, IL 60204 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/20/09 25619 a ent for Hostage Negotiations school :for Det. Sean 900.00
Brady on Jul 6 10 2009 in Evanston, IL
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
Y,QUCHER NO. WARRANT NO.
1
ALLOWED 20
N orthwesternUniversity IN SUM OF
Center for PUblic Safety
P.O. Box 1409
E vanston, IL 60204
900.00
ON ACCOUNT OF APPROPRIATION FOR
c ont ed fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20999F 25619 570 900.00 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
June 2 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund