169062 02/17/2009 CITY OF CARMEN, INDIANA VENDOR: 192 Page 1 of 1
ONE CIVIC SQUARE MAGLOCLEN "LAW ENF COMMITEE"
CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 tao TERRY DR, SUITE too
NEWTOWN PA 18940 CHECK NUMBER: 169062
CHECK DATE: 2/1712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION'
1110 4357004 20034 406011 125.00 TRAINING
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MAGEOCLEN 01 pN
IN VOICE
W� i
Dedicated fo CommunrcattonCooperatton and Coordtnatton
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A)SUtte 1�0''�� t j r Invoice No.: 406011
Date: 2/4/2009
Agency PO: 20034
4' To:
CITY OF CARMEL POLICE DEPARTMENT
3 Civic Square
Carmel, IN 46032
ATTN: TERESA ANDERSON
Description Amount
,'JAGL.,CLEf, 20.,9 Ar -nua, .,nfe, 8-us,0ess. ,e n
Indianapolis, Indiana
April 6 -9, 2009
Major Leland Goodman $125.00
Total Due: $125.00
Make all checks payable to:
Law Enforcement Committee #23- 2160277
PLEASE NOTE. CREDIT CARDS ARE NOT ACCEPTED
If you have any questions concerning this invoice, contact:
Michael A. Zaffiri
Assistant Business Manager
1 -800- 345 -1322 Ext. 1571
Attention New Jersey agencies: One to the fact that we are a government entity, we are
not required to apply for a Business Registration Certificate with the State of New Jersey
s
REG.ISTRATION FORM
Officer Safety and Criminal Intelligence Resources Training
April 9, 2009
Authorized electronic MAGLOCLEN/RISS users may register
online at hgp:llmagloclen.riss.net
j l NAME/RANK Lee Goodman, Major
AGENCY Carmel Police Department
ADDRESS 3 Civic Square
Carmel, IN 46032
TELEPHONE �i 7 571 -2522
E -MAIL ADDRESS 1 goodman0 c m 1_ i n. gov
MAGLOCLEN PRIMARY REPRESENTATIVE: YES NO
I
S Oil, REGISTRATION FEES
The registration fee for forms received onlbefore March 4, 2009, is $125.
s For those registering after March 4, 2009, the late registration fee is $150.
There will also be an optional $50 cash hospitality fee to be collected at time of registration.
Checks, money orders, or purchase orders will be accepted as payment and are to be made payable
to "LAW ENFORCEMENT COMMITTEE." Credit cards will not be accepted. Registrations will
be accepted prior to receiving the registration fee. Please use FEDERAL ID 23- 2160277.
!s f
The attendee must make all reservations and payment for hotel accommodations Additional person(s)
from each agency are encouraged to participate at their own or their agency's expense. The maximum
reimbursable hotel room rate is $97 plus tax, totaling $1.12.52, single or double occupancy, per night.
041 PLEASE RETURN TO:
MAGLOCLEN
Q 140 Terry Drive, Suite 100
Newtown, Pennsylvania 18940
(800) 345 -1322
OR FAX TO:
(215} 504 -4927 (215) 504 -4926
For conference registration information, please contact:
I°$' Terry Bannigan, Extension 1515, tbanigan@magloclen.riss.net
n
Linda Bentz, Extension 1256, lbentz @magloclen.riss.net
For content and other questions relating to this conference, please contact:
Matthew McDonald, Training Supervisor, Extension 1516
FOR OFFICE USE ONLY ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIEI
Payment: E3 Cash El Check P.O. 1 Billed
Amount Received: Received By: Date:
City. INDIANA RETAIL TAX EXEMPT PAGE
®f C rme l CERTIFICATE NO.003120155 002 0 1 f
C� PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 QNfs 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
JanuE v 270 20 9 trainin
VENDOR 14ACLOCLEN TRIP Clty of Carmel Police Department
140 Terry Drive, Suite 100
TO 3 Civic Square
Newtown, PA 16940 C IN 4€:032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Officer Safety and Crimin&A Intelligence Resources 125.00
training for Major Lee Goodman on April 6 9, 2009
in Indianapolis
All
Send Invoice To: City of Carmel, Po
ATTTN: Teresa Ander r �1
3 Civic Square""'
Car 1, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 570 -04 instructional fees PAYMENT
1 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
f NUMBER IS MADE A PART OF THE 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 66 Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 CLERK TREASURER
DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
r.
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
MAGLOCLEN Purchase Order No. 20034F
140 Terry Drive, Suite 100 Terms
Newtown, PA 18940 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/4/09 406011 payment for the MAGLOCLEN 2009 annual conference for 125.00
Major Lee Goodman on April 6 9, 2009 in Indianap6lis
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
MAG LOCLEN IN SUM OF
140 Terry Drive, Suite 100
Newtown, PA 18940
125.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
20034F 406011 570 -04 125.00 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
February 11 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund