207008 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 366073 Page 1 of 1
i ONE CIVIC SQUARE CLINTON POLICE DEPT EQUIPMENT FU NECK AMOUNT: $250.00
CARMEL, INDIANA 46032 CLINTON CITY POLICE DEPT
259 VINE STREET CHECK NUMBER: 207008
CLINTON IN 47842
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 250.00 TRAINING SEMINARS
f
Mayor Jack Gilfoy Jr. Chief Perry W. Hollowell
Clinton City Police Department
259 Vine Street
Clinton, IN 47842
(765) 832 -3232
Invoice billing for Instructor development to be held March 26 -30, 2012 at the Clinton Police
Department. The following officers have been enrolled in the program:
Sgt. Tim Byrne Carmel Police Department Department
All checks should be made payable to the Clinton Police Department Equipment Fund. The
program cost is $250.00 per student. Total cost for this billing is 5250.00. Payment for the
class should be made prior to the class start date.
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 02/28/2012 Employee: Timothy Byrne
Name ",e Instructor Development
s
C $250
Location of "School: Clinton Police Department
State: IN
Topic Subject Matter: Instructor Development
ILEA Course Certification (if available):
Dates of School: From: 3/26/2012 To: 3/30/201.2
Contact Person: Chief Perry Hollowell or Kim Ingram
Telephone Number: (765) 832 3232,,
Instructor: Unknown ILEA Instructor #(ifavailable):
How will this School benefit you and the Department? This will certify me as an instructor
which will then allow me to attend the EVO Instructor school
Will you need a rental car? ❑Yes ®No
Will you need air transportation? ❑Yes ®No
Will you need accommodations? ®Yes ❑No
"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 Commander: Date:o�
Training Officer: Date:
*OFFICE USE ONLY BELOW THIS LINE*
2011 -02 -222
INDIANA RETAIL TAX EXEMPT PAGE
C i ty ®f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2i
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A1P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO PACKING SLIPS
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
IrRM2
Clinton Pollco Dept. EquipmGr* Fend Camel Police Depadmont
VENDORClinton City Poilo@ DopmIt ont SHIP 3 Civic 8qu
V1 no Stuart TO CeIrmol, IN Q
Clinton, IN 47842 (M) 57
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY
57 UNIITOF URE MEAS DESCRIPTION UNIT PRICE EXTENSION
{ls
Account -670.00
1 Each training $250.00 $250.00
Slab Total: $250.00
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In i nor U clo pmot 4e�lnll 0 for Tlm 2 (Won, IN
Send Invoice To:
C2mol Polka Dept tment
Attn: Tr mom Anderson
3 Civic sriuws
Camol, IN 4i PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT •00
A/P 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 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 �a
SHIPPING LABELS. ChlGf oq P
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 6 8 1 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or AVOECE 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clinton Police Dept. Equipment Fund
Clinton City Police Department IN SUM OF
259 Vine Street
Clinton, IN 47842
$250.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26081 570.00 $250.00
I hereby certify that the attached invoice(s), or
I
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
Friday, March 09, 2012
Chief of Police
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/09/12 training if Byrne $250.00
1 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