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173039 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362884 Page 1 of 1 0 ONE CIVIC SQUARE SOUTHEAST TRAINING ASSOCIATES, CHECK AMOUNT: $299.00 CARMEL, INDIANA 46032 1215 IVORY COURT GREENWOOD IN 46143 o CHECK NUMBER: 173039 CHECK DATE: 5/2712009 D A CCOUN T PO NUMB INVOICE NUMBER A MOUNT DESC RIPTION 210 4357000 20995 299.00 TRAINING Southeast Training Associates, Inc. 1215 Ivory Court Greenwood, Indiana 46143 r f� Phone: 317- 374 -8661 11 JM 13 A Southeas7 Training Associates INVOICE Invoice Number 1170509 Customer Number. 01 -024 CRML Bill To: Provide Payment To: Carmel Police Department Southeast Training Associates, Inc 3 Civic Square 1215 Ivory Court Carmel, IN Greenwood, Indiana 461.43 46032 EIN# 32- 0180402 Date: Item of Items: Cost Total: Each: 05 -20 -09 International Police Mountain One officer, @299.00 299.00 Bike Association's Plus one officer IPMBA Police Cyclist free for Hosting Course Class (2 students total) June 8 -11, 2009 32 Hour Class Total Due. 299.00 Payable upon receipt Signed Al Simpson President Southeast Training Associates, Ine. IPMBA Police CyclistTm Curse NBSK 32 hour 4 day class Hosted by: Carmel Police �11 I June 8 -11, 2009 ...�w�. Monday through Thursday 8AM 5PM NAME Last First Middle Initial HOME ADDRESS Street City State Zip PERSONAL PHONE (reuvired) "You may photocopy G- '13 2—&& -3 this form for additional Area Code Number students! AGENCY Agency Address City State Zip AGENCYPHONE Make check payable to: a n Southeast Training Area Code Number Associates, Inc Cyclist Course Fee $299 per student CHECK ONE Check Money Order Free Slot for 2 paid Students Mail registration form and payment to: Southeast Training Associates, Inc 1215 Ivory Court, Greenwood, IN 46143 Attention Police Cyclist Course Instructor: Sat. Al Simpson. Retired Supervisor of the Pompano Beach, FL., Police Bicycle Unit. 'y Registration Deadline: IPMBA Police Bicycle Instructor 165T -13 years as an IPMBA Instructor A1II15t 20i 20 0$ Instructor Lt. Clarence White IMPD, IPMBA Instructor 211T Founder of the IMPD Bike Unit Please call Southeast Training to reserve a spot in the class 317- 374 -8661 Course location: Caravel Police Department 3 Civic Square, Carmel, IN 46032 Carmel Police Contact Person: Lt, Dwight Frost at 317 -571 -2729. 317 -571 -2500 t c IPMBA Police CyclistTm Course °LI 32 hour 4 day class ON BIKCS Hosted by: Carmel Police IPM BA June 8 -11, 2009 Monday through Thursday 8AM 5PM NAME E'I r 4 14. Last First Middle Initial HOME APARESS C APM eP T�/ 14 Street 0 City State Zip PERSONAL PHO NE re uired "You may photocopy this form for additional Area Code Number students! AGENCY MA nn e!� Agency Address City State Zip AGENCYPHONE s Make check payable to: Southeast Training Ara Code Number Associates, Inc Cyclist Course Fee $299 per student CHECK ONE Check Money Order Free Slot for 2 paid Students Mail registration form and payment to: Southeast Training Associates, Inc 1215 Ivory Court, Greenwood, IN 46143 Attention Police Cyclist Course Instructor: Set. Al Simpson, R Deadline: Retired Supervisor of the Pompano Beach, FL, Police Bicycle Unit. Re g IPMBA Police Bicycle Instructor 165T- 13 years as an IPMBA Instructor August 20 2008 Instructor Lt. Clarence White IMPD, IPMBA Instructor 211T Founder of the IMPD Bike Unit Please call Southeast Training to reserve a spot in the class 317 -374 -8661 Course location: Carmel Police Department 3 Civic Square, Carmel, IN 46032 Carmel Police Contact Person: Lt. Dwight Frost at 317 -571 -2729. 317 -571 -2500 INDIANA RETAIL TAX EXEMPT PAGE Ci ty of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Poiice Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3t�NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P 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 fay 20, 2099 training VENDOR Southe>awt Training Associates, Inc. SHIP City of Carmel Police Department 1215 Ivory Court TO 3 Civic Square Greenwood, IN 46143 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION International Police Mountain Bike Association 299.00 for Officer Puke Pitman and Officer DJ Sclhoeff on June 8 11,22009 at Carmel PDD i 4. ell 'q "m mesa CO 1 Send Invoice To: k PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 210 570 cont ed fund t' 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 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. Ax C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l 7 1IFr SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. AM. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER iVO. WARRANT ALLOWED 20 IN THE SUM OF I 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 n which charge is made were ordered and received except.�__�_____� 20 Signature Title Cost distribution ledger classification it 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 Southeast Training Associates, Inc. Purchase Order No. 20995F 1215 Ivory Court Terms Greenwood, IN 46143 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/20109 1170509 a ent for International Police Mountain Bike 299.00 Association's training for Officer Mike Pitman and Officer DJ Schoeff on June 8 11 2009 at CP.D: 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 S outheast Trainin &AAssociates, Inc. IN SUM OF 1215 Ivory Court Greenwood, IN 46143 299.00 ON ACCOUNT OF APPROPRIATION FOR c oat ed fund Board Members EP or DEPT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 20995F 1170509 570 299.00 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 May 21 2009 -A"4WI-b- 1-4 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund