208753 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00350628 Page 1 of 1
f ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT CHECK AMOUNT: $950.00
CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA
12000 ALUMNI DRIVE CHECK NUMBER: 208753
JACKSONVILLE FL 32224 -2678
CHECK DATE: 5110/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 26062 2201203812 950.00 CONFERENCE
Institute of Police Technology and Management 1.
rl
University of North Florida
12000 ALUMNI DRIVE
Jacksonville, FL 32224 -2678
Phone: 904 620 -4786
Fax: 904 620 -2453
Federal I.D. 59- 1982921 Cage Code: 68207
Invoice 2201203812 Course 021104322
Invoice Date: 01/20/2012 Date: 05/07/2012 To 05/18/2012
Please make Check payable to:
ATTN: TERESA ANDERSON Institute of Police Technology
CARMEL PD and Management
3 CIVIC SQUARE
Please show Invoice on Check
CARMEL, IN 46032
Agency PO
Description of Item or Program Cost
Advanced Traffic Crash Investigation
SERGEANT ADAM C. MILLER 950.00
TOTAL: 950.00
Payment due on or before first day of.class.
Please return a copy of this invoice with your payment
Comments:
REFUND POLICY
Effective January 1, 2012, a 1016 administrative fee will be'assessed to all refunds.
In lieu of a refund, student substitutions can be -made or a credit can be issued for a future course.
r
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 01/13/2012 Employee: Adam Miller
Name of School: Advanced Traffic Crash Investigation
Cost: $950
Location of School: Carterville
State: Illinois
Topic Subject Matter: Advanced Traffic Crash Investigation
ILEA Course Certification (if available):
Dates of School: From:05 /07/2012 To: 5/18/2012
Contact Person: IPTM
Telephone Number: (904) 620 -4786
Instructor: IPTM ILEA Instructor #0f available):
How will this School benefit you and the Department? This is the second course out of three that
I need to become an accident reconstructionist This class will help me apply the information I
learned in At -Scene Traffic Crash/Traffic Homicide Investgation.
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: c
II
Supervisor' Signature: Date: f
Division Commander: Date:
Training Officer: Date:
*OFFICE USE ONLY BELOW THIS LINE*
2011 -02 -222
City f t C e l INDIANA RETAIL TAX EXEMPT PAGE
r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
lvs li 1L li
FEDERAL EXCISE TAX EXEMPT 2
35- 60000972
ONE 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
WiW2012
Initituto of Palle@ Technology and Managsm @nt carmial Police Department
VENDOFPnId @rglty Of berth Florida SHIP 3 CI squ
i= Alumni Drive TO Cumol, IN 46M
Jacftsonvills, FL 32224 -WO (317) 671-2W
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
,q I UNIT RE OF MEASU DESCRIPTION UNIT PRICE EXTENSION
Account Q0 -670.00
1 Each t $950 ;00 $950. 00
Sub Total: $959.
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Send Invoice o: t
Carmel Pollco Dopartmont
Attn: TaroaaAnderson
3 Civic Square
Carmol, IN 46 032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police De pt. PAYMENT .00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE APART 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.
Jam/'
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Police
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 ®6 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT 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
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/20/12 2201203812 training $950.00
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
VOUCHER NO. WAR NO.
ALLOWED 20
Institute of Police Technology and Managemen
University of North Florida
IN SUM OF
12000 Alumni Drive
Jacksonville, FL 32224 -2678
$950.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26062 I 2201203812 I 570.00 I $950.00 1 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
Wednesday, May 02, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund