HomeMy WebLinkAbout209203 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 354777 Page 1 of 1
ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $895.00
CARMEL, INDIANA 46032 ATTN: TOM KUHLENSCHMIDT -ISOA TREAS
o a6:r PO BOX 1016 CHECK NUMBER: 209203
CROWN POINT IN 46308
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 26065 545.00 TRAINING
210 4357000 26066 350.00 TRAINING
NVOME
P.O. Box 1016
Crown Point, IN 46308
Kuhlaid50 @yahoo.com
DATE: MAY 5, 2012
TO: FOR:
Carmel Police Department Conference Registrations
Attn. Teresa Anderson Junkyard Shootout
3 Civic Square Purchase Order #26065, 26066
Carmel, IN 46032
DESCRIPTION AMOUNT
Conference Registrations X5 $875.00
Junkyard Shootout X1 $20.00
Brady Myers
Gregory Loveall +junkyard shootout
Scott Long
Todd Clark
Curtis Scott
TOTAL $895.00
Make all checks payable to ISOA
Payment is due within 30 days.
If you have any questions concerning this invoice, contact Tom Kuhlenschmidt at (219) 488 -4421
Thank you for your support!
FOR OFFICIAL USE ONLY ATTENDEE
REatsTa
9th Annual Conference May 6th 8th
l 4175 Conference Fee 0 $20 "Junkyard Shootout" Match
$25 Late Fee (After April 20, 2012)
Total: 00 Additional Banquet Tickets $40 each
An application form must be submitted for each and every attendee
FIRST NAME M.I. LAST NAME
AGENCY ASSIGNMENT /R
AGENCY ADDRESS STATE CITY ZIP CODE
MAILING ADDRESS (OT THAN AGENCY) CITY
7 4 STATE ZIP COD
x �I� W '6-6
E-MAIL ADDRESS PHONE
I affirm that the above informa is true and accurate. Further, 1 authorize the Indiana SWAT Officers Association
X]^ rf y m lover and verify my emp a ass ignmen t, if necessary.
SIGNATURE DATE
IMPORTANT: Will you be attending the banquet? l70 YES NO Number of additional tickets requested:
Federal Tax ID Number: 57 1177923
You are considered pre- registered if your registration form' and payment (agency purchase order, check, credit card`, DOJ
voucher, or money order) are received prior to April 20, 2012. Any registration form received after April 20, 2012, will result in a
$25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be
purchased for $40.00 per ticket (limited quantity available).
*Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and
banquet dinner on Monday, May 7th, and lunch on Tuesday, May 8th
*There will be a $3.00 additional processing fee for credit card payments
If you are pre- registered and cancel prior to April 20, 2012, your registration fee will be refunded less a
$50.00 administrative charge. No refunds will be issued after April 20, 2012. However, suitable
substitutions will be allowed.
If paying by credit card, please complete the following:
VISA
CREDIT CARD NUMBER EXPIRATION DATE I DIGIT AUTHORIZATION CODE
NAME ON CREDIT CARD AUTHORIIATION SIGNATURE
ADDRESS CITY STATE ZIP CODE
IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA.
Please include the billing address where the monthly statement is sent.
PLEASE CHECK: FULL-TIME PART -TIME RETIRED AUXILIARY /RESERVE ACTIVE MILITARY RESERVE MILITARY
a o- o a
O WKuHLI ENSCHMIU T ®A
Bb 1 0 1` 6
0 N N ANA 46 0 0
FOR OFFICIAL USE ONLY ATTENDEE
R
9th Annual Conference May 6th 8th
,1- W$175 Conference Fee $20 "Junkyard Shootout" Match
3�
$25 Late Fee (Aver April 20, 2012)
Total: 00 Additional Banquet Tickets $40 each
An application form must be submitted for each and every attendee
FIRST NAME M.I. LAST NAME
L U iTi s
AGENCY ASSIGNMENT /RANK /TITLE p 4
_C,V G' C f C Cy T �4z�
AGENCY ADDRESS CI STATE ZIP CODE
1
`3 CkVtc S U, 0 vt �v z� (o v3 Z
MAILING ADDRESS (OTHER THAN AGENCY) CITY
STATE ZIP CODE
E -MAIL ADDRESS PMONE-
cc v'vv, ej� OV
I affirm that the above information is true andaccurate. Further, I authorize the Indiana SWAT Officers Association
to contact my employer and verify my employment and assignment, if necessary.
SIGNATURE
�✓y DATE Y B d 2L 1
L
IMPORTANT: Will you be attending the banquet? ES NO Number of additional tickets requested.
Federal Tax ID Number: 57- 1177923
You are considered pre- registered if your registration form* and payment (agency purchase order, check, credit card DOJ
voucher, or money order) are received prior to April 20, 2012. Any registration form received after April 20, 2012, will result in a
$25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be
purchased for $40.00 per ticket (limited quantity available).
*Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and
banquet dinner on Monday, May 7th, and lunch on Tuesday, May 8th
*There will be a $3.00 additional processing fee for credit card payments
If you are pre- registered and cancel prior to April 20, 2012, your registration fee will be refunded less a
$50.00 administrative charge. No refunds will be issued after April 20, 2012. However, suitable
substitutions will be allowed. p
If paying by credit card, please complete the following: V L) W
CREDIT CARD NUMBER EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE
NAME ON CREDIT CARD AUTHORIZATION SIGNATURE
ADDRESS CITY STATE ZIP CODE
IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA.
Please include the billing address where the monthly statement is sent.
PLEASE CHECK: FULL -TIME PART -TIME O RETIRED AUXILIARY /RESERVE ACTIVE MILITARY RESERVE MILITARY
OR 0
0 ®A
e 0 I
i O 0 0 0
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 02/10/2012 Employee: Scott, Curtis
Name of School: 2012 ISOA Conference
Cost: $175.00
Location of School: Ft. Wayne, Indiana
State: IN
Topic Subject Matter: Various subject matter relating to SWAT operations.
ILEA Course Certification if available):
Dates of School: From: 05/06/2012 To: 05/08/2012
Contact Person: Kuhl enschmidt, Tom Email: kuhlaid50 @yahoo.com
Telephone Number: (219) 488 -4421
Instructor: Various ILEA Instructor #(if available):
How will this School benefit you and the Department? The school conference offers a variety
of classroom and practical hands on training and instruction relating to a variety of tactical,
psycological and operational aspects which would benefit Cannel SWAT operations both
individually as well as the team level echelon.
Will you need a rental car? ❑Yes ®No
Will you need air transportation? ❑Yes ®No
Will you need accommodations? ®Yes
"OVERTIME COMPENSATION WILL NOT BE PAID IF YOU VOLUNTEER TO
ATTEND A SCHOOL ONLY IF YOU ARE ORDERED TO ATTEND.
l
Officer's Signature:
Supervisor' Signature: Date: 0 //L(
1
Division Commander: Date: 2
Training Officer: Date: a
*OFFICE USE ONLY BELOW THIS L NE*
2011 -02 -222
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 02/10/2012 Employee: Clark, T.C.
Name of School: 2012 ISOA Conference
Cost: $175.00
Location of School: Ft. Wayne, Indiana
State: IN
Topic Subject Matter: Various subject matter relating to SWAT operations.
ILEA Course Certification (;f available):
Dates of School: From: 05/06/2012 To: 05/08/2012
Contact Person: Kuhlenschmidt, Tom Email: kulllaid50 @yahoo.com
Telephone Number: (219) 488 -4421
Instructor: Various ILEA Instructor #(if available):
How will this School benefit you and the Department? The school conference offers a variety
of classroom and practical hands on training and instruction relating to a variety of tactical,
psycological and operational aspects which would benefit Carmel SWAT operations both
individually as well as the team level echelon.
Will you need a rental car? ❑Yes ®No
Will you need air transportation? ❑Yes ®No
Will you need accommodations? ®Yes ❑No
`"OVERTIME COMPENSATION WILL NOTE PAID IF YOU VOLUNTEER TO
ATTEND A SCHOOL ONLY IF -O O '.ERED TO ATTEND.
Officer's Signature: t
Supervisor' Signature: Date: 2
Division Commander: Date:
Training Officer: Date: S� 2
*OFFICE USE ONLY BELOW THIS LINE*
2011 -02 -222
FOR OFFICIAL USE ONLY AMNDEE
5
7~
RsF(WsT/
O N
9th Annual Conference May 6th 8th
I i
N($175 Conference Fee $20 "Junkyard Shootout" Match
$25 Late Fee (After April 20, 2012)
Total: _.00 Additional Banquet Tickets $40 each
An application form must be submitted for each and every attendee
FIRST NAME i M. 1. LAST N.{M/.AL/E/`
...AGENCY
ASSIGNMENT/RANK/TITLE
/RANK /TITLE
AGENCY ADDRESS CITY STATE I Zip
P C
3L
MAILING ADDRESS (OTHER THAN AGENCY) CITY .STATE ZIP CODE
L
E-MAIL ADDRESS PHONE
1 affirm that the above information is true and accurX Further, I authorize the Indiana SWAT Officers Association
to contagt my employer and verify my employment and assignment, if necessary.
SIGNATURE DATE
IMPORTANT: u e atte ding the banquet? R YES NO Number of additional tickets requested:
Federal Tax ID Number. 57 1177923
You are considered pre- registered if your registration form' and payment (agency purchase order, check, credit card', DOJ
voucher, or money order) are received prior to April 20, 2012. Any registration form received after April 20, 2012, will result in a
$25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be
purchased for $40.00 per ticket (limited quantity available).
*Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and
banquet dinner on Monday, May 71h, and lunch on Tuesday, May 8th
*There will be a $3.00 additional processing fee for credit card payments
If you are pre- registered and cancel prior to April 20, 2012, your registration fee will be refunded less a
$50.00 administrative charge. No refunds will be issued after April 20, 2012. However, suitable
substitutions will be allowed.
If paying by credit card, please complete the following: Cj
VISA I
CREDIT CARD NUMBER 'EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE
NAME ON CREDIT CARD AUTHORIZATION SIGNATURE
ADDRESS CITY 'STATE ZIP CODE
IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA.
Please include the billing address where the monthly statement is sent.
PLEASE CHECK: t FULL-TIME PART -TIME RETIRED AUXILIARY /RESERVE ACTIVE MILITARY RESERVE MILITARY
0 N F ORM AND O
QA
o 0 0
CR OWN"ROINT i, I N DIANA o e e
r FOR OFFICIAL USE ONLY A TENDEE
J
RE(UsTanom
9th Annual Conference Ma y
6th 8th
!`1$175 Conference Fee $20 "Junkyard Shootout" Match
$25 Late Fee (After April 20, 2012)
Total: 00 Additional Banquet Tickets $40 each
An application form must be submitted for each an eve ry attendee
FIRST NAME M.I. LAST NAME
Loti
AGENCY ASSIGNMENT /RANK /TITLE
C'.4&14E!_ PoL a,5 A TMI✓laT PQ -1 5Wk
AGENCY ADDRESS CITY 45TATE ZIP CODE
3 Ci +VW, S `�tlal CA -R.AEL— lt�l 41,&o32-
MAILING ADDRESS (OTHER THAN ENCY) CITY STATE ZIP CODE
ll GIEN HER -S �}�o3d
E -MAIL ADDRESS PHONE
S 1Z- SZI
1 affirm that the above information is true and accurate. Further, I authorize the Indiana SWAT Officers Association
to contact m yer an v my empl an assi gnment, if n ec e ssary.
SIGNATURE
DATE
1130 �/ti
IMPORTANT: Will you be ndi the banquet? YES NO Number of additional tickets requested:
Federal Tax ID Number: 57 1177923
You are considered pre- registered if your registration form' and payment (agency purchase order, check, credit card', DOJ
voucher, or money order) are received prior to April 20, 2012. Any registration form received after April 20, 2012, will result in a
$25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be
purchased for $40.00 per ticket (limited quantity available).
*Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and
banquet dinner on Monday, May 7th, and lunch on Tuesday, May 8th
*There will be a $3.00 additional processing fee for credit card payments
If you are pre- registered and cancel prior to April 20, 2012, your registration fee will be refunded less a
$50.00 administrative charge. No refunds will be issued after April 20, 2012. However, suitable
substitutions will be allowed.
If paying by credit card, please complete the following: VISA I 0
CREDIT CARD NUMBER EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE
NAME ON CREDIT CARD AUTHORIZATION SIGNATURE
ADDRESS CITY STATE I ZIP CODE
IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA.
Please include the billing address where the monthly statement is sent.
PLEASE CHECK: FULL -TIME O PART -TIME RETIRED AUXILIARY/RESERVE ACTIVE MILITARY RESERVE MILITARY
SUBMIT REGISTRATI OWFORM AND PAYMENT TO
O. TREASURER
1 0
D e 1
FOR OFFICIAL USE ONLY ATTENDEE
RE(usTRAnom
t 9th Annual Conference May 6th 8th
$175 Conference Fee �20 "Junkyard Shootout" Match
$25 Late Fee (After April 20, 2012)
Total: .00 Additional Banquet Tickets $40 each
An application form must be submitted for each and every attendee
FIRST NAME M.I. LAST NAME
AGENCY ASSIGNMENT /RANK /TITLE
�fi 2L Mt L �UGIc ,q,�P.,-ps/17C AvT �/9� ,2ni /1?�i✓ �ciC�� o:= ��c� ✓j�
AGENCY ADDRESS CITY STATE ZIP CODE
3 C.1 vtG S�)U,9Q6 c n 9_ rN y6, 70
MAILING ADDRESS (OTHER THAN AGENCY) CITY STATE ZIP CODE
E -MAIL ADDRESS PHONE
I affirm that the above information is true and accurate. Further, I authorize the Indiana SWAT Officers Association
to contact my employer and verify my employment and assignment, if necessary.
SIGNATURE
J DATE
2
IMPORTANT: Will you be attending the banquet? YES NO Number of additional tickets requested:
Federal Tax ID Number: 57 1177923
You are considered pre- registered if your registration form` and payment (agency purchase order, check, credit card', DOJ
voucher, or money order) are received prior to April 20, 2012. Any registration form received after April 20, 2012, will result in a
$25.00 late fee. NOTE: We WILL NOT accept registrations on the day of the Conference. Additional banquet tickets can be
purchased for $40.00 per ticket (limited quantity available).
'Registration fee includes: Attendance at Conference, Vendor Appreciation Day, lunch and
banquet dinner on Monday, May 7th, and lunch on Tuesday, May 8th
*There will be a $3.00 additional processing fee for credit card payments
If you are pre- registered and cancel prior to April 20, 2012, your registration fee will be refunded less a
$50.00 administrative charge. No refunds will be issued after April 20, 2012. However, suitable
substitutions will be allowed.
If paying by credit card, please complete the following: 'VISA
CREDIT CARD NUMBER EXPIRATION DATE 3 DIGIT AUTHORIZATION CODE
NAME ON CREDIT CARD AUTHORIZATION SIGNATURE
ADDRESS CITY STATE 717 CODE
IMPORTANT: Your credit card will be charged the day your registration form and payment are received by the ISOA.
Please include the billing address where the monthly statement is sent.
PLEASE CHECK: P&�ULL-TIME PART-TIME RETIRED AUXILIARY /RESERVE ACTIVE MILITARY RESERVE MILITARY
SUBMIT o 0 0
i B OA
O 0
CR 0 8 e
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 02/01/2012 Employee: Loveall, Gregory #4000
Name of School: ISOA Conference
Cost: $175 Conference Fee $20 "Junkyard Shootout" Totaling $195 (1 am willing to paw
$20 shootout fee if needed)
Location of School: Ft. Wayne Indiana
State: Indiana
Topic Subject Matter: Several Tactical Vendors
ILEA Course Certification (if available):
Dates of School: From: 05/06/2012 To: 05/08/2012
Contact Person: Tom Kuhlenschmidt
Telephone Number: (219) 488 -4421
Instructor: ILEA Instructor #(if available):
How will this School benefit you and the Department? There will be several different tactical
workshops and numerous speakers with all types of Law Enforcement experience.
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 UU ARE ORDERED TO ATTEND.
ffi
Ocer's Signature: o(e
Supervisor' Signature: Date:
Division Commander: Date: 7 Z.
Training Officer: Date: l�
*OFFICE USE ONLY BELOW THIS LINE*
2011 -02 -222
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 1/29/2012 Employee: Brady Myers
Name of School: Indiana SWAT Officers Conference
Cost: $175
Location of School: Ft. Wayne, IN
State: IN
Topic Subject Matter: Special Weapons and Tactics
ILEA Course Certification if available):
Dates of School: From: 5/6/2012 To: 5/8/2012
Contact Person: Tom Ifuhlenschmidt
Telephone Number: (219) 488 -4421
Instructor: Multiple ILEA Instructor #(if available):
How will this School benefit you and the Department? The conference hosts many of the nations
leading instructors in the SWAT community. The inforination shared at the conference will
benefit me in my position as Team Leader on our SWAT team. I have family that live in Ft.
Wayne so I would not need a hotel room.
Will you need a rental ear? ❑Yes NNo
Will you need air transportation? ❑Yes NNo
Will you need accommodations? ❑Yes NNo
"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: 0-
Division Commander: Date:
Training Officer: Date:
*OFFICE USE ONLY BELOW THIS L
2011 -02 -222
CARMEL POLICE DEPARTMENT
APPLICATION FOR SPECIALIZED TRAINING
Today's Date: 1/30/2012 Employee: Scott Long
Name of School: Indiana Swat Officers Association Conference
Cost: 175
Location of School: Fort Wayne
State: Indiana
Topic Subject Matter: CQB Pistol, Low Light Pistol and Vehicle /Bus Assaults
ILEA Course Certification (if available):
Dates of School: From: 5/6/2012 To: 5/8/2012
Contact Person: Tom Kuhlenschmidt
Telephone Number: (219) 488 -4421
Instructor: ILEA Instructor #(if available):
How will this School benefit you and the Department? It will expand my knowledge on different
methods and tactics concerning pistol skills on weapon retention,tar eg t acquisition and shooting
on the move. It will also expand my knowledge on approaches towards vehicle and bus assaults
as a SWAT operator. The conference also provides various speakers that touch on the combat
mindset of a SWAT operator.
Will you need a rental car? ❑Yes MNo
Will you need air transportation? [—]Yes MNo
Will you need accommodations? MYes ❑No
"OVERTIME COMPENSATION WELL NOT BE PAID IF YOU VOLUNTEER TO
ATTEND A SCHOOL ONLY IF YOU ARE ORDERED TO ATTEND.
Officer's Signature: k�
Supervisor' Signature: Date: --�Z
Division Commander: Date:
Training Officer: Date:
*OFFICE USE ONLY BELOW THIS LINE
2011 -02 -222
INDIANA RETAIL TAX EXEMPT PAGE
C i t y C arm( ll l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
1I' i Jl
FEDERAL EXCISE TAX EXEMPT
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. LVENDOR NO. DESCRIPTION
99dIWOi9
Indlena SWAT OffleorMooclation Carmel Pailco Department
VENDORTom Kuhlenschmidt ISOA Troasurar SHIP 3 Civic Squam
P.O. B ait 9016 TO Cffm@i, IN 46M
Cram Point, IN dI (317) 6712
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
g UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-S70.a0
2 Each Braining $175.00 $330.00
Stab Total: $350.00
W� Conkmneo for 0Moor Todd Clam and s' r? CU'01k 4 012 In Ft. iyre, IN
I
Sen Invoice o: 3
Camel Police DoWment
Attn: germ Andomon
31 Civic squam
Carmel, IN 2m PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carrel Police Dept. PAYMENT Mom
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THENOUCHER AND EVERY INVOICE AND
VOUCHER HAS PROPER.SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY VRTI Y THAT IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS AP PRIA_ IOf�SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,,gyp
SHIPPING LABELS. U CIjIIdP ��Il�r�
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 6 ®6 6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER VVARRANTNO
ALLOWED 20
|N THE SUM OF$
ON ACCOUNT {}F APPROPRIATION FOR
U
Board Members
,o# INVOICE NO, ACCT#/TITLE AMOUNT
DEPT hereby certify that the attached invoicebA,cv
bill(s) is (ave) true and correct and that the
materials or services itemized thereon for
which charge ie made were ordered and
received except
20____
Signature
Title
Cost distribution ledger classification n
claim paid motor vehicle highway fund
Ci INDIANA RETAIL TAX EXEMPT PAGE
ty of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2MM
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
211312012
Indigana BWST OPPicorAssociatlon Carmel Police De
VENDORTom KuhlonsehmIdt m I60A Tmasumr SHIP 3 CIVIC squ2m
P.O. Boss 9090 TO Calmd, IN 488
Crown Point, IN A (317) 671
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY
.q ep UNIT RE OF MEASU DESCRIPTION UNIT PRICE EXTENSION
Accoun C
3 Each training $175.00 $525.00
I II Total: $525.00
ni c,SU'R�Ci, t
C Sub
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Ono
Z?
J"
e®
Inds @na SAT Officers conference for Sot. bi; O S L O gn
g I: ao, May 0, 2012 in Ff. X110, IM
Send Invoice To:
Carmel Police Depantent
Attn: Tomom Anderson
3 CIVIC squm
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police De 7 Y l_ l s 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 SWOR�,AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY yATTHERE I N UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRI Ot�l SUFFI O PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. fj oQ Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE A I�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S 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 motorvehicle 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))
05/05/12 payment for training $350.00
05/05/12 payment for training $545.00
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. WARRANT N
ALLOWED 20
Indiana SWAT Officer Association
Tom Kuhlenschmidt ISOA Treasurer
IN SUM OF
P.O. Box 1016
Crown Point, IN 46308
$895.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26066 570.00 $350.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
26065 570.00 $545.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 17, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund