HomeMy WebLinkAbout211794 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 139800 Page 1 of 1
ONE CIVIC SQUARE INDIANA ASSOC OF CHIEFS OF POLICECHECK AMOUNT: $175.00
CARMEL, INDIANA 46032 10293 N MERIDIAN ST STE 175
INDIANAPOLIS IN 46290 CHECK NUMBER: 211794
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 26221 74059 175 . 00 CONFERENCE
REGISTER TODAY !
IACPFALLCONFERENCE
REGISTRATION , INDIANA ASSOCIATION OF CHIEFS OF POLICE
• FALL CONFERENCE
Name /rr Cr«.J September 12 — 13, 2012
Crowne Plaza Hotel and Conference Center at
Department �•�� ; Historic Union Station, Indianapolis
Title I 'V t f Featuring Keynote Speaker Josh Bleill
. Indianapolis Colts Community Spokesperson
First Name for Badge "Life begins when we embrace our bad days and keep going
/t forward,one step at a time."
Address 3 ( / "%� -S�v �- ; Marine Corporal Josh Bleill is a native of
• Greenfield,Indiana.After graduating high
City (','}.f-rnEL- ; � � school,Josh attended Purdue University.
• ° After his personal education concluded,Josh
State G�,jt�� Zip -7 decided to serve his country by joining the
—/ United States Marine Corps in 2004,and was
Phone ( 3 J 7) 5`7 J" '�'J1 1 `y activated for a tour of duty in Iraq in 2006.
I - While serving in Iraq,Corporal Bleill was
Email :2�flze-1 severely injured,resulting in the loss of both
• of his legs. After extensive rehabilitation,Bleill
REGISTRATION FEE returned to Indiana in August of 2008,where he attacked his new
ber $175 . life head-on. This new life included employment as the Indianapolis
❑ Non-Member $250 • Colts Community Spokesperson.Indianapolis Colts Owner,Jim Irsay,
PAYMENT METHOD : has described Bleill as"very talented,bright-eyed,and skilled."
® Check ® VISA ® MasterCard ' ase Order • Further,Irsay stated,"Josh had one of the toughest roads of all in
• recovering and finding a way to live his life to the fullest.I know he's
Account Number going to touch many lives for us."
Expiration Date Security Code ; One of Bleill's more recent duties as a member of the Colts
organization was to co-author a book,One Step At A Time:A
Signature(as it appears on card) • Young Marine's Story of Courage,Hope,and a New Life in the
NFL,which further details Josh's unique and inspiring story.Bleill
Credit Card Billing Address if different than above: • claims,"Life begins when we embrace our bad days and keep going
• forward,one step at a time."
Address • Fall Conference Highlights
city State Zip : The annual IACP Fall Conference provides an opportunity for
Federal and State agencies to provide briefings of importance to
CANCELLATION POLICY- Prior to August 8, 100% refund; • you for your departments and communities.
August 8-22,50%refund;After August 22, no refund. '
Cancellations must be in writing.
Conference Schedule
If paying by check,mail completed form,along with full �
Wednesday, September 12,2012
payment to:
IACP Fall Conference 1:00 PM Registration
10293 North Meridian Street,Suite 175, Indianapolis,IN 46290 1:00 PM-3:00 PM Exhibitor Showcase
3:00 PM-4:00 PM Keynote Session with Josh Bleill
If paying by credit card,fax completed form to 317.816.1633 ; 4:00 PM-5:00 PM Agency Meetings by Size
To make discounted lodging reservations,call the Crowne Plaza Thursday, September 13, 2012
at 317.631.2221 by August 3. 7:30 AM-8:00 AM Continental Breakfast
Hotel room cancellations are the responsibility of the 0 8:00 AM-12:00 Noon Updates from State&Federal Agencies
individual,and must be made 72 hours in advance of arrival. 12:00 Noon-1:00 PM Luncheon
Cancellations made less than 72 hours prior to arrival will be 0 1:00 PM-5:00 PM. Updates from State&Federal Agencies
charged for the first night's room and tax. ; (continued)
CALL 317.816.1619 FOR MORE INFORMATION 0 5:00 PM Adjourn
INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT mi
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
B=12
Indiana Assoc. of Chiefs o4 Police, Inc. CwmGI Police Department
VENDOR SHIP 3 Civic Square
10223 N. Meridian Stroat, Suite 175 TO Carmel, IN 4
Indianapolis, IN 46 0 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-670.00
1 Each conference 0175.00 $175.00
Scab Total: $175.00
c;
IACP Fall conf orance for Cplefl CrGan on SGplt 5'or 2 CIA\20123 /
Send Invoice To:
Cannel Pollco DGpaAnrent
Attn: TGrosa Anderson
3 CIVIC Squzm
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ` PAYMENT S175.100
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
�J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFI I T TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ''
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. o p Pollen
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE If
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No. 26221 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.-_�._
ALLOWED 20
IN THE SUM OF$
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 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))
08/07/12 74059 training $175.00
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 NO.
ALLOWED 20
Indiana Assoc. of Chiefs of Police, Inc.
IN SUM OF $
10293 N. Meridian Street, Suite 175
Indianapolis, IN 46290
$175.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26221 I 74059 I -570.00 I $175.00 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
Friday, August 10, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund