212634 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 164001 Page 1 of 1
ONE CIVIC SQUARE INDIANA DIVISION IAI
CARMEL, INDIANA 46032 ATTN: ERIC BLACK,SECITREASURER CHECK AMOUNT: $150.00
?� 10925 SANDPIPER COVE
„o CHECK NUMBER: 212634
FT WAYNE IN 46845
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 26240 150 . 00 TRAINING
INDIANA DIVISION
INTERNATIONAL ASSOCIATION FOR IDENTIFICATION
Federal Employer Identification Number 35-1934954
10925 Sandpiper Cove, Ft. Wayne, IN 46845
INVOICE
TO: Ms. Teresa Anderson
DATE: August 24, 2012
REFERENCE: John Elliott
DESCRIPTION: 2012 Indiana Division IAI Educational Conference
AMOUNT: $150.00
P.0. 9: 26240
TOTAL AMOUNT DUE................................................$150.00
REMIT TO: Indiana Division of the International Association for Identification
Attention: Eric Black, Secretary-Treasurer
10925 Sandpiper Cove, Ft. Wayne, IN 46845
Telephone: (260) 797-3037
E-Mail: ericb277@yahoo.com
f<+ INDIANA RETAIL TAX EXEMPT PAGE
city- ®f �sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
. 1a.
FEDERAL EXCISE TAX EXEMPT
35-60000972 2W40
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
indiam Division IAl Carmel Police Departrnon4
VENDOR'SliC BI @Ck, Secrotary-dmaourar SHIP 3 Civic Squam
TO
10M Sandpipor Cove Camel, IN 4532
Foil#Myno, IN 4M5 671.2M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY
�,g I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-670.00
1 Each training $150.00 $150.00
f ,r Sub Total: $150.00
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2,Ajrfd 1pfoj[eo,*oPbronca W John Elliott on Septoinboi^ ;'I g,-,2012 In hidia�i pqus
Rte. . <
C @col Police Department
Attn:Toros Andoroon
3 Civic squaw
Camel, IN 462. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT $150.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. „A»,� ��^+A ��`y
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY •,...... -. X t...r.�--
SHIPPING LABELS. t
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �ehlo4'6�Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2(6?4® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._._-._.._.._.__.WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
r�
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
\aOXN"A 0/ 2012 Indiana Division of the
AL AS��py
Q International Association for Identification
2 9�
Z 19t" Annual Educational Conference
Registration Fora
�pENTIf�GP
Attendee Information
Name: John Elliott
Agency: Carmel Police Department
Job Title: Inspector
INIAI Member: Yes ® No ❑ Member Number: 0006
Address: 3 Civic Square
City: Cannel State: IN Zip: 46032
Phone: 317.571-2515 Ext:
Fax: 317.571.2507
E-mail: jelliott @cannel.in.gov
Attending: Full Conference: ® Single Day(s): 17th ❑ 18th ❑ 19th ❑
Conference Information
Location: Hilton Indianapolis North Hotel
8181 North Shadeland Avenue
Indianapolis, Indiana 46250
Phone: 317 849-6668 Fax: 317 849 — 4936
Dates: September 17 — 19, 2012
Fees: Member Registration Fee: $150
Non-Member Registration Fee: 175
Single Conference Day Attendance Fee: $75 per day
Student Attendance Fee: $35 per day
Hotel: Hilton Indianapolis North Hotel
8181 North Shadeland Avenue
Indianapolis, Indiana 46250
Phone: (317) 849-6668
$91.00 per night
Make sure to mention that you are attending the INIAI Conference to
receive the discounted room rate, or click here and use the group code
IDIAI when making your reservations.
Please send your completed registration form either through email or US Mail along with your
registration fee either by check (made payable to: Indiana Division IAI) or through our website
using PayPal to:
Eric Black, Secretary-Treasurer
10925 Sandpiper Cove
Fort Wayne, Indiana 46845
Ericb277(o-)-yahoo.com
*Seethe INIAI website at www.iniai.orq for updates, map, and hotel information.
08/08/2012 2012 Annual Conference
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About INIAI 2012 Annual Conference
Ank
Membership
U Events The 2012 Annual Conference will held September 17th - 19th at the
other Training Hilton Indianapolis North Hotel
8181 N. Shadeland Ave.
Officers Indianapolis, IN 46250
Employment (317)849-6668
Links
I Contact Us When making reservations, make sure to mention or use
the group code IDIAI for the discounted rate.
Members Site
day,
View the tentative 2012 conference schedule
Attendees
If you're interested in attending this year's conference, please complete this registration
form and return to Eric Black at either the physical or email address listed along with
your payment.
Eric Black, Secretary-Treasurer
10925 Sandpiper Cove
Ft.Wayne, IN 46845
Ericb277 a@yahoo.com
Please make checks payable to Indiana Division of 1A or you can pay using PayPal
located on the Events Tab.
Vendors
Check out what options the Indiana [Al has to offer you for advertising. If you are
interested in advertising with INIAI please fill out this form. If you're interested in
attending the conference or donating door prizes, please fill out this registration form.
www.iniai.org/2012 Conference.html 1/2
08/08/2012 2012 Annual Conference
www.iniai.org/2012 Conference.htrrl 2/2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Division IAI
Eric Black, Secretary-Treasurer
IN SUM OF $
10925 Sandpiper Cove
Fort Wayne, IN 46845
$150.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26240 -570.00 $150.00
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
Thursday, September 06, 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))
08/24/12 training/Elliott $150.00
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