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213060 09/25/2012
CITY OF CARMEL, INDIANA VENDOR: 00350088 Page 1 of 1 :. ONE CIVIC SQUARE INDIANA FIRE INSTRUCTORS ASSOC IN&ECK AMOUNT: $600.00 CARMEL, INDIANA 46032 1048A N LUTHER RD GEORGETOWN IN 47122 CHECK NUMBER: 213060 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 26220 29220 600 . 00 CONFERENCE Indiana Fire Instructors Assoc. Invoice o 1048A N. LUTHER ROAD w f o a/O�L GEORGETOWN, IN 47122 DATE INVOICE# V 812-903-0103-Office s u 8/7/2012 29220 812-903-0105-Fax T T. R ® � E PL E BILL TO R CARMEL POLICE DEPARTMENT CA RE0- Attn: Teresa Anderson 3 CIVIC SQUARE CARMEL, IN 46032 Email: ilia @insightbb.com Visit us on the web at www.ifia.org P.O. NO. TERMS DUE DATE School 26220 Net 15 8/22/2012 ITEM DESCRIPTION QTY RATE AMOUNT IAAI 2012 IAAI Conference 3 200.00 600.00 August 20,21,&22,2012 Location: Primo West Banquet&Conference Center, 2353 E.Perry Rd.,Plainfield,IN 46168 Registered: Sarah Harris Brad Hedrick Michael Pitman IAAI CANCEL 'Be last day to cancel is August 3,2012. The billing 0.00 0.00 agent will be responsible for the full conference fee if any cancellations are made after this date or the registrant is a"no show"to the conference. Indiana Sales Tax 7.00% 0.00 Whomever receives this invoice, please remind all registered students Total $600.00 (if applicable) of the dates, times and courses that they have signed up for. Please remit to above address.INCLUDE INVOICE#ON CHECK. Thank ank You for your business T DUE INDIANA RETAIL TAX EXEMPT PAGE City ® C arme i CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28 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 8=12 Indiana Fir@ Instnictom Assoc Cool Polico Department VENDOR SHIP 3 Civic Squaw 9040 N. Luthor Road TO Carol, IN 46032 Go®rgotom, IN 47922 (397)579 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-670.00 3 Each 2092 Indiana Fire Investigation $200.00 $000.00 conference Sub Total: $000.00 ... a '` >°•r 2892 Indlom Fire Invosti i¢lon confmrr�nco tie D�p{ a q0. "i@M#) ?Modric&on August 20 -22 2092 In Plainflol J/r Send Invoice To: g �=`�" � g ' Camel Pollco Dop2dmont Attn: Tom=Anc1oroon 31 Civic Square Czmol, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Camel Police Dept. ���j PAYMENT 0.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATIO FICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. IQ���Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1 ! AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 2 2® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. NO.------- ALLOWED 20 IN THE SUM OF$ 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 4 Ways to Register for the Seminar! 1. On-line Registration at www.ifia.org — Education / IAAI Tab 2. Fax Form:to Indiana Fire Instructors Assoc. FAX: 1-812-903-0105 3. Call: Indiana Fire Instructors Association at 800-235-0282 or(812) 903-0103 4. Mail Form: Indiana Fire Instructors Assoc., 1048 N. Luther Road, Georgetown, IN 47122 REGISTRATIONS ARE-LlMITE0 TO-THE,FIRST 175 PEOPLE * *,*,,Pre'paymentlis.required,to-registe'r-,*, Upon receiving your registration with payment,_we-will send a pai&invoice to the,department or agency. /Checks;_Clbim Forms, Purchase Orders should'tie mad, ayabl to: >- `Indiana Fir.e:lnsktructors Association If�ypu have%ny qultions please clan 812-903-01036r800-235w0282\ Conference:2012 Indiana Fire Investigation Conference !i _ Location: PrimolWest=Banquet Facilitd y 2353 E. Perry Road Plai field; IN-461168 When: August 20',-21, &22, 2012. Registration Time: 7,:00 AM-, (August-20,,12012) Registration Fee: 1$200-M-1= Includes Hand-outs_L-unch, Refreshment Breaks;and Certificate of Completion. Name of Attendee (As�yoq want-into appear on the certificate)- / C, Agency Invoice To An:tt (MuSt s C mpleted) �f Address 4, i�(`Ji G 6 ` - City: ,State: Telep``lio e#,64) .J � Email: A iL7,M- /( ;,1`JI 1 , CFaz:(��) ;7 2-Y-1 z �- Credit Card Information: Card Holder Name: Address: City: State: Zip: Telephone #: Card Type: Visa/Master Card # or P.O.# Expiration Date: 3-digit # on back of card Cancellation Policy:The last day to cancel and receive a refund is August 3, 2012. The billing agent will be responsible for the full conference fee if any cancellations are made after this date or if the registrant is a"no show"to the conference. Website: www.iniaai.org Email: Secretary0),iniaai.org Yahoo Group: http://tech.groul2s.yahoo.com/group/indiana-iaai/ 4 Ways to Register for the Seminar! 1. On-line Registration at www.ifia.org — Education / IAAI Tab 2. Fax Form:to Indiana Fire Instructors Assoc. FAX: 1-812-903-0105 3. Call: Indiana Fire Instructors Association at 800-235-0282 or (812)903-0103 4. Mail Form: Indiana Fire Instructors Assoc., 1048 N. Luther Road, Georgetown, IN 47122 REGISTRATIONS-L"IMITED TO-TH RST-,175 PEOPLE 11 * * * Pre-paymentlIsrA�rega uiredrto.,registero Upon receiving your registration withrpayment_,-we-will_send a paid,,invoice to the department or agency. rChecks Claim/Forms, Purchase Orders should be-made,payable to: � n�diay ay =F e---n tr 1_,tors Association�l If�yo a fany q e� tions plea l s11 call 812-903-01.0 0 80\23582 Conference:2012.Indiana Fire Investigation-Conference Location: Prirno(West Ban quet Facility t 2353 E. Perry Road Plal j field-, IN 461168 I When: August 20–, 21 & 22, 201.2 Registration Time:f7+;00 A:M (August 720;2©12) Registration Fee: $200 00' Includes Hand-outs_L-_unch, Refreshment Breaks;anertiflcate of Completion. Name of Attendee (As�you w/\ -itAo appear on the certificate)'rtificate)' Agency Invoice To Attn`'(M St B c P ) ���%�5� '►�S�``'j / � f / Address �,�✓ � � Gi'z- _ J f City: ��` ,State:-►"' Zip: 4_ Te'lepho`ne,#d , 0—S 7�� 5 Email: 5 al l' `'e '/1J` is 1 ��Fax:( `) �' ��� 71' u /� Credit Card Information: Card Holder Name: Address: City: State: Zip: Telephone #: Card Type: Visa/Master Card # or P.O.# Expiration Date: 3-digit # on back of card Cancellation Policy:The last day to cancel and receive a refund is August 3,2012. The billing agent will be responsible for the full conference fee if any cancellations are made after this date or if the registrant is a"no show'to the conference. Website: www.iniaai.org Email: Secretaa(a,iniaai.org Yahoo Group: http://tech.groups.vahoo.com/group/indiana-iaai/ 4 Ways to Register for the Seminar! 1. On-line Registration at www.ifia.org — Education / IAAI Tab 2. Fax Form:to Indiana Fire Instructors Assoc. FAX: 1-812-903-0105 3. Call: Indiana Fire Instructors Association at 800-235-0282 or(812) 903-0103 4. Mail Form: Indiana Fire Instructors Assoc., 1048 N. Luther Road, Georgetown, IN 47122 REGISTRATIONS ARE-LIMITED TO-THE.FIRST�175 PEOPLE * * * Pre--ymen0isNeguired to-r gis e X�z : \� alb�N..-�` . Upon receiving your registration with payment_,_we-will send a paid voice to the department or agency. /C hecks;Claim Forms, Purchase Orders should'be,made payable to: �� Indiana_Firerinstr, tors Association f ,��`/ ,—� If�yhave!a�ny q ��Stions p�l a�p call:812-903-0103 or 800 2350282 � ` I�igation-Confc 141 Conference: 20121ndiana Fire Invesrence Loc ation: PrimolWest:Banquet Facility J 2353 E. Perry Road ! P I a i 61 IN-46'1'68 When: August 20, 21 &`22, 2012 Registration Tim�7+;00 A.M, (August:20,7 2@ 12) ? Registration Fee: �,$�O-�Includles Hand-outs Refreshment Breaks, fan Certificate of Completion. I t fir Name of Attendee (fAs,oU want-itAo appear on the certificate) Agency Invoice To Attn:,(m.st Address C`f X city: ;Stae: Z'I�V603_4Tele0h�on�e�#•(31 � 1 Email: i ' �rFa/x:( \)�?����i�7� 2�%L Credit Card Information: Card Holder Name: Address: City: State: Zip: Telephone #: Card Type: Visa/Master Card # or P.O.# Expiration Date: 3-digit # on back of card Cancellation Policy:The last day to cancel and receive a refund is August 3, 2012. The billing agent will be responsible for the full conference fee if any cancellations are made after this date or if the registrant is a"no show"to the conference. Website:www.iniaai.org Email: Secretary�ic iniaai.org Yahoo Group: http://tech.groups.yahoo.com/group/indiana-iaai/ 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 29220 training $600.00 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 Fire Instructors Assoc IN SUM OF $ A 1048 N. Luther Road Georgetown, IN 47122 $600.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26220 I 29220 I -570.00 $600.00 I 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, September 19, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund