HomeMy WebLinkAbout214339 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00350628 Page 1 of 1
ONE CIVIC SQUARE INST OF POLICE TECHNOLOGY MGT
CARMEL, INDIANA 46032 UNIV OF NORTH FLORIDA CHECK AMOUNT $950 00
o� 12000 ALUMNI DRIVE CHECK NUMBER: 214339
JACKSONVILLE FL 32224-2678
CHECK DATE. 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 25487 2201301738 950 00 TRAINING
.� Institute of Police Technology and Management ,
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 # 2201301738 Course # 021129352
Invoice Date 09/28/2012 Date 11/05/2012 To 11/16/2012
Please make Check payable to
ATTN TERESA ANDERSON Institute of Police Technology
CARMEL PD and Management
Please show Invoice # on Check
3 CIVIC SQUARE
CARMEL, IN 46032
Agency PO #
Description of Item or Program Cost
Traffic Crash Reconstruction
OFFICER 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 10% 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.
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 1rl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2W7
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO DESCRIPTION
Instituto of Police Technology and Management Carmol Police Department
VENDORUniversity of North Florida SHIP 3 Civic Squat
1200 Alurrnni Drive TO Camel, IN 46M
Jacksonville, FL 32224-2678 (W)571
s
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY AUNIIT�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-670,00
9 Each training $95000 $950.00
Sub Total. $950.00
° ' .?
gel
Traffic Crash Reconstruction school for Sgt. 11 r 60 0AVehlb 012 in Birmingham,AL
Send Invoice To
Carmol Police Department
Attn:Teresa Anderson
3 Civic squam
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $f .Go
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. \THIS
A PPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ^ hI@6 of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C
l� 1d
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
f`
t`{>,J 4A4'? CLERK TREASURER
DOCUMENT CONTROL NO A COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO WARRANT NO_
ALLOWED 20
_ IN THE SUM OF$
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
Institute of Police Technology and Management
University of North Florida
Registration Form
NAME Adam Miller SS# 313942163
ORGANIZATION Carmel Police Department TITLE Sergeant
ADDRESS 3 Civic Square
CITY Carmel STATE In ZIP 46032
TELEPHONE 317-571-2500 FAX 317-571-2512
E-MAIL amiller @carmel in gov
Course Title: Traffic Crash Reconstruction
$950 00 *Due to very limited seating,a$250 non-refundable deposit is required in order to register for
Course Fee* computer software or digital photography courses. Payment or purchase order must be submitted
with registration.
For online courses,full payment must be received at least one week prior to the first day of class.
Please indicate the dates and location of the course for which you are registering
Course Dates: 11/5/2012 to 11/16/2012
Course Location: Birmingham, Al silo
You can also register online at: www iptm.org
Americans with Disabilities Act Program Accessibility Individuals who require reasonable
accommodation in order to participate must notify the registrar at(904)620-IPTM at
• least five working days prior to the class.
NAME TITLE
REGISTERING PERSON'S E-MAIL
PURCHASE ORDER NUMBER [ ] FEE ENCLOSED
_ Make checks payable to-Institute of Police Technology and Management
[ END INVOICE TO
LZ�� Oakj��
REFUND POLICY A 10%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.
Return to:
17P 0 Institute of Police Technology and Management/University of North Florida
12000 Alumni Drive • Jacksonville, Florida 32224-2678
Phone: (904) 620-IPTM • Fax. (904) 620-2453 • website• www.iptm.org
(web)
• QO • •
The benefit you derive from the course is determined by your having satisfied the
prerequisites of the course. Questionnaire must be completed when submitting registration form.
YES NO
1 Have you successfully completed IPTM's Advanced Traffic Crash
Investigation (80 hours) course or its equivalent? ❑
2. Are you familiar with the equations for-
a Drag factor by test skids? ❑
b. Drag factor by sled? ❑
c. Minimum speed from skidmarks? a ❑
d Radius of circle equations? 1�1 ❑
e. Time distance equation? 9 ❑
f Conservation of linear momentum equations? ® ❑
g. Speed from critical scuffs? 0 ❑
h. Speed from falls? r® ❑
i. Speed from vaults? �^J ❑
3. Have you ever testified as an expert witness in a traffic crash investigation
case?
a Civil case ❑
b. Criminal case ❑ ESr
4 Can you measure distances and angles from scale diagrams furnished to you? EF ❑
5 Education: Year
rr
Graduated-
High School:
College• -31f� iIC�r�� ��I✓G�-S(4::�, c�
to
If any other comments or information relative to this application is required, please attach additional
sheet
Student's name (printed) A$-,- AA illC'�
Signed Date-
(student's signature)
•
IP MM Traffic Crash Reconstruction
(80 Hours)
THIRD IN A SERIES OF THREE COURSES
Traffic Crash Reconstruction builds upon IPTM's Advanced Traffic Crash Investigation course by assisting you further
in understanding vehicle dynamics. You will take part in a more intense study of time/distance calculations,
angular momentum and impact speed calculations using momentum equations.
Topics include:
• Derivation and origin of the commonly used speed formulas
• Speed of vehicles at impact using conservation of linear momentum
• Behavior of vehicles in a collision using Newton's three laws of motion
• Discussions of commercial vehicle and motorcycle dynamics in collisions
• The determination of direction of travel, initial contact and position of vehicles on the roadway
This course includes extensive project work and controlled vehicle experiments to give you first hand experience in
crash reconstruction. Each student will be required to diagram and analyze three different crash scenarios as well
as complete vector sum analysis of each.
Note: Early application for this course is encouraged. Prior to the start of the course, study materials in basic
mathematics and algebra will be sent to you. Please review these materials before coming to class. Please
complete the "Traffic Crash Reconstruction Questionnaire" found on page 2 and return it with your registration.
Prerequisite: Because of the highly technical subject matter, it is mandatory for you to have successfully completed
IPTM's Advanced Traffic Crash Investigation course or its equivalent
Audience: Law enforcement and private traffic crash investigators, claims adjusters, engineers, attorneys, safety
officers, military investigative personnel, animators and graphic designers
Course Fee: $950
REFUND,COURSEFEE PI POLICY
The course fee includes tuition,a student reference manual and A 10%administrative fee will be assessed to all refunds. In lieu of
study materials. We accept checks,cash,agency purchase a refund,student substitutions can be made or a credit can be
orders and credit cards. Credit card payments may be made issued for a future course.
online using your Visa,MasterCard,Discover or American
•e• e 0 0
Express card.
Most locations are served by several major airlines. Ground
• transportation,food and lodging are the responsibility of the
Register online at www.iptm.org. A minimum number of student However,hotels in the listed areas offer a special rate to
registrations must be received for a class to run as scheduled. IPTM program participants. For more information,please visit our
When the minimum criterion has been met,written website at www.iptm.org or call us at(904)620-IPTM.
confirmation will be mailed,faxed,or emailed to you. 9 1 • e
Please do not make airline reservations until you receive written Continuing Education Units(CEUs)are available through IPTM.
notification confirming that the course will run as scheduled.
Please call us at(904)620 4PTM for details.
To register for this course online, please visit our website at-
www.iptm.org
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))
09/28/12 2201301738 training $95000
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
Institute of Police Technology and Managemen
University of North Florida
IN SUM OF $
12000 Alumni Drive
Jacksonville, FL 32224-2678
$95000
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#1 Dept. INVOICE NO ACCT#/TITLE AMOUNT
Board Members
25487 1 2201301738 I -57000 I $95000 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
Thursday, November 01, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund