HomeMy WebLinkAbout215469 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1
ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNELL�ff
'�la CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000 C}1ECK AMOUNT: $720.00
INDIANAPOUS IN 46204 CHECK NUMBER: 215469
CHECK DATE: 12/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 25504 2012PSY1205 720 . 00 EVALUATIONS
Institute for Public Safety Personnel, Inc. Invoice
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204 DATE INVOICE#
11/29/2012 2012psy1205
BILL TO
Carmel Police Department
3 Civic Square
Carmel, IN 46032
DESCRIPTION QUANTITY RATE AMOUNT
Applicant psychological evaluations for 2 360.00 720.00
Bay, Christopher
Rice, Jonathan
Make checks payable to: Total
$720.00
Insititute for Public Safety Personnel, Inc
Phone# Fax# E-mail
317-687-8910 317-687-9490 jeff @ipsp.net
City INDIANA RETAIL TAX EXEMPT PAGE
o f Il °�anal CERTIFICATE NO.003120155 002 0\�/J CVs 111111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 04
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
'10IM20`12 t-
I fff Public Safety Pert®nnoi, Inc. Cannel Polico Dopari'nnont
VENDOR SHIP 3 Civic Squam
259 East Ohio Street, Suite 9000 TO Camel, IN 40032
Indianapolis, IN 4620.E (397)579
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTIITY AA UNIIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
ACe@t�ht 43.407.01
2 Each psWhologicai evaluations $360.00 $720.00
Saab Total: $720.00
•`
Jahnathan Rice f Christopher Bay � � � � •"D
Send Invoice To:
Carmel Police Doparti-rant
Attn: Teresa Anderson
3 Civic Square
Camel, IN 2m PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
CarTnel Police Dept. PAYMENT $720.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• .
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /J1
SHIPPING LABELS. r Chief��i �II
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P . COPY-SIGN AND RETURN TO CLERK'S OFFICE
t
VOUCHER NO. NO.
ALLOWED 20
_ IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Institute for Public Safety Personnel, Inc.
IN SUM OF $
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204
$720.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#rrITLE AMOUNT Board Members
25504 I 2012psy1205 I 43-407.01 I $720.00 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
Wednesday, December 05, 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))
11/29/12 2012psy1205 applicant psychologicals $720.00
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