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Home My WebLink About215470 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 366291 Page 1 of 1 ONE CIVIC SQUARE LAW ENFORCEMENT&EMERGENCY S CHECK AMOUNT: $1,400.00 CARMEL, INDIANA 46032 PO BOX 547 MIDLOTHIAN TX 76065 <,o CHECK NUMBER: 215470 CHECK DATE: 12/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 26178 1, 400 . 00 TRAINING Law Enforcement &Emergency Services Video Association International Inc. PO Box 547 Midlothian, TX 76065 December 5, 2012 INVOICE Ref your PO 26178 Students: Trent McIntyre and James Grose Agency: Carmel, IN PD Training title: Forensic Imaging Techniques Training location: University of Indianapolis, Indiana Training dates: June 9-10, 2012 Amount due: US$1400 ($700 x 2) If paying by check or money order, please make payable to LEVA and mail to LEVA at the address above. If paying by credit card, please use form provided. A $25 service charge will be added if payment is by credit card. Please contact me with any questions, (571) 329-2869 or training @leva.org. MR. JAN GARVIN LEVA Training VP A Non-Profit Organization FEID#75-2299518 www.leva.org Law Enforcement and Emeraency Services Video Association Forensic Imatint! Techniques June 9 — 10, 2012 UNIVERSITY of � INDIANAPOLIS: ONLY CLEARLY PRINTED OR TYPED APPLICATIONS ARE ACCEPTED. Name jovMeS Grose_ Title �Q,} �,✓8 Organization CG[rrne,1 FoLce_ bqatfy"4 'g V Address C-\a SU V Are- City, State (Prov.) Zip (Postal) Code Carmel, 1'! Phone Fax E-mail address q(use @ Ccirmel . i h q, y How did you learn of this LEVA class? LEvA ye,6si Brief description of your current duties as it relates to imaging: R eY 2w V,&4P o S urVe a h`c avid "-Ave �&(eepi5kjS VS;h9 OVSSOL;Akj wei to. Why do you desire to attend this class? I wovt j like- le leAln 6V �0 US e_ �jo�2 t'►u+bslwe 4-0 f?h hAnCC i'maae5 010+4'v1G� t r0r► V;dep 9vt✓e.'11Nh(A-o SIGNAT OF APPLICANT DATE This agency/c pa all ov the ap ant's attendance and funding has been allocated. ----- - !lv I b 4_1 i(/l S/b✓t C,b�*�c iq u/JL�_ SIGN OF NI R *_CYOFFICIAL V TITLE Re isterin o�L serves as a older. Tuition payment secures the seat. Complete this form by May 11, 2012 and FAX it to the Course Facilitator, LEVA Training VP, Mr. Jan Garvin, FAX (240) 371-5809. Questions? Phone (540) 842-1742 or email training @leva.org Once notified of application acceptance, the tuition must be received by dune 1, 2012 via check, Visa, Mastercard or American Express. Payment details will accompany your invitation. Law Enforcement and Ememencv Services Video Association Forensic Ima2in2 Techniques June 9 — 10, 2012 UNIVERSITY of O;W* INDIANAPOLIS. ONLY CLEARLY PRINTED OR TYPED APPLICATIONS ARE ACCEPTED. Name -r/QEA1 /-141617`VRC Title Organization G4 911itL /0 Address 3 6, VLG _5,Q City, State (Prov.) Zip (Postal) Code (i14 l /"JEL , IA/ 1-16, O j-a Phone 31`2 -6`71 - 2600 Fax 31°x- E-mail address — �"�ee Gcri1nd, inn. 90 v How did you learn of this LEVA class? f p;a P 6 4 SS Brief description of your current duties as it relates to imaging: &AC-O W-r, 0%e 1V 1e_tom/ r 4-7411,1- S-11/1.s, CBr�pGPt.S6/!.f_ G►"@l�I� 6u /41(iiS Why do you desire to attend this class? 7'0 14.rt�ar e`i�ai►G�' /r1y 6il/`�y o g4f1t��^ �41, bejl V;dep &V,jenlx 4of-0 le-, ___Z�_ N 112 SIGNATURE OF APPLICANT DATE This agency/co n app ve the ap 'cant's attendance and funding has been allocated. SIGN RE OF EN OR AG INC FFCIAL TITLE Cn �z Re isterin only eaves as a 1 older. Tuition payment secures the seat. Complete this form by May 11, 2012 and FAX it to the Course Facilitator, LEVA Training VP, Mr. Jan Garvin, FAX (240) 371-5809. Questions? Phone (540) 842-1742 or email training @leva.org Once notified of application acceptance, the tuition must be received by June 1, 2012 via check, Visa, Mastercard or American Express. Payment details will accompany your invitation. INDIANA RETAIL TAX EXEMPT PAGE City ® I''.: Carmed CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 20978 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 X92 Law Wore nont &i Emorgoncy Sorvicos Video A C@nol Pollco Dop @KmGnt VENDOR'"I' Jan G @mIn SHIP 3 Civic Bqulm P.O. Box 547 TO Conol, IN 4M Mldlothl@n,TX 7 (397)571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-670.00 2 Each training $700.00 $9,400.00 Sub Total: $1,400.00 Ell i "\t f �� V I�oging Tochniquor.training for WE. -G-msQ �k 1, Ti��4 o on Juno 2 - 10,2092 in ind9lonapalls Send nvolce o. Caarmol Pollco Dopaftmont Attn: Tomas AndOrzon 3 Civic Squ@a Camel, IN 41 2= PLEASE INVOICE IN DUPLICATE DEPARTMENT +� ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT 49+400•00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATIHERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATIO +SOFF DENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. 8f Police•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 26178 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. NO. ALLOWED 20 _-_ IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR C" 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 Law Enforcement & Emergency Services Video Mr. Jan Garvin IN SUM OF $ P.O. Box 547 Midlothian, TX 76065 $1,400.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 26178 -570.00 $1,400.00 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 Thursday, December 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)) 12/05/12 training- Gross/McIntyre $1,400.00 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