215470 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