216816 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 366870 Page 1 of 1
ONE CIVIC SQUARE OFFICER DAVID S MOORE FOUNDATION
' CARMEL, INDIANA 46032 ATTN SGT THOMAS WESTRICK CHECK AMOUNT: $3,000.00
901 N POST ROAD CHECK NUMBER: 216816
INDIANAPOLIS IN 46219
CHECK DATE: 1129/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 25617 3 , 000 . 00 LEADERSHIP CLASS
Richard A. Hite, Chief of Police +F ° 4
Indianapolis Metropolitan
50 North Alabama Street �g Police Department
�' ` City of Indianapolis
Indianapolis, Indiana 46204 � , ,�..:.: y p
IMPD Leadership Academy Class 2013-01 Invoice
i t
Carmel Police Department
3 Civic Square
Carmel, IN 46032
Our records indicate you have reserved two seats for the spring session of the IMPD
Leadership Academy beginning January 28, 2013. Please submit a check payable to The Officer
David S. Moore Foundation in the amount of$3,000.00 to Sgt. Thomas Westrick at 901 N. Post
Rd Indianapolis, IN 46219.
ity INDIANA RETAIL TAX EXEMPT PAGE
® I' �� CERTIFICATE NO.003120155 002 0.
11 \C/// el PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 21e
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
V24 W3
The Officer David S. Moore Foundation Carmel Police Department
VENDOR SHIP
l�gl% Thomas TO 3 Chic Sgraam
101 N. Post Road Carmel, IN 46032
Indianapolis. IN 46.219 (31?l 671-2ffig
CONFIRMATION =UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
Account 00-670%00
1 Each HpD Leadership Academy Class $3,000.00 $3,000.00
Sub Total: $3,000.00
rA
o rill�Academy ass for •Send nAiceT YSY� anuary 28, 2013 In Indlanapclls
Carmel Police Department
Attn: Teresa Anderson
3 Chic Square
Carmel, IN 46w PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. �`�'`� PAYMENT $3,=.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I� of p?)I10A
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
"'*,.�.. Sr.,. ;,:
r O ( CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _'.WARRANT NO.____...__._._
ALLOWED 20
IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
The Officer David S. Moore Foundation ALLOWED 20
Sgt. Thomas Westrick IN SUM OF $
901 N. Post Road
Indianapolis, IN 46219
$3,000.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
22 000.00 I hereby certify that the attached invoice(s), or
2 I -570.00 I $3, _
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
Friday, January 25, 2013
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))
01/25/13 training $3,000.00
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