221158 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00350617 Page 1 of 1
ONE CIVIC SQUARE NATIONAL BUSINESS INSTITUTE
CARMEL, INDIANA 46032 PO BOX 3067 CHECK AMOUNT: $349.00
EAU CLAIRE WI 54702 CHECK NUMBER: 221158
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 943610 349 . 00 EXTERNAL INSTRUCT FEE
NBI Inc.,dba
National Business Institute NATIONAL
Box ,
Ea BUSINESS
Eau Claire,WI 54702
Toll Free: (866)656-1590 INSTITUTE TM
Invoice
Invoice: 943610 05/31/2013
Ashley M.Ulbricht
Due:$349.00 06/30/2013
One Civic Square Account No:02251370
Carmel,IN 46032
Human Resource Law:What You Need to Know Now(62484), Indianapolis,IN
Event Date: 05/08/2013
Account Name:Ulbricht,Ashley M.
Order Description T _ Units Rate Charges
1283713 Registration $349.00
PO Number: 26727
Total Services: $349.00
Total Charges: $349.00
Invoice Summary
Total Services: $349.00
Total Shipping&Taxes: $0.00
Total Charges: $349.00
Total Payments: $0.00
Total Amount Due: $349.00
Please remit to:
NBI,Inc.
P.O.Box 3067
Eau Claire,WI 54702
Federal ID#39-1768861
CEM722 Page 1 of 1
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• - e _=Express Event Registration
• - - • • IiN no i OW
Need to register quickly?Use the product code below to complete your
Express Event Registration online or via the phone.
`!,Cant Atterid?iCheck ferekto;orde`r Product ID:62484
... ,_ ..
audrio CD&;coursebook;of
May 8 Seminar Tuition thissemiriar..forr5349` •`R
i Indianapolis, I N $349—first registrant ri:please add 57.95 for st Ipping,($14�.taAK Hl or NATIONAL
(62484) $339—each adt'l registrant d 5t ipme s to CA.)AiN;NV RI;SD`:TX;wri apd:iviim�st;:, Non Profit Org.
:. tr.r BUSINESS
also include sales;iax.IPlease provide street'addiess';` U.S.Postage
T''Allow 2 weeks followi g:program dale"for.delivery.' INSTITUTE.M PAID
fMAILTO:National Business Institute NBI,Inc.
Registration Form(f lease photocopy this form for multiple registrants.) A Division of NBI,Inc. PHONE:(800)930-6182
P.O.Box 3067 FAX:715-835-1405
Name 4-5—R 1 C _Title,!5SI , � � � y /r� %j)�� Eau Claire,WI 54702 ONLINE:www.nbi-sems.com
NBI Subscription Holder?Enter Subscription N Here* E-mail i'#h42 1 .
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�{{ �+ ❑ ❑ z6 so ❑ s1-loo 100+ Visit nbi-sems.com/subscriptions for more information.
i Address�]N� � �V<< S QU atZ.E ,�1
City C_Re��k __ `/ State �g,v zip Y�o3 s, 15- Ndc Cincinnati S
Phone ( 3 1-1 ) 5 // — o)7'J.Z Key Code: P1 bacb9 Sic: 9221
Ashley M. Ulbricht
Pa m nt Information Carmel City Attys. Office
44 �� a7 1 Civic Sq
❑C enclosed paya e to National Business Institute ❑ MasterCard ❑ VISA ❑ American Express ❑ Discover
1 Card No. Exp.Date
Carmel In 46032-2584
Signature Irllt llrllrllllt lrll��r�Irr�Ir���Ilrrrlll�lllrilllllrlr�Irlll�l�l
I Please bill me.(If your organization requires a PO.please provide it.)tt.� e�7
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You can still get the training you need by purchasing the audio CD and course book of this program.See above to order.
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INDIANA RETAIL TAX EXEMPT PAGE
City ®f.C sane l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Or � ) FEDERAL EXCISE TAX EXEMPT �/ 7c2(/� � �"`� 35-60000972 (�j
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
as
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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� Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT )92 71 • U6
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 HEREBY CERTIF_Y`HATTHERE.IS•AN'CINOBLIGATED ALANCE IN
•SHIP REPAID.
'THIS APPROPRIATIO •SUFFI TENT TO PAY FOR THE' BOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �' - � :` r,.>'►/ti� .�.�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1
^ ��� CLERK-TREASURER
DOCUMENT CONTROL NO. (6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO---------------_WARRANT
ND`____
'
_ ALLOVVED 20___
|N THE SUM OF$
ON ACCOUNT{}FAPPROPRIATION FOR
Board Members
'u*w | hereby certify that the attached invoice(s), or
INVOICE NO, ACCT#[TITLE AMOUNT bill(s) is /ane> true and correct and that the
- materials or services itemized the'reonfor
which charge ia made were ordered and
reneivedexoap�
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