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Home My WebLink About222441 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 139800 Page 1 of 1 ` ONE CIVIC SQUARE INDIANA ASSOC OF CHIEFS OF POLICECHECK AMOUNT: $175.00 CARMEL, INDIANA 46032 10293 N MERIDIAN ST STE 175 �•�'? INDIANAPOLIS IN 46290 CHECK NUMBER: 222441 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357004 25370 74158 175 . 00 CONFERENCE Indiana Association of Chiefs of Police 10293 N Meridian Street, Suite 175 Invoice Indianapolis, IN 46290 Telephone 317.816.1619 Date Invoice No. Fax 317.816.1633 7/19/2013 74158 Bill To Carmel Police Department 3 Civic Square Carmel, IN 46032 TERMS i Due Upon Receipt DESCRIPTION QUANTITY RATE AMOUNT 2013 IACP Fall Conference 1 175.00 175.00 September 4& 5, 2013 Crown Plaza Hotel, Indianapolis, Indiana Registration for: Tim Green Purchase Order 25370 Total $175.00 IACP Fall Conference I September 4-5, 2013 1 REGISTRATION FORM Name Timothy J. Green Department Carmel Police Department Title Chief of Police First Name for Badge Tim Address 3 CivicrSmtarP City Carmel, State Indiana Zip 46032 Work Phone (317) 571-2523 Cell Phone Email tgreen@carmel.in.gov REGISTRATION FEE Member Fees Non-Member Fees ® Member: $175 ❑ Non-Member: $250 ❑ DARE Officer or SRO from ❑ Non-Member DARE Officer or SRO: $175 Member Agency: $100* ❑ School Official: $100 "Available after a member of your agency is already registered at the member fee. PAYMENT METHOD ❑ Check ❑ VISA ❑ MasterCard Ll Purchase Order Account Number Expiration Date Security Code Signature (as it appears on card) Credit Card Billing Address if different than above: Address City State Zip CANCELLATION POLICY Prior to July 31st 100% refund; July 31 -August 21, 50% refund; After August 21, no refund. Cancellations must be in writing. If paying by check, mail completed form, along with full payment to: IACP Fall Conference,10293 North Meridian Street, Suite 175, Indianapolis, IN 46290 If paying by credit card, fax completed form to 317.816.1633 QUESTIONS? Call 317.816.1619 for more information. D r— INDIANA RETAIL TAX EXEMPT PAGE City o Qarmei CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT �® 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 Indiana Assoc. of Chiefs of Police, Inc. Carmel Police Department VENDOR SHIP 3 Civic Square TO 10203 N. Meridian Stmet, Suite 175 Carmel, IN 46032 Indianapolis, IN 46200 (317) 0 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00.670.00 1 Each conference $175.00 $175.00 Sub Total: $175.00 •ley Se invoice Fall l Conforoneo for Chief Tlm Gmon A � r� 20 polls, IM Camel Pollee Department Attn: Teresa Anderoon 3 Civic Square Carmel, IN 46 - PLEASE INVOICE IN DUPLICATE DEPARTMENT _ ,ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cwmel Police Dept. �. �` PAYMENT $175.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS`HE PROPER SWO2AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY€FLStFY THAT THEVeISAN UNOBLIGATED BALANCE IN THIS APPROP IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. If •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. f U •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (�hief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 25370 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.— WARRANT NO.-__ ALLOWED 20 IN THE SUM OF$ 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 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)) 07/19/13 74158 IACP fall conference $175.00 I 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 VOUCHER NO. WARRANT NO. Indiana Assoc. of Chiefs of Police, Inc. ALLOWED 20 IN SUM OF $ 10293 N. Meridian Street, Suite 175 Indianapolis, IN 46290 $175.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. _ INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25370 74158 -570.00 $175.00 I hereby certify that the attached invoice(s), or I I 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, July 24, 2013 4/Z/ Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund