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223062 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350640 Page 1 of 1 0 ONE CIVIC SQUARE LORMAN EDUCATION SERVICES % CARMEL, INDIANA 46032 DEPT 5382 CHECK AMOUNT: $658.00 �? PO BOX 2933 CHECK NUMBER: 223062 SON MILWAUKEE WI 53201-2933 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4357004 2731336-1 319 . 00 EXTERNAL INSTRUCT FEE 1180 4357004 2731352-1 339 . 00 EXTERNAL INSTRUCT FEE Please remit payment to: Invoice Date : 07/17/2013 Lorman Education Services Reference No : 2731336-1 Dept 5382 Invoice Total : $319.00 PO Box 2933 Milwaukee, WI 53201-2933 (866) 352-9539 Fax (715) 833-3944 www.lorman.com City of Carmel, Indiana Enclosed Amount :-:5 ATTN-. ACCOUNTS PAYABLE Check Number 1 Civic Sq Carmel, IN 46032-2584 Terms:Due Upon Receipt. Please make your check payable to Lorman Education Services and enclose the top - --- -- ----- ---- - portion of this invoice when you remit payment INVOICE Company/ Contact : City of Carmel, Indiana Purchase Order Number : 25332 Reference No : 2731336-1 Date : 07/17/2013 3274850 Haney, Douglas C 355217SAT Registration 09/19/2013 Police Liability South Bend, IN $319.00 Shipping & Handling : $0.00 Discounts : $0.00 Sub Total : $319.00 Sales Tax : $0.00 Total : $319.00 Payments : $0.00 Invoice Total : $319.00 We are incorporated and are exempt from 1099 reporting. Tax ID: 39-1596686 A copy of Lorman's Form W-9 is available at www.lorman.com/w9/w9.pdf - Six or more business days in advance-full refund less$20.00 service charge per registration. Within five business days-nonrefundable credit of equal value for any future seminar. Credits are transferable. Please note that if you do not attend and you do not cancel as described above,you are responsible for the entire payment. ® 2510 Alpine Road P.O. Box 509 Keeping YouCurrent Eau Claire,WI P.O. Box ' A DIVISION OF LORMAN BUSINESS elping You Succeed' 800-678-3940 Fax 715-833-3944 ESS CENTER,INC. www.lorman.com CiINDIANA RETAIL TAX EXEMPT PAGE ty , o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT _53 1 3'_-� 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 VENDOR � '�' :� i1L/f.f. CLtF?G '.. (C�7t hlt>t?.� SHIP f 3 TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE /DESCRIPTION � UNIT PRICE /EXTENSION J i�rc`, ;;�< ."�� f;�""L�✓ its ' c fir'r 2'7 .lit. ?.. ..�4°..-.. s: J '�>.'« •fl jta� �',..,.+!„l L7i ../ ft..,:G `ip, _ rf � �% y 8 rig�� r ,.:�' ••. mgg Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT � -='rJ c• J Gt/✓ �i.f.E +dl { {! 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 SUFFICIENTTO PAY FOR THE ABOVE ORDER. • _ � •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY t / _�_ SHIPPING LABELS. " �I •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ?' .�� _. ? A /0 1�'J AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO- CLERK-TREASURER r `LL DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO, WARRANT NO.-_-___.____ ALLOWED 20 IN THE SUM OF$ $ 3�9 D 0 O ACCOUNT OF APKROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT 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-_--.-_--___-_-_ 201 .3 ......--....--......-......-.......----.... ................._._._...........-..-.-._... --........_-..-_............ /,Sin _-..-.-..-....-.....-........_...-.......-.._.....-.......-.......-..--...............-..........-_._..._.........._.._.....-..................--......... .........-...... Title Cost distribution ledger classification if claim paid rnotor vehicle highway fund Please remit payment to: Invoice Date : 07/17/2013 Lorman Education Services Reference No : 2731352-1 Dept 5382 Invoice Total : $339.00 PO Box 2933 Milwaukee, WI 53201-2933 (866) 352-9539 Fax (715) 833-3944 www.lorman.com City of Carmel, Indiana Enclosed Amount : /•�� ATTN: ACCOUNTS PAYABLE Check Number : 1 Civic Sq Carmel, IN 46032-2584 --------Terms:_Due Upon Receipt. Please make your check payable to Lorman Education__Services and enclose the top ortion of this invoice when you remit payment. INVOICE Company/Contact : City of Carmel, Indiana Purchase Order Number : 25333 Reference No : 2731352-1 Date : 07/17/2013 3274875 Ulbricht, Ashley M 389680SAT Registration 09/25/2013 Public Contracts and Procurement Regulations Indianapolis, IN $339.00 Shipping & Handling : $0.00 Discounts : $0.00 Sub Total : $339.00 Sales Tax : $0.00 Total : $339.00 Payments : $0.00 Invoice Total : $339.00 We are incorporated and are exempt from 1099 reporting. Tax ID: 39-1596686 A copy of Lorman's Form W-9 is available at www.lorman.com/w9/w9.pdf CariGeiia'a`iGii-r, Six or more business days in advance-full refund less$20.00 service charge per registration. Within five business days-nonrefundable credit of equal value for any future seminar. Credits are transferable. Please note that if you do not attend and you do not cancel as described above,you are responsible for the entire payment. ® 2510 Alpine Road LO E nN1 1 imymi A Imim Keeping You Current P.O. Box 509 p g Eau Claire,WI 54702-0509 ' Helping You Succeed.' 800-678-3940 Fax 715-833-3944 A DIVISION OF LORMAN BUSINESS CENTER,INC. www.lorman.com C0 f� INDIANA RETAIL TAX EXEMPT PAGE I o Carmel CERTIFICATE NO.003120155 002 0\\�/// � Jl PURCHASE ORDER NUMBER / FEDERAL EXCISE TAX EXEMPT /'�>' 1�� 35-60000972 0 0 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 VENDOR ,�i „?� e�Y � • ';;7(! ( ate..:• cf3-z'l '�' .t11 SHIP t r TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION .• � �� 5 P� i \� • `'I Send Invoice To: _ PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT i 0 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 7 l ^✓('t/ ` 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 APPROPRIATIGN.SUFFICIENT TO F%"FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY^~ter.'' -' •PURCHASE ORDER NUMBER MUST APPEAR ON ALL / SHIPPING LABELS. ( ;' �.// 1 _/1�E.•� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE j� t.-•�'.._�-^`C..-�" (J �� y�.T�7 /��.`.y� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 3 CLERK-TREASURER L` DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO..- WARRANT ALLOWED 20 IN THE SUM OF$ ,��• ,�8�r�—_a�,�:� x 9--33 $A OE�PROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT t�-T-�+� 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_-__-__.._ ...........................-......... .-.............. ........... ...-..........cJ........n . _.......---........... - ..-..-...........-.--............................-.................... ......_-...-...................................._....... Title Cost distribution ledger classification if claim paid motor vehicle highway fund