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223943 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 114500 Page 1 of 1 ONE CIVIC SQUARE TIMOTHY J.GREEN `3a CARMEL, INDIANA 46032 CHECK NUMBER: 223943 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 28 . 00 TRAINING SEMINARS DENISON PARKING PAN AIERICAN WAGE 2015 CAPITOL AVE INDIANAPOLIS, IN 46225 317-237-4849 Rcpt# 27180 09/04/13 170 L9 3 A# 3 Toli 726,29 09/04/1� 09:44 In 09104/13 17:20 Out Tkt# 145950 CURRENT $ 14.00 Taal Fee $ 1 (111i- I-t�, 54 10 XXXXXXXXXXXX80- Approval No.:844874 Reference N.,-,,.,1.14403.-.71,,1 Chame Due $ OAO THANK YOU DENISON PARKING PAN AMERICAN GARAGE 2018 CAPITOL A'•JE !NDIANAPOLJS� IN 46225 317-237--4849 Rcpt4 27248 09/05/13 16:08 01 3 A# 3 TxnP 72757 09/05/13 1.1".45 In 09/05/B 16:08 Out Tkt,l', 146064 CURRENT lkoo Val Fee 4 $ WW- XXXXXXXXXXXX8062, AF' roval No.2053 Refusme Ni-.11.9971.283 Chanige D`jr $ 0.00 THANK YOU IACP Fall Conference I September 4-5, 2013 REGISTRATION FORM Name Timothy J. Green Department Carmel Police Department Title Chief of Police First Name for Badge Tim Address 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 `J Member Agency: $100* ❑ School Official: $100 'Available after a member of your agency is already registered at the member fee. a PAYMENT METHOD ❑ Check ❑' VISA ❑ MasterCard U Purchase Order Account Number Expiration Date, Security Code Signature (as it appears on card) t 5 c.A ti Credit Card Billing Address if different than above: a'Y Address ., Q. �i City State Zip CANCELLATION POLICY =Y 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 Street Suite J751 14anapolis,IN 146290 info@iacop.org i i Prescribed by State Board of Accounts City Form No.201 (Rev.1995) I 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 I Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/04/13 parking/IACP conference $14.00 09/05/13 parking/IACP conference $14.00 I i i 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. ALLOWED 20 Timothy J. Green IN SUM OF $ $28.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#/TITLE -AMOUNT Board Members 210 -570.00 $14.00 I hereby certify that the attached invoice(s), or _ bill(s) is (are) true and correct and that the 210 -570.00 $14.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, September 06, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund