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Home My WebLink About224067 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 366870 Page 1 of 1 0 ONE CIVIC SQUARE OFFICER DAVID S MOORE FOUNDATIO&ECK AMOUNT: $3,000.00 ' sl CARMEL, INDIANA 46032 ATTN:SGT THOMAS WESTRICK 901 N POST ROAD CHECK NUMBER: 224067 INDIANAPOLIS IN 46219 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357002 25413 3 , 000 . 00 LEADERSHIP ACADEMY Fly/a-Skrsiy Richard A. Hite, Chief of Police . Indianapolis Metropolitan 50 North Alabama Street Police Department ' ' City of Indianapolis Indianapolis, Indiana 46204 � _�� y p IMPD Leadership Academy Class 2013-02 Invoice 8 9 Carmel Police Department 3 Civic Square Carmel, W 46032 Our records indicate you have reserved two seats for the fall session of the IMPD Leadership Academy beginning August 26, 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 Road, Indianapolis, IN 46219. INDIANA RETAIL TAX EXEMPT PAGE City ® II 4C armel CERTIFICATE NO.003120155 002 0 Jl ��// JL PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 26413 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 The Officer David S. Moor? Foundation Camel Police Department VENDORSgt. Thomas Westric i SHIP 3 Civic Squam TO 909 N. Poet Road Carmel, IN 45M Indianapolis, Its 462% (317)571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-670.00 1 Each MPD Leadership Academy Class $3,000.00 $3,000.00 Sub Total: $3,000.00 lam@ 6 (� r �„� V a ran.•s ,,,y Academy for Sgt.Lana How affi �I�l �l� �� ,�agust 20,2013 Send Invoice To. C2nnel Police Department. Attn: Teresa Anderson 3 Civic SquajtA Carmel, IN 32- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $3,000.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS,HE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. '(]--�'° •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. ,��p •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �J�/Chlof o Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. S/ 2,5 4;N. COPY 3 CLERK-TREASURER DOCUMENT CONTROL NO. A. -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.._....-._.--.-__._,. WARRANT NO..._...____-__ ALLOWED 20 IN THE SUM OF$ 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 i WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) iid S. Moore Foundation ALLOWED 20 ACCOUNTS PAYABLE VOUCHER > lestrick IN SUM OF $ CITY OF CARMEL ad An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by 146219 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $3,000.00 Payee Purchase Order No. IT OF APPROPRIATION FOR Terms �ontinuinu Ed Fund Date Due Invoice Invoice Description Amount ICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) -570.00 $3,000.00 I hereby certify that the attached invoice(s), or 09/05113 IMPD Leadership Academy $3,000.00 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, September 06, 2013 i Chief of Police Title tion ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance- otor vehicle highway fund n with IC 5-11-10-1.6 , 20 Clerk-Treasurer