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224098 09/10/2013 ».E CITY OF CARMEL, INDIANA VENDOR: 367292 Page 1 of 1 ONE CIVIC SQUARE PROFESSIONAL CONSULTING ASSOCIATE CARMEL, INDIANA 46032 PO BOX 09626 GI IECK AMOUNT: $6,780.61 `? COLUMBUS OH 43209 CHECK NUMBER: 224098 CHECK DATE: 9110/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357003 1977 4 , 542 . 50 INTERNAL INSTRUCT FEE 210 4357000 1977 1, 366 . 00 TRAINING SEMINARS 1110 4343001 25415 1977 872 . 11 TRAINING Professional Consulting Associates, LLC Invoice P.O. Box 09626 Date Invoice# Columbus, OH 43209 9/6/2013 1977 Bill To Carmel P.D. Teresa Anderson 3 Civic Square Carmel,Indiana 46032 P.O. No. Terms Project 25374 Quantity Description Rate Amount Session Facilitation Phase I Summary&Pilot Session Sept 6 2013 Per Agreement 4,542.50 4,542.50 415 Mileage:7/23-24/13 0.565 234.48 2.5 Per Diem 1 61.00 152.50 Lodging Hampton Inn 161.08 161.08 415 Mileage: 8/14-15/13 0.565 234.48 2.5 Per Diem 1 61.00 152.50 Lodging Comfort Suites 88.48 88.48 415 Mileage:8/20-21/13 0.565 234.48 2.5 Per Diem 1 61.00 152.50 Lodging Hilton Garden 201.63 201.63 415 Mileage:9/6/13 0.565 234.48 1.5 Per Diem 1 61.00 91.50 Training Material 300.00 300.00 Total $6,780.61 INDIANA RETAIL TAX EXEMPT PAGE City o °,�anal CERTIFICATE NO.003120155 002 0 11 C CL�L ��li PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 21S 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Professional Consulting Associates, LLC Carmel Police Department VENDOR SHIP 3 Civic square TO P.O. Box ON26 Carmel, IN 46032 Columbus, OH 43209 (W)671-2W CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43430.01 1 Each training $872.11 $872.19 Sub Total. $572.19 Account 43.670.03 1 Each training `° $4,542.50 $4,542.50 Sub Total: $4,542.50 s Send Invoice To: Cannel Police Department Attn: Teresa Anderson 3 Civic Squam Cannel, IN 4632e PLEASE INVOICE IN DUPLICATE Lj�'", DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND °...� VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICI�T TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL �// SHIPPING LABELS. Ch1 f Polico •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v L„ J .L,5 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO ALLOWED 20 IN THE SUM OF$ 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 20 ................................................................... -.....---.........-......----........---..................._......-.............._.__...- Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. Professional Consulting Associates, LLC ALLOWED 20 IN SUM OF $ P.O. Box 09626 Columbus, OH 43209 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25415 1977 43-570.03 $4,542.50 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 25415 1977 43-430.01 $872.11 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 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)) 09/06/13 1977 training $4,542.50 09/06/13 1977 training $872.11 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