224839 10/08/2013 \�f CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $1,345.68
CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600
MILWAUKEE WI 53224 CHECK NUMBER: 224839
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357003 CUSI316960 1, 345 . 68 INTERNAL INSTRUCT FEE
® Originallnvoice Invoice CUS1316960
C I
Nonviolent Crisis Intervention®program Date 9/9/2013
Prepare Training®program Pane- 1
Dementia Care Specialists Federal I.D.#39-2012874
CPI Matters at Work
BIII TO: Positive Options Ship To:
Brooke Taflinger Brooke Taflinger
Carmel Clay Parks And Recreation Carmel Clay Parks And Recreation
1235 Central Park Dr E 1235 Central Park Dr E
Carmel IN 46032-4421 Carmel IN 46032-4421
US US
Purchase Order No. Customer ID Shipping �Method Pa ment Terms Re Ship Date
PO#36155 02-OR-A001 LK9 US UPSGND NET 30 9/9/2013
Ordered 'UofM Shipped B/O f Item Number Description Unit Price Ext. Price
100 EACH 100 0 PWKBO120 NCI Participant Workbook-Blue Card $12.46 $1,246.00
=Y:
Thank you Subtotal $1,246.00
Tax $0.00
Tracking#(if applicable): Freight $99.68
lZ5872670355461279 Deposit Received. $0.00
Total Z-UaL___j $1,345.68
Remit to: CPI Customer Service: 1-800-558-8976 Tax exempt organizations:we must have your tax exempt certificate on file.
10850 W. Park Place,Suite 600 Accounting/Billing: 1-877-877-5409
Milwaukee,WI 53224 USA Customer ServiceFax: 1-414-979-7098 Please refer to www.crisisprevention.com or your contract
U.
for r a �i;;`, . ..21 No Please include invoi
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
T359466 Crisis Prevention Institute, Inc. Terms
10850 W Park Place, Suite 600
Milwaukee, WI 53224
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/9/13 CUS1316960 Staff training workbooks 36155 $ 1,345.68
i
Total $ 1,345.68
1 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
120_
Clerk-Treasurer
Voucher No. Warrant No.
T359466 Crisis Prevention Institute, Inc. Allowed 20
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of$
$ 1,345.68
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081-99 CUS1316960 4357003 $ 1,345.68 1 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
3-Oct 2013
Signature
$ 1,345.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund