226083 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
` ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600
MILWAUKEE WI 53224 CHECK NUMBER: 226083
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357003 IUSI313333 150 . 00 INTERNAL INSTRUCT FEE
® Original Invoice
Nonviolent Crisis Intervention®progra`n}�EC-TVT:4.� Yw-lnvoice,I. I US1313333
Prepare Training®program p 3 Date 10/6/2013
o Dementia Care Specialists OCT 2 8 2013 Federal I.D.: #39-2012874
CPI Matters at Work GST#:86192 3753 RT0001
Positive Options ; I ABN:329 391 27868
Bill To: Ship To: IRD:82 862 8899
Brooke Taflinger Brooke Taflinger
1235 CentraCPark Dr E 1235 Central Park Dr E
Carmel IN 46032 Carmel IN 46032
US US
Purchase Order No. Customer ID Shipping Method I Pa menYTerms Reg Ship Date
803058 NET 30 10/6/2013
Ordered Shipped B/O. Item,Number Description Unit Price 'Ext.Price
1 1 0 CPI RECERIT r_" C. $415 G. n
Annual Mamb2rship Fee P�y 150.C�n 41 i�v.0 v
Cert Year from 12/5/2013 to 12/5/2014
000 S-� I �:)
CtQ
Thank you Total Z-US$ $150.00
Remit to: CPI
10850 W. Park Place,Suite 600 Please include invoice number or customer ID with payment,
Milwaukee,WI 53224 USA
Call toll-free:
Canadian Customers-Please remit to: US/Canada: 1-877-877-5390
Crisis Prevention Institute.Inc Australia:800 55 3247
Lockbox#1566 New Zealand:0800 44 9187
PO Box 1566,Station A
Toronto,ON M5W 3N9 Canada
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
10/6/13 IUS1313333 Staff training membership 36155 $ 150.00
Total $ 150.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
i
T359466 Crisis Prevention Institute, Inc. Allowed 20
10850 W Park Place, Suite 600
Milwaukee, WI 53224
In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-99 IUS1313333 4357003 $ 150.00 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
14-Nov 2013
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund