HomeMy WebLinkAbout226952 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: T359466 Page 1 of 1
ONE CIVIC SQUARE CRISIS PREVENTION INSTITUTE INC
0 CHECK AMOUNT: $2,125.00
CARMEL, INDIANA 46032 10850 W PARK PLACE SUITE 600
MILWAUKEE WI 53224 CHECK NUMBER: 226952
CHECK DATE: 12111/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 CUSI1348 2, 125 . 00 EXTERNAL INSTRUCT FEE
M N. Original InvoicE Invoice CUS11348
DcPJnnvrelent Crisis Intenvenfion:)t ot 8���'i° Date 10115'2013
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Prepare Trj,rning,�)proyrar, I Pa e: t
Demcrl6a Care specrahfs;18 OCT 17 2013 Federal I.D.939-2012871
CFI/Matters at work I f
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Bill To: Ship
Carmel Clay Parks And Recreation
1411 E 116th St 1411 E 116th st
Carmel IN 46032-3455 Carmel IN 46032
US US
Purchase Order too. I customer ID Shipping Method Pnvmpnt Terms Re Shi Date
PO#36284 02-OR-A001LK9 US UPSGND 1 10/15/2013
Ordered UofM hipped, BIO Item Number Description Unit Price Ext, Price
1 EACH 1 0 OPPNO005 NCi 4 Day Instructor Certification $2,!25M S2,125.00
Cara Gray h6anapciis 12/3%2013
<✓J� STAt:FF
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36P284 F
Program fee payable prior to prograrn start. Thank you Subtotal 52,125.00
Tax $0.00
Tracking'((if applicable): Freight S0.00
Deposit Received 50.00
Total Z-US$ $2.125.00
Remit to: CPI. Cusm;ner Service' 1-800-556-8976 ax exempt Orgenizations: must have your tax exernpt r;c-mflcate on tile.
108-50'02. Park Place.Suite 600 Accoun,ting./Di ling: 1-877-877-5-09
h.1iP.tiaUkee,'PJI 53224 USA Customer Service Fax: 1-414-979-7n98 Please refer to:✓w:^..rn,isprs:ve:ntcn.cern or your curmacl
Lx pr::grarn canoe iation and product return:polic es.
Please include invoice rwrnher or customer ID with your payrlent.
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
10/15/13 CUS11348 ESE Staff training 12/3 - 12/6/13 36284 $ 2,125.00
Total $ 2,125.00
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
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$
$ 2,125.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 CUS11348 4357004 $ 2,125.00 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
5-Dec 2013
Signature
$ 2,125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund