HomeMy WebLinkAbout229687 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
ONE CIVIC SQUARE TREASURER OF STATE
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,200.00
INDIANA STATE BUDGET AGENCY
200 WEST WASHINGTON ROOM 212 CHECK NUMBER: 229687
INDIANAPOLIS IN 46204
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 31462 3386 300 . 00 BREATH TEST CERTIFICA
210 4357000 31462 3387 300 . 00 BREATH TEST CERTIFICA
210 4357000 31462 33898 300 . 00 BREATH TEST CERTIFICA
210 4357000 3392 300 . 00 TRAINING SEMINARS
INVOICE
Indiana Department of Toxicology
550 W. 16t'St.
Indianapolis, IN 46202
Invoice Number: ISDT-3386
Invoice Date: February 07, 2014
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Christopher Bay $300.00 $300.00
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INVOICE
Indiana Department of Toxicology
550 W. 16th St.
Indianapolis, IN 46202
Invoice Number: ISDT-3387
Invoice Date: February 07, 2014
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Charles V. Harting $300.00 $300.00
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-3388
Invoice Date: February 07, 2014
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Troy D. Smith $300.00 $300.00
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-3392
Invoice Date: February 12, 2014
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Timothy L. Byrne $300.00 $300.00
November 2013
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 314V
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
96�620�i4
I
ILEA a lndi@na Lw Enforcement Academy Carnal Police Department
VENDORDavid R Alien Looming Memodal Resource Conte SHIP 3 Civic Squaro
P.O. Ron M TO C@rrnel, IN 4M
Plminflold, IN 40988 (W)599
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00.670.0
3 Each breath Bost coriffic tion $300.00 $900.00
Sub Total: $900.00
~.a% -
Broah Tog Conifica4icn. ftling 1 Smith t a' 49148
Send Invoice To:
Carmol Police Department � ==
Attn: Pat Young
3 Civic Squm
Camel, IN 46M PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT T PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT °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 THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TAT//
SHIP REPAID. HERE IS AN UNOBLIGATED BALANCE IN
THIS AlPROPRI 10 DEFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �(/
SHIPPING LABELS. 1 If9 ,'g P�li
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE o�lll__
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
qq
A CLERK-TREASURER
DOCUMENT CONTROL NO. 314 6 2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._. WARRANT NO.-_-----.___- :`' ,>• a'.,e4=
ALLOWED 20
IN THE SUM OF
rsr
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 the4
materials or services itemized thereon for
�— which charge is made were ordered and
received exce t ---- ------- -- -- - - – – ---
p
20
......__.....
'Signature
_....................................-....................._......._...........-....................... --...........
.....-........_.
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))
02/07/14 3388 breath test certification- Harting $300.00
02/07/14 3387 breath test certification-Smith $300.00
02/07/14 3386 breath test certification- Byrne $300.00
02/12/14 3392 breath test certification- Bay $300.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana State Budget Agency
IN SUM OF $
200 West Washington Street, Room 212
Indianapolis, IN 46204
$1,200.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31462 3388 -570.00 $300.00
1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31462' 3387 -570.00 $300.00
materials or services itemized thereon for
3146 3386 -570.00 $300.00 which charge is made were ordered and
31462 3392 -570.00 $300.00 received except
Thursday, February 20, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund