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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 ------------------------------------------------------------------------------- ------------------------------;gin 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 ----------------------------------------------------------------------------------------------- mmr n rnamoirr�r�r�m* 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 ......__..... 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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