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243592 03/24/15 q� CITY OF CARMEL, INDIANA VENDOR: 307600 ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $"`"'•600.00• CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK NUMBER: 243592 200 WEST WASHINGTON ROOM 212 CHECK DATE: 03/24/15 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 ISDT-0010 300.00 TRAINING SEMINARS 210 4357000 ISDT-0022 300.00 TRAINING SEMINARS INVOICE Indiana Department of Toxicology 550 W. 16"St. Indianapolis, IN 46202 Invoice Number: ISDT-0010 Invoice Date: March 12, 2015 Vendor: Carmel Police Department 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Lucas Gossett $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-0022 Invoice Date: March 12, 2015 Vendor: Carmel Police Department 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS James Morris $300.00 $300.00 Terms: NET 30 DAYS PAY THIS AMOUNT $300.00 RETAIN THIS PORTION FOR YOUR RECORDS ---------------------------------------------------------------------------------------------------------------------------------- VOUCHER NO. WARRANT NO. ALLOWED 20 Treasurer of State Indiana State Budget Agency j IN SUM OF $ 200 West Washington Street, Room 212 Indianapolis, IN 46204 $600.00 j ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO#/Dept. INVOICE NO. ACCT#ITITLE AMOUNT Board Members 210 ISDT-0010 -570.00 $300.00 I hereby certify that the attached invoice(s), or � bill(s) is (are)true and correct and that the 210 ISDT-0022 -570.00 $300.00 materials or services itemized thereon for i which charge is made were ordered and received except Thursday, March 19, 2015 Chief of Police 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)) 03/12/15 ISDT-0010 Breath Test Certification $300.00 03/12/15 ISDT-0022 Breath Test Certification $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