HomeMy WebLinkAbout244223 04/15/15 �.s,q,,� CITY OF CARMEL, INDIANA VENDOR: 369258
;s ® `• ONE CIVIC SQUARE DLH COUNSELING &CONSULTING CHECK AMOUNT: $""'"•350.00;
=q CARMEL, INDIANA 46032 11926 E 66TH ST,SUITE 4 CHECK NUMBER: 244223
'''tion�. INDIANAPOLIS IN 46236 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 0315CPD 350.00 OTHER PROFESSIONAL FE
DLH Counseling and Consulting,LLC.
Darren L. Higginbotham, Psy.D.
11925 E. 65h Street, Suite 4
Indianapolis, IN 46236
Phone/Fax: (317) 643-9901
dlhcounsejing@gmai1.com
Tax ID: 45-4501051
Invoice#: 0315.CARMELPD
Re: One (1) pre-employment psychological evaluation;March 2015
Date of Service: Description of Service: Chane:
March 25,2015 Psychological evaluation
(Jason Gilmore) $350.00
Amount due: $350.00
Please remit payment to the address above. Thank you for your business.
VOUCHER NO. WARRANT NO.
DLH Counseling & Consulting ALLOWED 20
IN SUM OF$
11925 E 65th St, Suite 4
Indianapolis, IN 46236
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 0315.carmelpd 43-419.99 $350.00
I hereby certify that the attached invoice(s), or
I I
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
Thursday, April 09, 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))
03/25/15 0315.carmelpd pre-employment evaluation Gilmore $350.00
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