247185 07/15/15 u CITY OF CARMEL, INDIANA VENDOR: 362650
® sal ONE CIVIC SQUARE CENTER FOR PUBLIC SAFETY EXCELLEW&§CK AMOUNT: $.....1,370.00*
CARMEL, INDIANA 46032 4501 SINGER COURT#180 CHECK NUMBER: 247185
CHANTLLY VA 20151 CHECK DATE: 07/15/15
�10N GO.
I
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4359000 10168 1,370.00 SPECIAL PROJECTS
Page 1 of 2
Center for Public Safety Excellence,Inc. Invoice
Center t"� 4501 Singer Court,Suite 180
�; Public Safety Chantilly,VA 20151-1734 Date Invoice#
11
1� 07/01/2015 05-10168
Esc0lence (866)866-2324
`�„� � Terms Due Date
Net 30 Days 07/31/2015
Bill To
Carmel Fire Department
2 Civic Square
Carmel,IN 46038
Amount Due Enclosed
$1,370.00 1 9
Plcasc detach top Portion and return with your payment._
Activity Quantity Rate Amount
•Annual Accreditation Fee-Population 50,000-99,999 1 1,370.00 1,370.00
(1/5 Application fees)
I
If you are not the individual to receive and pay this invoice,please forward it to Total $1,370.00
that individual.Our database only allows us to send this invoice to the Acencv
https://connect.intuit.com/portal/module/pdfDoe/template/printframe.html 7/1/2015
VOUCHER NO. WARRANT NO.
ALLOWED 20
Center for Public Safety Excellence
IN SUM OF$
4501 Singer Court, #180
Chantilly, VA 20151
$1,370.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 10168 43-590.00 $1,370.00 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
JUL 13 2015
Fire Chief
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))
10168 ACR Fee $1,370.00
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