248387 08/1 2/1 5 CITY OF CARMEL, INDIANA VENDOR: 00352898
. ® ONE CIVIC SQUARE INDIANA ALLIANCE OF HAZARDOUS CHECK AMOUNT: $'*'"""200.00*
MATERIALS RESPONDERS CHECK NUMBER: 248387
CARMEL, INDIANA 46032 BOX Bo
",roN PO CHECK DATE: 08/12/15
WESTFIELD IN 46074
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 474 200.00 ORGANIZATION & MEMBER
Indiana Alliance of Hazardous Materials Responders Invoice
PO Box 80 Date Invoice#
Westfield, IN -
46074 7/10/2015 474
Bill To
Carmel Fire Department
Att:Denise Briston
2 Civic Center Square
Carmel,IN 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
I Annual Membership Fee for Indiana Alliance of Hazardous Materials Responders 2015 200.00 200.00
/2016
Total $200.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Alliance of Hazardous Materials Respo
IN SUM OF $
PO Box 80
Westfield, IN 46074
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 474 43-553.00 $200.00 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 AUG 1 a 2915
WK �0- -t�'
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))
474 $200.00
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