250880 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 307600
ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $*******300.00*
9; =a CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK NUMBER: 250880
200 WEST WASHINGTON ROOM 212 CHECK DATE: 10/21/15
INDIANAPOLIS IN 46204
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISTD-180-004 300.00 TRAINING SEMINARS
INVOICE
Indiana Department of Toxicology
550 W. 16t'St.
Indianapolis, IN 46202
Invoice Number: ISDT-18-004
Invoice Date: September 28, 2015
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Spencer Sharp $300.00 $300.00
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treasurer of State
Indiana State Budget Agency
IN SUM OF$
200 West Washington Street, Room 212
Indianapolis, IN 46204
$300.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 ISDT-180-004 -570.00 $300.00 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
Tuesday, October 06, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund r
I
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))
09/28/15 ISDT-180-004 Breath Test Cert.-Sharp $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