253098 01/11/16 CITY OF CARMEL, INDIANA VENDOR: 148000
ONE CIVIC SQUARE INDIANA DEPT OF TRANSPORTATION CHECK AMOUNT: $.....**200.00*
CARMEL, INDIANA 46032 100 N SENATE AVE,RM IGC-N 725 CHECK NUMBER: 253098
9MTON�` INDIANAPOLIS IN 46204.2216 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4357004 14122015 200.00 EXTERNAL INSTRUCT FEE
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Indiana De artment of Trans ortat>lon
P (� 1NVOICE114122015
DATE: DECEMBER 14,2015
INDOT University
Attn: Jennifer Bennett
100 N Senate Ave
Indianapolis IN 46204
jbennett@indot.in.gov
317-234-8137
TO Kate Lustig
Carmel Engineering Department
City of Carmel
One Civic Square
Carmel IN 46,032_
317-571-2432
',QTY ITEM#:•• DESCRIPTION UNIT PRICE' LINE TOTAL
Bridge Construction Et Deck Repair, Morning Exam
1 CTP Exam Aaron Hoover $100.00 $100.00
ahoover(cDcarmel.in.gov
Concrete Paving, Afternoon Exam
1 CTP Exam Aaron Hoover $100.00 $100.00
ahoover(cD-carmel.in.gov
*Please note on the check that you are paying for
Certified Technician Exams.
TOTAL $200.00
Make all checks payable to Indiana Department of Transportation
THANK YOU FOR YOUR BUSINESS!
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Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
Nhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/04/16 14122015 Certified Technician Exam for A.Hoover $200.00
2200 201
I
I
I hereby certify that the attached invoice(s),or bill(s), is(are)'true and correct and I have audited same in accordance
With IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
INDIANA DEPT OF TRANSPORTATION ALLOWED 20
100 N SENATE AVE, _ IN SUM OF$
INDIANAPOLIS, IN 46204-2216
i
$200.00
i
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
� Board Members
14122015 I 43-570.04 I $200.00 1 hereby certify that the attached invoice(s), or
2200 201
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
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jMonday, January 04, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund