HomeMy WebLinkAbout259056 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 00352898
I• ® I ONE CIVIC SQUARE INDIANA ALLIANCE OF HAZARDOUS CHECK AMOUNT: $*******200.00*
la CARMEL, INDIANA 46032 MATERIALS RESPONDERS CHECK NUMBER: 259056
PO BOX 80 CHECK DATE: 05/31/16
WESTFIELD IN 46074
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 504 200.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
INDIANA ALLIANCE OF HAZARDOUS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MATERIALS RESPONDERS IN SUM OF$ CITY OF CARMEL
PO BOX 80 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
W ESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$200.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
504 43-553.00 $200.00 1 hereby certify that the attached invoice(s),or 5/18/16 504 $200.00
1120 101 1120 101
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
Wednesday, May 18,2016
Da'®r '_Z�-
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Indiana Alliance of Hazardous Materials Responders Invoice
PO Box 80
Westfield, IN Date Invoice#
46074 3/14/2016 504
Bill To
Carmel Fire Department
Aft:Denise Briston
2 Civic Center Square
Carmel,IN 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
Annual Membership Fee for Indiana Alliance of Hazardous Materials Responders 2016 200.00 200.00
Total $200.00