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CITY OF CARMEL, INDIANA VENDOR: 363567ONE CIVIC SQUARE PRO SAFE CDLCHECK AMOUNT: S*******100.00*
CARMEL, INDIANA 46032 3603 E RAYMON STREET CHECK NUMBER: 302998
INDIANAPOLIS IN 46203 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0012211-IN 100.00 OTHER EXPENSES
VOUCHER # 166085 WARRANT # ALLOWED
363567 IN SUM OF $
PROSAFE CDL
3603 E. RAYMOND STREET
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0012211-IN 01-7042-06 100.00
Voucher Total 100.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
363567
PROSAFE CDL Purchase Order No.
3603 E. RAYMOND STREET Terms
INDIANAPOLIS, IN 46203 Due Date 9/6/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/6/2016 0012211-I N 100.00
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
Date Officer
i
'-*1 Page: 1
PR Io1F'E
i
CDL
Invoice Number: 0012211-IN
Invoice Date: 8/31/2016
City of Carmel Customer Number: 50-CITYC01
9609 Hzel Dell Pkwy
Indianapolis,IN 46280 Customer P.O.:
Ship VIA:
Contact: Accounts Payable Terms: 30 Days
Item Code Description UM Quantity Price Amount
OCD CDL Skills Test 1.000 100.000 100.00
08/29/16 Matthew Lafollett rec#101484
Net Invoice: 100.00
If you have any questions,please contact Freight: 0.00
Alicia Willard 317-791-2901 ext 2162 Sales Tax: 0.00
Invoice Total: 100.00
3603 E Raymond St,Indianapolis,IN 46203 www.ProSafeCDL.com TEL 317.791.6375 FAX 317.791.2941