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HomeMy WebLinkAbout303346 09/26/16 i°r,[4AM ,( ,� CITY OF CARMEL, INDIANA VENDOR: 369258 ® �I ONE CIVIC SQUARE DLH COUNSELING & CONSULTING CHECK AMOUNT: $*******300.00* ?,: CARMEL, INDIANA 46032 11925 E 65TH ST,SUITE 4 CHECK NUMBER: 303346 , ,_ INDIANAPOLIS IN 46236 CHECK DATE: 09/26/16 F �roN�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4340703 34149 083016.CPD 300.00 PSYCHOLOGICAL DEBRIEF VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) DLH COUNSELING &CONSULTING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 11925 E 65TH ST, SUITE 4 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46236 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $300.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 34149 083016.CDARMELP 43-407.03 $300.00 1 hereby certify that the attached invoice(s),or 8/29/16 08301 ..CARMEL debriefing Rodriguez&Morris $300.00 1110 101 bill(s)is(are)true and correct and that the 1110 101 materials or services itemized thereon for which charge is made were ordered and received except Tuesday,September 13,2016 Tim Green Chief of Police 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer DLH Counseling and Consulting,LLC. Darren L. Hi ' botham Ps D $$ . Y . 11925 E. 65th Sireet,'Suite 4 . Indianapolis, IN 46236 Phone/Fax: (3.17) 643-9901 dlhcounselingngpjail:com .. Tax ID: 454501051 Invoice#: 083016.CARMELPD. Re: Two (2) post-critical incident psychological debriefing sessions.August 29,.2016. Date of Service: Description of Service: . Chafe August 29, 2016 _ Psychological debriefing. 4-5prn games Morris; 1 hour) $150.00-- August 29,2016 Psychological debriefing 5-6 pm (Christian Rodriguez, 1 hour) $150.00 Amount due: $300.00 Please remit payment to the address above. Thank you for your business. .