HomeMy WebLinkAbout305065 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 010530
ONE CIVIC SQUARE AMERICAN POLYGRAPH ASSOC CHECK AMOUNT: $"""`150.00`
o
CARMEL, INDIANA 46032 PO BOX 8037 CHECK NUMBER: 305065
vy"oN.co� CHATTANOOGA TN 37414-0037 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 6873 150.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AMERICAN POLYGRAPH ASSOC
PO BOX 8037 IN SUM OF$ CITY OF CARMEL
- An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CHATTANOOGA, TN 37414-0037 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$150.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
6873 43-553.00 $150.00 1 hereby certify that the attached invoice(s),or 11/1/16 6873 Annual membership-Keith $150.00
1110 101 1110 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
Tuesday, November 01,2016
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
INVOICE 6873
PO Box 8037 Chattanooga,TN 37414-0037 p1GRAP7y'�S`
BRETT KEITH
4304 WORCHESTER CT Invoice# 6873
CARMEL, IN 46033 Invoice Date 11/01/2016
United States Invoice Due 12/31/2016
Amount Due . $ 150.00
Transactions
Description Amount
Membership Renewal-Member(through December 31,2017) $150.00
Total Amount $ 150.00
Amount Paid -$0,00
Amount Due $:150.00