HomeMy WebLinkAbout305292 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 364945
® .1' ONE CIVIC SQUARE STATE OF INDIANA LESO PROGRAM CHECK AMOUNT: $*******280.00*
CARMEL, INDIANA 46032 ANGIE WHEELER CHECK NUMBER: 305292
601 W MCCARTY STREET CHECK DATE: 11/14/16
INDIANAPOLIS IN 46225
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 34392 110916 280.00 LESO PARTICIPATION FE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
STATE OF INDIANA LESO PROGRAM ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ANGIE WHEELER IN SUM OF$ CITY OF CARMEL
601 W MCCARTY STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46225 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$280.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
.34392;' 0 43-553.00 $280.00 1 hereby certify that the attached invoice(s),or 10/31/16 0 annual participation fee $280.00
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
Monday, November 07,2016
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
Indiana Department of Administration
State and Federal Surplus Property Divisions
LESO 1033 Coordination Office
601 W. McCarty Street, Suite 100
Indianapolis, IN 46225
Phone (317) 234-3701 Fax (317) 234-3699
2017 LESO Participation Fee Invoice
LEA ID
IN1800 Chief/Sheriff Name
------------ :Tim J.Green
LEA _... ...............
CARMEL POLICE DEPT
MAILING ADDRESS CITY STATE ZIP CODE
3 Civic Square CARMEL :IN 46032
PHONE FAX Email Address
317-571-2599 rjellison@carmel.in.gov
2017 ANNUAL FEE TOTAL OFFICERS
$280.00 114
Full payment is due by January 1, 2017. Payment must be in the form of a check
drawn from the LEA's account. The check must be made payable to they : ate:o
; Ind;ia-na,_LE?- O Program and the check must indicate the LEA's ID number in the memo
section. if you have any questions, please call the number above.