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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.