305512 11/28/16 CITY OF CARMEL, INDIANA VENDOR: 034260
ONE CIVIC SQUARE CAMP ATTERBURY BILLETING CHECK AMOUNT: S«..««««240.00
.. ?� CARMEL, INDIANA 46032 BILLETTING ICAJMTCI CHECK NUMBER: 305512
BLDG TMT 82 PO BOX 5000 CHECK DATE: 11/28/16
EDINBURGH IN 46124-5000
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 BF-17-02 240.00 TRAINING SEMINARS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CAMP ATTERBURY BILLETING ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
BILLETTING (CAJMTC) IN SUM OF$ CITY OF CARMEL
BLDG TMT 82 PO BOX 5000 An invoice or bill to be property itemized must show:kind of service,where performed,dates service
EDINBURGH, IN 46124-5000 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$240.00 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
BF-17-02 43-570.00 $240.00 1 hereby certify that the attached invoice(s),or 11/8/16 BF-17-02 room charges 10/4-10/6 $240.00
1110 210 1110 210
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 21,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Camp Atterbury Billeting Funds-
Invoice'
Billeting(CAJMTC)
Bldg. #245 Date Invoice#
P.O. Box 5000
11/8/2016 BF-17-02.
Edinburgh; IN 46124-5000. .:
Bill To
Carmel Police Department
3 Civic Square
Carmel,IN-46032
Contract/Purchas::: Terms
OCT 2016 Due on'receipt
Description Qty Rate Class . := Amount
Room Charges for October 2016 stay*.*roster included** 8 30.901 CAJMTC 240:00
-It has been a pleasure working with you! POC for this invoice is Amy Roark at
812-526-1349 Total .$240.00
Payments/Credits. $oaio
Balance. Due ..
$240.00
EACH TRANSACTION 'WILL BE ENTERED INDIVIDUALLY _
FOR THE MONTH -OF October 2016 CARMEL PD PR#
ROOM ... .. NUMBER
NUMBER DATES OF -TOTAL RUNNING
SOLDIERS NAME OCCUPIED DAYS CHARGE TOTAL
DEVENPORT, ADAM 248--112 < 4-6 OCT 2 $60..00 .. $60.00
LOVEALL, GREG . 248-105 4-6 OCT 2 $60.00 $120.00 - .
SMITH, TROY - 2487104 4-6- OCT = 2 $60.00 $180.00
VAN NATTER, .:SHANE 248-113 4-6 OCT 2 .$60.00 $240.00
.$240.00 . ..
$240.00 `
TOTAL CHARGES 8 $240,0.0
"I CERTIFY THAT- THE ABOVE STAYED IN CTQ AT CAMP ATTERBURY"
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- .. .. .. Date:2016.11.0413.48:23-04'00' .. _ ..