HomeMy WebLinkAbout319927 12/21/17 sad! :F• CITY OF CARMEL, INDIANA VENDOR: 369258'
ONE CIVIC SQUARE DLH COUNSELING & CONSULTING CHECK AMOUNT: $*******600.00*
r aQ' CARMEL, INDIANA 46032 11925 E 65TH ST,SUITE 4 CHECK NUMBER: 319927
INDIANAPOLIS IN 46236 CHECK DATE: 12/21/17
4 iON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340400 121817CPD 600.00 CONSULTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369258 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DLH COUNSELING &CONSULTING IN SUM OF$ CITY OF CARMEL
11925 E 65TH ST, SUITE 4 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46236
Payee
$600.00
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
121817.carmpd 43-404.00 $600.00 1 hereby certify that the attached invoice(s),or 12/18/17 121817.carmpd psychological eval $600.00
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
Wednesday, December 20,2017
Jim Barlow
Chief
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 I, Higgiriboth
am,Ps' D.
119
'Suite 25 E. 65 Street,'S 'te.4 .
Indianapolis. IN 46236
Phone/Fax:_(317) 643-9901
d1hc6unsehng@gMaj1-.co
-
Tax ID: 45=4501051
Invoice#:. .121817.CARMPD
Re: One (1) follow-up,:p' chglogical fitness:for-duty evaluation (TDecember,2017.
Description of Service: Charge:
W .
Pte-evaluation consult with.employer: No,charge
.
Psychological tesri. gn $150
Interview withemployee:_ $150
Consultation/record review with 3`d.party
treatmexit_provider $150
Report writing: . $150
Post-evaluation consult:with-employer: No charge.
Amount due: $600:00
Please remit'payment to the address above. Thank you for.your business'...