319998 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 364945
+; 6 ONE CIVIC SQUARE STATE OF INDIANA LESO PROGRAM CHECK AMOUNT: $*******280.00*
. � CARMEL, INDIANA 46032 ANGIE WHEELER CHECK NUMBER: 319998
601 W MCCARTY STREET CHECK DATE: 12/21/17
t.. rory�O' INDIANAPOLIS IN 46225
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355300 LEA IDIN1800 280.00 ORGANIZATION & MEMBER
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 364945 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
STATE OF INDIANA LESO PROGRAM IN SUM OF$ CITY OF CARMEL
ANG I E WHEELER An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
601 W MCCARTY STREET rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46225
Payee
$280.00
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
LEA ID-IN1800 43-553.00 $280.00 1 hereby certify that the attached invoice(s),or 12/18/17 LEA ID-IN1800 annual membership $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
Wednesday, December 20,2017
8c" las.a.w
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
20Cost 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
2018 LESO Participation Fee Invoice
D I
LEA
I EA D Chief/Sheriff Name
--- -- 'James Barlow
LEA .......
CARMEL POLICE DEPT
MAILING ADDRESS CITY STATE ZIP CODE
3 Civic Square CARMEL IN '46032
PHONE FAX Email Address
317-571-2599 bmyers@carmel.in.gov
2018 ANNUAL FEE TOTAL OFFICERS
$280.00 . -.._..----------- 17.3
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Full payment is due by January 1, 2018. Payment must be in the form of a check
drawn from the LEA's account. The check must bet pa abtheSafef
4na ana tLE,S.O--Pragram.�and the check must indicate the LEA's ID number in the memo l
section. If you have any questions, please call the number above.
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