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322509 03/05/18 CITY OF CARMEL, INDIANA VENDOR: 307600 s ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $*******280.00* =4 CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK NUMBER: 322509 200 WEST WASHINGTON ROOM CHECK DATE: 03/05/18 INDIANAPOLIS IN 46204 ✓ DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 280.00 TRAINING SEMINARS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 307600 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER TREASURER OF STATE IN SUM OF$ CITY OF CARMEL INDIANA STATE BUDGET AGENCY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service 200 WEST WASHINGTON ROOM rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46204 Payee $280.00 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 0 43-570.00 $280.00 1 hereby certify that the attached invoice(s),or 2/26/18 0 breath test recert x 7 $280.00 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 Friday, March 2,2018 $c, e6. 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 February 26, 2018 INVOICE Breath Test Re-Certification Adam Theis 18ISDT-0566 $40.00 Greg Loveall -0564 $40.00 Christopher Bay -0560 $40.00 Anna Flaming -0561 $40.00 Zachery Hasty -0562 $40.00 Ryan Jellison -0563 $40.00 Brian Martin -0565 $40.00 TOTAL AMOUNT DUE: $280.00 Please make payment to: Treasurer of State Indiana State Budget Agency 200 W Washington, Room 212 Indianapolis,IN 46204 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0566 Invoice Date: February 16,2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Adam Theis $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS -------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0566 Treasurer of State Invoice Date: February 16, 2018 Remit To:- Indiana State Budget Agency Vendor: Carmel Police - - 200 West Washington Street Due Date: March 16, 2018 Room 212 Amount Due:$40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https:Hwww.payingov.com/ind is na/Payment/AccountLookup/1006002242 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0564 Invoice Date: February 16,2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Greg Loveall $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS ---------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0564 Treasurer of State Invoice Date: February 16, 2018 Remit To: Indiana State Budget Agency Vendor:Carmel Police 200 West Washington Street Due Date: March 16, 2018 Room 212 Amount Due:$40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/indiana/Payment/`AccountLookup/1006002242 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0560 Invoice Date: February 16,2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Christopher Bay $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS -------------- ------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0560 Treasurer of State Invoice Date: February 16,2018 ; Remit To: Indiana State Budget Agency Vendor: Carmel Police 200 West Washington Street Due Date: March 16, 2018 Room 212 Amount Due: $40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/ind iana/Payment/AccountLookup/1006002242 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0561 Invoice Date: February 16, 2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Anna Flaming $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS ---------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0561 Treasurer of State Invoice Date: February 16, 2018 Remit To: Indiana State Budget Agency Vendor: Carmel Police 200 West Washington Street Due Date: March 16,,2018 Room 212 Amount Due:$40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/indiana/Payment/AccountLookup/1006002242 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0562 Invoice Date: February 16,2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Zachery Hasty $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS --------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0562 Treasurer of State Invoice Date: February 16, 2018 Remit To: Indiana State Budget Agency Vendor: Carmel Police 200 West Washington Street Due Date: March 16, 2018 Room 212 Amount Due: $40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/indiana/Payment/AccountLookup/1006002242 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0563 Invoice Date: February 16,2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price, Ext Price 1 ea BTS Ryan Jellison $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS ---------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0563 Treasurer of State Invoice Date: February 16, 2018 Remit To: Indiana State Budget Agency Vendor: Carmel Police 200 West Washington Street Due Date: March 16, 2018 Room 212 Amount Due: $40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/ind iana/Payment/AccountLookup/1006002242 INVOICE Indiana Department of Toxicology Invoice Number: 181SDT-0565 Invoice Date: February 16,2018 Vendor: Carmel Police 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Brian Martin $40.00 $40.00 Terms: NET 30 DAYS PAY THIS AMOUNT $40.00 RETAIN THIS PORTION FOR YOUR RECORDS ---------------------------------------------------------------------------------------------------------------------------------- RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-0565 Treasurer of State Invoice Date: February 16,2018 Remit To: Indiana State Budget Agency Vendor: Carmel Police 200 West Washington Street Due Date: March 16, 2018 Room 212 Amount Due: $40.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/ind iana/Payment/AccountLookup/1006002242