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HomeMy WebLinkAbout328121 07/25/18 +u•Coq* a:! CITY OF CARMEL, INDIANA VENDOR: 307600 CHECK AMOUNT: $*******600.00* • ONE CIVIC SQUARE TREASURER OF STATE CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK NUMBER: 328121 200 WEST WASHINGTON ROOM CHECK DATE: 07/25/18 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 300.00 18ISDT-2904 210 4357000 300.00 18ISSDT-2903 VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 307600 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER TREASURER OF STATE IN SUM OF$ 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 $600.00 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 181SSDT-2903 43-570.00 $300.00 1 hereby certify that the attached invoice(s),or 7/19/18 181SSDT-2903 breath test certification-Keinsley $300.00 1110 210 1110 210 181SDT-2904 43-570.00 $300.00 bill(s)is(are)true and correct and that the 7/23/18 181SDT-2904 breath test certification-Kim $300.00 1110 1 1 210 materials or services itemized thereon for 1110 1 210 which charge is made were ordered and received except Tuesday,July 24,2018 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 RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-2903 Treasurer of State Invoice Date:July 19, 2018 Remit To: Indiana State Budget Agency Vendor: Carmel Police Department 200 West Washington Street Due Date:August 19, 2018 Room 212 Amount Due:$300.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/indiana/Payment/AccountLookup/1006002242 RETURN THIS PORTION WITH PAYMENT Make Checks Payable To: Invoice Number: 181SDT-2904 Treasurer of State Invoice Date:July 19, 2018 Remit To: Indiana State Budget Agency Vendor: Carmel Police Department 200 West Washington Street Due Date:August 19, 2018 Room 212 Amount Due:$300.00 Indianapolis, IN 46204 FOR YOUR CONVENIENCE WE NOW ACCEPT CREDIT CARDS, PLEASE VISIT: https://www.payingov.com/india na/Payment/AccountLookup/1006002242