HomeMy WebLinkAbout331501 10/25/18 ����,A,,f� CITY OF CARMEL, INDIANA VENDOR: 369258
ONE CIVIC SQUARE DLH COUNSELING &CONSULTING CHECK AMOUNT: $*****1,400.00*
�=a CARMEL, INDIANA 46032 11925 E 65TH ST,SUITE 4 CHECK NUMBER: 331501
9��TON/.� INDIANAPOLIS IN 46236 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 101918CPD 1,400.00 OTHER PROFESSIONAL FE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369258 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DLH COUNSELING &CONSULTING IN SUM OF$ 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
$1,400.00
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
101918.CDARMELP 43-419.99 $1,400.00 1 hereby certify that the attached invoice(s),or 10/23/18 10191 ..CARMEL applicant psychs $1,400.00
1110 101 bill(s)is(are)true and correct and that the 1110 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, October 24,2018
IBC, e6.j.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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
DLH Counseling and Consulting, LLC.
Darren L. Higginbotham,Psy.D.
11925 E. 65t' Street, Suite 4
Indianapolis, IN 46236
Phone/Fax: (317) 643-9901
dlhcounseling@gLnail.com
Tax ID: 45-4501051
Invoice #: 101918.CARMELPD
Re: Four (4) pre-employment psychological evaluations; October 2018.
Date of Service: Description of Service: Charge:
October 2,2018 Turner Edwards (police officer) $350.00
Shelby Jellison (police officer) $350.00
October 4,2018 Ashley Trezise (police officer) $350.00
October 11, 2018 Chase Larrison (police officer) $350.00
Amount due: $1,400.00
Please remit payment to the address above. Thank you for your business.