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HomeMy WebLinkAbout332083 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 010530 .: CHECKAMOUNT: $****•***150.00* ONE CIVIC SQUARE AMERICAN POLYGRAPH ASSOC CARMEL, INDIANA 46032 PO sox 8031 CHECK NUMBER: 332083 CHATTANOOGA TN 37414-0037 CHECK DATE: 11/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 17327 150.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 010530 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AMERICAN POLYGRAPH ASSOC IN SUM OF$ CITY OF CARMEL PO BOX 8037 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. CHATTANOOGA, TN 37414-0037 Payee $150.00 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 17327 43-553.00 $150.00 1 hereby certify that the attached invoice(s),or 11/2/18 17327 annual membership dues-Keith $150.00 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 Friday, November 2,2018 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 INVOICE 173.27 PO_Box 8037 Chattanooga;"TN 37414-003.7 BREW KEITH ..'. . 4304 WOKCHESTER CT CARMEL,..IN 46033 United States. " Invoice# 17 --- 327 /20fi8 -Invoice Date. 11101 Invoice Due 12/30 Amount_:Due $. 150:00 Transactions- DescrVlon _ :. -Amount Membership_Renewal-Member.(through December 31,-2019) $150.00 T otal Amount .� "�:. ...: .. . . �. � .� � .$`150.00 Amount Paid $.0.00 Amount Due .-$..15000