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HomeMy WebLinkAbout183482 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00351302 Page 1 of 1 ONE CIVIC SQUARE SCOTT TIERNEY CHECK AMOUNT: $810.86 CARMEL, INDIANA 46032 19001 CRESTVIEW COURT WESTFIELD IN 46074 CHECK NUMBER: 183482 CHECK DATE: 3116!2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4128000 810.86 TUITION REIM13URSEMENT 08/12/2009 14:08 3175714244 CARMEL FIRE DEPARTMT PAGE 01 City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (please print. Submit completed form to Department Head rim or to commencement of course.) Employee Name J L A DepaAm SSN Hire Date Educational Institution* Y x` Name of Course w�tl C 1 Credit Hours Starting Date of Course (month/day/year) By signing below, I signify that I understand the following: qP The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -58. To receive reimbursement for tuition, I must Submit evidence of payment for the course and a copy of my final grade. To receive reimbursement for books, I must submit an original itemized receipt or other proof of purchase that links these books to this particular course. If I leave City of Carmel employment sooner than one (1) year after the end of this course, I will repay the City in full for its tuition and book reimbursements for this course. The tax status of reimbursem t Vyments is subj to federal law, which may change from ti a to t'me. Employee Signature "c Date Part II (to be completed by Department Head) (Submit to Human Resources) By signing below, I certify that the applicant will have been employed full -time by the City for at least one (1) year prior to the commencement of the course, and has not been subject to a disciplinary probation, suspension or demotion within 90 days prior to the beginning of the course, The finai claim will be paid from my department's budget, subject to the terms of Sqc9on 2 58 f Car 1 'ty Code. Department Head Signature Date l a Part I)<I (to be completed by Director of Human Resources) Final Approval ��—{N bate C5 If denied, reason for denial The tuition reimbursement program covers only full semester courses offered through a degree- granting institution accredited by the ?forth Central Association of Colleges and Schools or an equivaient regional accreditor. An application will not be consideicd cvmptctc unless a course description ttom the school's literature is attached. SODS88 Date: 8/10/09 Time: 14:13:10 r Customer Order Process Exception Page: F €y oz MANUAL ORDER EXCEPTION MANUAL ORDER EXCEPTION :r Please Complete Transaction at Win /DSS. Account Number: Tender: NE 4 win /DSS Transaction Number Process Completed By Secure upper portion of this document once order processing is complete. Cut Here----------------------- STORE01.076 IVY TECH CC DISTANCE LEARNING IVY TECH CC DISTRIBUTION CENTER 4098 THIRD PARKWAY TERRE HAUTE, IN 47804 -0000 Phone: (866) 714 -0002 Dear Customer, Our Store Website is Thank you for shopping online at IVY TECH CC DISTANCE LEARNING ;.j Returning your purchase Please use the RETURN LABEL provided on this form. Include this packing slip with reason for return indicated. Reason For Return: Changed courses Incorrect item received Arrived damaged /defective (select one) Other Textbook Return Policy The last day for textbook refunds with original receipt coincides with term start dates and varies by campus and /or bookstore. Please contact your bookstore for specific dates. Textbooks purchased during the last week of classes or during final exams are not returnable. Shrink- wrapped text sets must be unopened, all enclosures (CDs etc) must be included. Software included with textbooks must be unopened. 1'e800k" (digital textbooks) are returnable only if the materials have not been accessed online. We buy back textbooks every day at current market prices books may be worth more during finals. IVY TECH CC DISTANCE LEARNING IVY TECH CC DISTRIBUTION CENTER 4098 THIRD PARKWAY TERRE HAUTE, IN 47804 -0000 Phone: (866) 714 -0002 Ea,., 'g, 08/10/2009 10:04 3175714244 CARMEL FIRE DEPARTMT PAGE 01 City Of Carmel Tuition Reimbursement Application Form Part I (to be completed by employee) (Please print. Submit completed fonn t Department Head rip or to commencement of course.) Employee Name Department SSN Hirr Data z' grf Educational Institution* Name of Course i✓T' f*4(c,EOc 4rL C" O'lj f °l 'CrcditHours Starting Date of Course (month/day /yeas)1 By signing below, I signify that I understand the following: The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -58. To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy of my final grade. To receive reimbursement for books, I must submit an original itemized receipt or other proof of purchase that links these books to this particular course. If I leave City of Carmel employment sooner than one (1) year after the end of this course, I will repay the City in full for its tuition and book reimbursements for this course. The tax status of reimbursement payments is subject to federal law, which may change from time to time. Employee Signature z Q' Date or Part )ft (to be completed by Department Head) (Submit to Human Resources) By sign4 below, I certify that the applicant will have been employed full -time by the City fox at least one (1) year prior to the commencement of the course, and has not been subject to a disciplinary probation, suspension or demotion within, 90 days prior to the be inning of the co The final claim will be paid from tarty department's budget, subject to the to fns of tion 2X C e City Code. Department Hcad Signature Date Part M (to be completed by Director g of Human Resources) Final Approval Date 1r a If denied, reason for denial The tuition reimbursement program covers only full- semester courses offered through a degree- granting institution accredited by the North Central Association of Colleges and Schools or an equivalent regional accrediter. An application will not be considered complete unless a course description from the school's literature 4 attached. Page 1 of 1 From: Sent: Fri 8/7/2009 7:38 AM To D Cc: Subject: Attachments: This class is part of the Fire Science curriculum. Introduction to Microcomputers Introduces the physical components and operation of microcomputers. Focuses on computer literacy and provides hands -on training in four areas of microcomputer application software: word processing, electronic spreadsheets, database management and presentation software. Use of a professional business integrated applications package is emphasized. 3.000 Credit Hours 3.000 Lecture hours Levels: Indiana College Network, Undergraduate Schedule Types: Lecture Ivy Tech College Business Division http: /owa/ exchange/ MDeLong /Inbox/No %2OSubject- 7.EML ?Cmd =open 8/7/2009 COURSE SYLLABUS COLLEGEWIDE COURSE OUTLINE OF RECORD Fall 2009 COURSE TITLE: Introduction to Microcomputers COURSE NUMBER: CINS 101- XXX Internet Instructor: Phone: Office: E -mail: Office Distance Hours: Learning Coordinator: PREREQUISITES: Demonstrated competency through appropriate assessment or earning a grade of "C" or better in ENG 031 Reading Strategies for College I. DIVISION: Business PROGRAM: Computer Information Systems CREDIT HOURS: 3 CONTACT HOURS: Lecture 3 DATE OF LAST REVISION: Fall 2004 EFFECTIVE DATE OF THIS REVISION: Fall 2009 CATALOG DESCRIPTION Introduces the physical components and operation of microcomputers. Focuses on computer literacy and provides hands -on training in four areas of microcomputer application software: word processing, electronic spreadsheets, database management and presentation software. Use of a professional business integrated applications package is emphasized. MAJOR COURSE LEARNING OBJECTIVES Upon successful completion of this course the student will be expected to: 1. Identify the principle hardware components of a microcomputer and describe their functions. 2. Define basic computer terminology. 3. Explain the relationship of computer hardware and software. 4. Power up a microcomputer and use operating systems utilities to format disks, display directories, copy, create, and delete files, and control the operation of the computer. 5. Use word processing application software to perform the following tasks: create and edit text; save and retrieve a document; format, edit and print a document; center, underline, bold, and indent text; use the search and replace functions; create multi -page documents; use a spell checker. 6. Use spreadsheet application software to perform the following tasks create, save and print a worksheet; format a worksheet; create simple formulas; use basic worksheet functions such as: SUM, AVERAGE, MAX, MIN, IF, THEN, relative and absolute reference. 7. Use database application software to perform the following tasks: create or modify a database structure; enter records in a database; create reports; sort and index a database file. 8. Demonstrate how electronic presentations are created. COURSE CONTENT Topical areas of study include Identify hardware Understand computer terminology Electronic presentation Microcomputer operating systems utilities and files directory Spreadsheet application Computer Hardware and Software Database applications Word processing applications CINS 101 Intro to Microcomputers 7.6.2009 Page 1 TEX 41a O e, shman, Vermaat, Microsoft Office 2007: Introductory Concepts and Techniques, Course Technology, Boston, MA, 2006. (Windows XP) with Video DVD. ISBN: 978-0-324-82684-5 SOFTWARE AND EQUIPMENT REQUIREMENTS Software: The software used in this course is Microsoft Office 2007 Professional and Windows XP. This includes Microsoft Word 2007, Microsoft Excel 2007, Microsoft Access 2007, and Microsoft PowerPoint 2007. You must have access to this software on the computer you are using for this course. Internet access is also required. If you do not have this software or internet access, you can use one of the computer labs at your local your Ivy Tech campus. Please visit the Distance Education Web site at: http: /www.ivVtech.edu /distance /what- do- i- need.html for more information related to technology requirements for online courses. USB drive: You must have a safe place to keep all files you create for this class. A USB drive is required. You also need a secondary place to store files. Many students back up their work on their home hard drive or off line through their service provider. However you chose, make sure you have both a USB and a secondary source for backing up your work. COMPUTER DOWNLOADS This link provides you with important computer information, including security software, viewer software for users without Microsoft products, adobe reader, flash player, java, and more. http://www.ivytech.edu/helpdesk/tech/downloads.html COURSE DELIVERY This course is being delivered using Internet technologies. More specifically it is being delivered using a course management system called Distance Learning/ Blackboard. KEYS TO STUDENT SUCCESS 1. READ Please thoroughly read everything (assignments, quiz instructions, discussion postings, e- mails, etc.) Due to the fact that this is an online course, reading everything is a number one priority, otherwise you will miss something important! 2. COMMUNICATE! Communicate not only with your instructor but also your fellow classmates. Do not hesitate to contact your instructor on the phone if you are in need of assistance or clarification. Please note that all MESSAGES to the instructor will be answered within 2 business days. 3. RESPECT Respect the thoughts and ideas of your fellow classmates. Remember the rules of Netiquette while participation in the class. 4. COMPLETE ALL ASSIGNMENTS The assignments in this course are for your benefit and learning. 5. KNOW WHEN TO ASK FOR HELP If you are confused; ask for help from either your peers or your instructor IMMEDIATELY. 6. PROCRASTINATION Always attempt to do the work as soon as it is available. No matter how many times you think you will do it the day before, something is sure to happen. It is very easy to get behind in an online course. ATTENDANCE POLICY With an online course, attendance is measured through participation in the weekly assignments and through tests. If you do not participate in a given week, then you are not "attending" and are absent. CINS 101 Intro to Microcomputers 7.6.2009 Page 2 RETURN ADDRESS: B &N.COM Customer Returns BARUS&NOBLEC 1 Barnes Noble Way Monroe Township, NJ 08831 www. Within the United States: 1 -800- THE -BOOK SOLD TO: SHIPTO: CUSTOMER SERVICE: MELINDA TIERNEY MELINDA TIERNEY To Reach Customer Service e-mail 19001 CRESTVIEW COURT 19001 CRESTVIEW COURT web customers: WESTFIELD, IN 46074 WESTFIELD, IN 46074 service@ barnesandnoble.com UNITED STATES UNITED STATES CUSTNO: ORDER NO: 117401994 Loc: 421 &PS16 QTY LIST PRICE: OUR PRICE: TOTAL 1 Microsoft Office 2007: Introductory Concepts and 9780324826845 108.85 108.85 Techniques a r e ks E sd :i a x� �<e�� 05 d r fit 9 3 r 0 i5 S C y g t 4 r 4 F a x e r I r P� S Wau �a: S ,f i R 5 j� �5{gy 3 p a s zr �a c' 11 x I E Please note -sales tax for E the state of IN was collected on this order. If you are not satisfied with your MELINDA TIERNEY MELIDA TIERNEY order, you may return it within 9001 COURT 14 days of the delivery date. WESTFIELD, IN 6074 For your convenience, items UNITED may be returned to the address on the packing slip or returned To: to your local Barnes Noble Barnes Noble.com store (check the local store refund policy for details). B &N.COM Customer Returns 1 Barnes Noble Way Monroe Township, NJ 08831 USA PayMethod: VISA CreditCard 7727 420101174019940101 420101174019940101 08/31/2009 12:OOAM (CL) w 8/28/2009 6:1.5:39PM g return instructions REASON FOR RETURN (PLEASE CHECK ONE) O Damaged in Transit O Defective O Wrong Quantity O Wrong Merchandise Received O Other We are committed to bringing you not only the (explain below) best values, but also the best service. COMMENTS: If for any reason you are not satisfied with your order and would like to return an item, please use the form below. Please call 1- 800•THE -BOOK for routing instructions FOR RETURNS: PLEASE CUT OUT LABEL ON DOTTED LINE AND ADHERE TO CARTON BEING RETURNED QTY o a UNIT PRICE: AMOUNT a .i <,ria�� r n P 3 s d" _,d... >d o,.m ..��...w o_�.��.. .a.,. z n..._,. .,��va, ,m r_ ..,�.x.�. �..�x d f PLEASE ADD APPLICABLE POSTAGE For your own protection we suggest you return items UPS or insured parcel post. Should the items be lost or damaged in V transit, carriers require that you file the tracer or claim. Postage is non refundable. Final Grades Page 1 of 2 003871779 Scott A. Tierney Final grades Fall 2009 Feb 09, 2010 07:14 pm Student Information Current Program Courses Only Level: Undergraduate Program: Indianapolis Courses Only Admit Term: Fall 2009 Admit Type: Readmit Catalog Term: Fall 2009 College: Ivy Tech Campus: Indianapolis Major: Courses Only Major Concentration: Public Safety Academic Standing: Good Standing Undergraduate Course work CRN Subject Course Section Course Campus Final Attempted Earned GPA Title Grade Hours 39957 CINS 101 22H Introduction to Indianapolis A 3.000 3.000 3.000 Microcomputers 27969 FIRE 103 11H Fire Fighting Indianapolis B 3.000 3.000 3.000 Strategy and Tactics Undergraduate Summary Attempted Earned GPA Hours Quality Points GPA Current Term: 6.000 6.000 6.000 21.00 3.500 Cumulative: 62.000 64.000 48.000 183.00 3.813 Transfer: 6.000 6.000 0.000 0.00 0.000 Overall: 68.000 70.000 48.000 183.00 3.813 Select another Term https //banprod- ssb.ivytech.edu/pts /PROD /bwskogrd.P_ViewGrde 2/9/2010 Em wig Ivy Tech Community College of Indiana 50 West Fall Creek Pkwy N. Indianapolis, IN 46208 Scott A. Tierney Date: 03/02/2010 19001 Crestview Ct Westfield, IN 46074 -9336 Student ID: Term: Fall 2009 Due Date: 02-MAR-2010 Current Term Balance: $0.00 AMOUNT DUE: $0.00 Previous Term Balance: $0.00 Future Balance: $0.00 Student Schedule and Hill CRN COURSE /SEC COURSE TITLE CREDITS DAYS TIME BLDG 1 ROOM 27969 FIRE 103 11H Fire Fighting S 3.00 TBA TBA WWW TEA 39957 GINS 101 22H Introduction to 3.00 TBA TBA WWW TBA TOTAL CREDITS: 6.00 CURRENT TERM CHARGES CURRENT TERM PAYMENTS 141 -In State Tuition 597.90 H1 -Visa MC Payment 50.00 Hl- Internet Fee 90.00 ZO -Web ayment 737.90 H1 -Prior Learning Assessment 50.00 Hl- Technology Fee 50.00 Total Current Term Charges: $787.90 Total Current Term Credits: $787.90 Payment in full must be made immediately. A $50.00 late fee will be added to your bill, and you could be dropped for non payment. To avoid non payment drop, contact your Business Office for specific deadlines. Reference Number Merchant information TECH COMM COLL OF IN P INDIANAPOLIS,IN 46208 Country Code Merchant Description US United States COLLEGES, UNIVERSITIES, PROFESSIONAL SCHOOLS Original Acct *' Transaction Date 08/12/2009 Posted On 08/13/2009 Transaction Type Purchase Amount $737.90 Currency US Dollar (USD) Ivy Tech Community College Central Indiana Tuition /Fee Information" 0 CENTRAL INDIANA Credits In State *Out of State /International 1 ......................$99 .65....................$206.85 2 ......................199 .30.....................413.70 3 ......................298 .95.....................620.5 4 .....398.60.................... 827.40 5 498.25 1,034.25 6 597.90 1,241.10 7 697.55 ....................1,447.95 8 797.20 ....................1,654.80 9 896.85.................... 1,861.65 10 996.50 2,068.50 11 ....................1,096.15 2,275.3 5 12 1,195.80. 2,482.20 13 ....................1,295.45 ....................2,689.05 14 1,395.10 2,895.90 15 ....................1,494.75 ....................3,102.75 16 ....................1,594.40 3,309.60 17 ....:...............1,694.05 ....................3,516.45 18 ....................1,793.70 723.30 All students will be assessed a $50.00 technology fee per semester. All students who enroll in an internet -based distance education course will be assessed a $15.00 fee per credit hour. All students on non immigrant visa status (G status exempt) will be assessed a $90.00 international student fee per semester. All persons on non immigrant visas, including international students, will pay out -of -state tuition. Lawful permanent residents, refugees, and immigrants, as well as certain other designated statuses are required to show original proof of status. In -state Tuition Eligibility U.S. citizens and those with an immigration status of refugee asylee, indefinite parolee, or lawful permanent resident who live in Indiana are eligible for in -state tuition. Certain individuals who attended one or more Indiana high schools for at least three years and have either a) graduated from an Indiana high school or b) received a GED from an Indiana institution may be eligible for in -state tuition rates. Out -of -state Tuition and International Students Non residents of Indiana and all individuals on non immigrant visa status will be assessed out -of -state tuition rates. The College does not award in -state tuition to individuals with applications pending for permanent residence. Persons on non immigrant visa status must contact the international student advisor at (317) 921 -4613 prior to registering for classes or meeting with a program advisor. FIRE 103 FIRE FIGHTING STRATEGY AND TACTICS Course Syllabus -Fall 2009 COURSE TITLE: Fire Fighting Strategy and Tactics COURSE NUMBER: FIRE 103 PREREQUISITES: None SCHOOL: Public and Social Services PROGRAM: Public Safety CREDIT HOURS: 3 CONTACT HOURS: Lecture: 2 Lab: 2 DATE OF LAST REVISION: Fall, 2008 EFFECTIVE DATE OF THIS REVISION: Spring, 2009 CATALOG DESCRIPTION: The course prepares students to make responsible decisions concerning incident objectives and the development of various strategies and tactics at the company level. Areas covered include pre incident planning, size up and the development of strategic options. Also, the student will learn basic building construction, fire behavior, fire control, fire ground factors, fire stream management and support activities. Responsibilities of engine and ladder companies are discussed. Emphasis is placed on safety in all the above areas. Command scenarios are used throughout the course. The NIMS /ICS is used as the Incident Command System of choice. MAJOR COURSE LEARNING OBJECTIVES: Upon successful completion of this course the student will be expected to: 1. Discuss measures to ensure fire fighter's safety and survival. 2. Describe the basics of fire behavior. 3. Describe advanced fire behavior with regards to combustible materials, flammable liquids and wild land. 4. Develop examples of standard operating guides (SOG) for both permanent and temporary use. 5. List 10 fire ground factors and their influence on a structure fire. 6. Discuss the influence of fire ground factors upon fire behavior, in general. 7. Analyze effects of various types of building construction upon fire behavior. 8. Discuss types of fire control. 9. Describe fire stream management and application. 10. From a given set of facts, develop a pre -fire plan. 11. Describe the operations for engine, rescue and ladder companies. 12. Describe the operations for ladder placement. 11 List and discuss support activities. 14. Examine tanker operations at a rural fire. 15. List and discuss factors comprising good communication operations. 16. Describe the benefits of the Incident Command System application. Ivy Tech Community College 1 COURSE CONTENT: Topical areas of study include: Fire behavior Fire fighter's safety and survival Fire ground factors Standard operating guides, (SOG) Fire control Communication operations Pre -fire plan Fire stream management Ladder placement Engine and ladder companies Building construction Incident Command System —use and advantages Tanker operations Development of Incident objectives, strategy and tactics Support activities Operations ACADEMIC HONEST STATEMENT: The College is committed to academic integrity in all its practices. The faculty value intellectual integrity and a high standard of academic conduct. Activities that violate academic integrity Undermine the quality and diminish the value of educational achievement. Cheating on papers, tests or other academic works is a violation of College rules. No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and /or distribution of these materials and other academic work. This includes students who aid and abet as well as those who attempt such behavior. COPYRIGHT STATEMENT: Students shall adhere to the laws governing the use of copyrighted materials. They must insure that their activities comply with fair use and in no way infringe on the copyright or other proprietary rights of others and that the materials used and developed at Ivy Tech Community College contain nothing unlawful, unethical, or libelous and do not constitute any violation of any right of privacy. ADA STATEMENT: Ivy Tech Community College seeks to provide reasonable accommodations for qualified individuals with documented disabilities. If you need an accommodation because of a documented disability, please contact the Office of Disability Support Services. If you will require assistance during an emergency evacuation, notify your instructor immediately. Look for evacuation procedures posted in your classroom. Ivy Tech Community College 2 SUGGESTED TEXTS /CURRICULUM MATERIALS: (latest edition) Strategic and Tactical Considerations on the Fireground, 2' edition, James P. Smith, Brady, Prentice Hall. ISBN -10: 0 -13- 222901 -3 STUDENT EVALUATION: GRADES WILL BE BASED ON: I Introduction Discussion Board 10 points 1 Course Expectation Quiz 20 points 11 Chapter Quzes @IOpts each 110 points 6 Discussion Board Topics @20pts 120 points I Mid -term exam 100 points I Final exam 100 points 6 Tactical scenarios 50 pts 300 points I Pre -plan project 90 points Total 850 points 94- 100 =A 799 -850 =A 85-93% B 722 798 B 75-84% C 637- 721 C 69-74% D 586- 636 D Below 69% F Below 585 =F MINIMUM FACULTY CREDENTIALS: A qualified faculty member in Public Safety Technology is one who has an earned baccalaureate or higher degree, from a regionally accredited institution, in technology or engineering, or an associate degree in Public Safety Technology, with a baccalaureate or higher degree in supervision, business, or industrial /vocational education; with academic preparation appropriate to the course and /or specialty being taught; and has one of the following: a) Professional certification in the field; b) Two years of directly related work experience. INSTRUCTOR: Richard Pohlman INSTRUCTOR PHONE NUMBER: (317) 546 -3627 INSTRUCTOR EMAIL ADDRESS: rpohlmanl@ivytech.edu INSTRUCTOR PPREFERED COMMUNICATION METHOD: I would prefer that you use the message tab under communication in Blackboard to send me messages. If it is urgent, send a message and an email. INSTRUCTIONAL OFFICE LOCATION AND HOURS: Ivy Tech Community College, Public Safety Building, Ft. Harrison, 9530 East 59' Street COURSE SECTION NUMBER: FIRE 103-11 H MAKE -UP POLICY: Instructor will require prior notification and verification of circumstances prior to granting approval for make -up work. LAST DATE TO DROP COURSE WITHOUT GRADE: See Student Handbook Ivy Tech Community College 3 Fire Science Degree Fire 103 Firefighting Strategy and Tactics The course prepares students to make responsible decisions concerning fire ground strategies and tactics at the company level. Areas covered include pre incident planning and size up. Also, the student will learn basic building construction, fire behavior, fire control, fireground factors, fire stream management and support activities. Responsibilities of engine and ladder companies are discussed. Emphasis is placed on safety in all the above areas. Command scenarios are used throughout the course. 3.000 Credit Hours 3.000 Lecture hours Levels: Indiana College Network, Undergraduate VOUCHER NO. WARRAN NO. ALLOWED 20 Scott Tierney IN SUM OF $810.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 41- 280.00 $810.86 1 hereby certify that the attached invoice(s), or 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 MAR 15 2010 A Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev, 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number for rote attached invoice(s) or bill(s)) $810.86 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 Clerk- Treasurer