HomeMy WebLinkAbout184803 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
ONE CIVIC SQUARE INDIANA UNIVERSITY
CARMEL, INDIANA 46032 PO BOX 66271 CHECK AMOUNT: $120.00
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 184803
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 lYC3825310 120.00 TRAINING SEMINARS
INDIANA UNIVERSITY- PURDUE UNIVERSITY INDIANAPOLIS
INVOICE
CUSTOMER NUMBER: CAR912 TN2086267CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01 YC382531.0
PO DT: INVOICE DATE:
04/0'7/2010
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: 3 A'T'TENDEES IND'I'ANA EJN:I'VERS['CY
PIIARMACOLOGY Fl TOXICOLOGY
CARMEL PD MS 11401
3 CIVIC SQUARL; TNDIANAPOIJS IN 46202 -5120
/317- 214 7825
CARMEI., IN 46032 FAX 317 278 -2,836
TNDT.ANA Sl'ATE DEP'1'. OF TOXICOLOGY B'I'R 2010 003 FEINNUMBER 35 600 1673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
3.00 EA BTR BREATH TEST RFCERT. TSDOT MAR, 1-31, 10 40.00 120.00
STEVEN H CASE
BRIAN E. SCHMIDT
JAMES SI:MI'S'IER
TERMS: NF; 1' 30 DAYS PAY THIS AMOUNT 120.
'14b
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RETAIN THIS PORTION FOR YOUR RECORDS
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
Indiana University Purchase Order No.
P.O. Box 66271 Terms
Indianapolis, IN 46266 -6271 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/7/10 1-- YC3825310 payment for breath test recent for Officer Steve 120.00
Cash Officer Brian Schmidt and S" Jim Semester
Total
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
VOUCHER NO. WARRANT NO.
r.
ALLOWED 20
Ind.y.ana University IN SUM OF
P.O. Box 66271
Indianapolis, IN 46266 -6271
120.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO# or D PT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
210 1YC3825310 570 120.00 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
April 22 20 10
Signature
Chief of Pf)l i �e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund