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186367 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00352898 Page 1 of 1 ONE CIVIC SQUARE INDIANA ALLIANCE OF HAZARDOUS 0 CHECK AMOUNT: $200.00 i. CARMEL, INDIANA 46032 MATERIALS RESPONDERS, IGCS 160 W CARMEL DRIVE CHECK NUMBER: 186367 CARMEL IN 46032 CHECK DATE: 61912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 290 200.00 ORGANIZATION MEMBER Indiana Alliance of Hazardous Materials Responders Invoice 160 West Carmel Dr., Suite 285 Date Y invoice Carmel, IN 46032 5/27/2010 290 Bill To Carmel Fire Department Att: Denise Briston 2 Civic Center Square Carmel, IN 46032 P.O. No. Terms Project Due on receipt Quantity Description Rate Amount Annual Membership Fee for Indiana Alliance of Hazardous Materials Responders 2010 200.00 200.00 /2011 Please remit to above address. Total $200.00 it VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Alliance of Hazardous Materials Respo IN SUM OF 160 W. Carmel Drive #285 Carmel, IN 46032 $200.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 290 43- 553.00 $200.00 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 JUN 2010 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 (or note attached invoice(s) or bill(s)) 290 $200.00 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