HomeMy WebLinkAbout187885 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 187885
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 01LB7378611 200.00 TRAINING SEMINARS
INDIANA UNIVERSI'T'Y- PUrRNNDUQEII UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 TN2086267CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01 LB7378611
PO DT: INVOICE DATE:
07/06/2010
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: INDIANA UNIVERSITY
PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317 -274 -7825
CARMEL IN 46032 FAX 317- 278 -2836
FIVE OFFICERS BREATH TEST RECERTIFICATION JUNE 2010 FITNN[jM[iPR 35600167:3
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
5.00 EA BTR BREATH TEST RECERT. ISDT OFFICERS 40.00 200.00
GREGORY F. DAWSON, WILLIAM J. GILBERT,
RYAN J. MEYER, TRAVIS C F77 TILSON &__CHAD
R. WIEGMAN
TERMS: NET 30 DAYS i PAY THIS AMOUNT 200.00
k.
RETAIN THIS PORTION FOR YOUR RECORDS
Prescribed by State board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
7/6/10 01LB7378611 a ent for breath test recert for Officer Will Gilbe t 200.00
Det. Greg Dawson Sgt. Ran Meyer, Det. TC Tilson and
Officer Chad Wiegman
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.
4'
ALLOWED 20
I ndi -ana University IN SUM OF
P.O. Box 66271
Indianapolis, IN 46266 -6271
200.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed ufnd
Board Members
Poi or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT, I hereby certify that the attached invoice(s), or
21.0 OILB7378611 570 200.00 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
July 13 20 10
W WPM
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund