HomeMy WebLinkAbout188221 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363190 Page 1 of 1
ONE CIVIC SQUARE ALLEN COUNTY JUVENILE FIRESETTE CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 TASK FORCE -FT WAYNE TASK FORCE
1270 SOUTH PHOENIX PARKWAY CHECK NUMBER: 188221
FT WAYNE IN 46816
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 082610 25.00 EXTERNAL INSTRUCT FEE
S� Inside the Mind of a Juvenile
r3. Firesetter
Thursday, August 26, 2010
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C11PS .1� :1(L.1k3I -.h 1![.iS I" BF RFQUI—S IT) AHEAD OF I I,MFI A[) 11 \K'Vf'AI_ CREDIT l-\
Name
Agency
Title
Address
City, State and ZIP
.2 Co 0
Phone
Email (Conference Registration Con ►rmation will only be sent via email)
Fax a0
CEU's requested Total payment
I'[.FASE RETURN RFGISFRATIO\ FORMS TO:
C \PTAI\ DAVE MEADOW VS
FORT \VA) NI: FIRE EDUCA-1 1 j\ DIVI'SION'
1?70 SOUTH P1 1'ARKAV \1
1 W \Y E. IN 46516
PFIO\E. 260
F;A\. 200427 -5082
THOSE CANCELLING WITHOUT SUFFICIENT NOTICE WILL NOT BE ELIGIBLE FOR A REFUND OF
THEIR REGISTRATION FEE
VOUCHER NO, WARRANT NO.
ALLOWED 20
Allen .County Juvenile Firesetters
IN SUM OF
1270 South Phoenix Parkway
Fort Wayne, IN 46816
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 570.04 $25.00 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
AUG 2 2010
d
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))
Registration Fee Freer $25.00
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