188862 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
ONE CIVIC SQUARE INDIANA UNIVERSITY
CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271
CHECK NUMBER: 188862
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 OlKS1430111 80.00 TRAINING SEMINARS
INDLkNA UNMRSITY— PURDUE UNIVERSITY INDIANAPOLIS
INVOICE
CUSTOMER NUMBER: CAR912 IN2086267CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01 KS1430111
PO DT: INVOICE DATE:
08/03/2010
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: WENDY M. BODENHORN MICHAEL A INDIANA UNIVERSITY
PITMAN PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317 -274 -7825
CARMEL IN 46032 FAX 317 278°-2836
INDIANA STATE DEPT. IF TOXICOLOGY BTR- 2010 -011 HINNtimBria 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
2.00 EA BTR BREATH TEST RECERT. ISDOT JUL. 1 31, 10 40.00 80.00
TERMS: NET 30 DAYS PAY THIS AMOUNT 80.00
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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))
8/3/10 OIKS1430111 payment for breath test recertification for Officer 80.00
Wendy Bodenhorn and Det. Mike Pitman
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.
ALLOWED 20
I ndiana University IN SUM OF
P.O. Box 66271
Indianapolis,
80.00
ON ACCOUNT OF APPROPRIATION FOR
c ont ed fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 OIKS1430111 570 80.00 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
August 13 20 10
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund