HomeMy WebLinkAbout188918 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 363742 Page 1 of 1
ONE CIVIC SQUARE LAVERNEZETTA MOORE CHECK AMOUNT: $145.00
CARMEL, INDIANA 46032 3971 WIND DRIFT DR G
INDPLS IN 46254 CHECK NUMBER: 188918
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343004 145.00 TRAVEL PER DIEMS
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SPEEDOMETER READING coilumns are to be used only when distance between. points cannot be deter m-ineVoy fixed mileage cn official highway map-
Pursuant hztheprovoionaandpanaNeaofChapter155.Acts1953.|hurebyoertifvthatdheformgcdngscnounti, claimed is legally due, after
oUnvNno all just credits, and that' noparlcf the same has been paid.
'Date
student(s) you signed up to attend.
Course Number: 10 -1003
Course Type Suicide Intervention
Date Aug 5, 2010
Host Agency New Haven Police Department
Class Location New Haven Police Department
815 Lincoln Highway East
New Haven, IN 46774
Class Hours 08:30 AM 04:30 PM
Price $189.00 (Special pricing applies)
No, of Seats 4
Students Attending
LAVERNEZETTA MOORE
KENT PAULIN
ELIZABETH EARLYWINE
BILL MCGEE
Sub Total $756.00
PAYMENT INFORMATION
You paid by Purchase Order.
Name on Purchase Order: JANET ARNONE
Purchase Order Number: 26866
IMPORTANT: PLEASE FAX US YOUR PURCHASE ORDER
To complete your order, please fax a copy of an official agency
purchase order to PowerPhone at 2037245 -3022, ATTN: Order Processing. j
Seats in PowerPhone classes will not be held and products will not
ship until we have received a copy of your purchase order.
Order Totals
Subtotal $756.00
Shipping $0.00
Total $756.00
I
Form "Training Request Form 2- 2003"
VOUCHER NO. WARRANT NO.
ALLOWED 20
LaVernezetta Moore
IN SUM OF
3971 Wind Drift Drive E
Indianapolis, IN 46254
$14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUN Board Members
1115 43 430.04 $145.00 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
Wednesday, August 11, 2010
0��
Director
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))
08/09/10 I I I $145.00
1 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