190324 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1
0 ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNELLHECK AMOUNT: $650.00
CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000
uii`bu INDIANAPOLIS IN 46204 CHECK NUMBER: 190324
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 201OPSY0906 650.00 OTHER PROFESSIONAL FE
Institute for Public Safety Personnel, Inc. Invoice
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204 DATE INVOICE
9/2/2010 2010psy0906
BILL TO
Carmel Police Department
3 Civic Square
Carmel, IN 46032
DESCRIPTION I QUANTITY RATE AMOUNT'
Applicant psychological evaluations for 2 325.00 650.00
Govin, John
Moore Lindsay
Make checks payable to: Total
$650.00
Insititute for Public Safety Personnel, Inc
Phone Fax E -mail
317- 687 -8910 317 -687 -9490 info @ipsp.net
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
r 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
Institute for Public Safety Personnel, Inc Purchase Order No.
251 East Ohio Street, Suite 1000 Terms
Indianapolis, IN 46204_i. Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/2/10 2010 s 0906 payment for psych evaluation for John Govin and LIndsaF 650.00
Moore applicants
x.
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 nb'titute for €PUblic Safety Pers9onnel Inc.
IN SUM OF
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204
650.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 2010psyO90 419 -99 650.00 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
September 21 20 10
&",,X I t
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund