HomeMy WebLinkAbout190807 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 190807
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 01- AX2931811 80.00 TRAINING SEMINARS
INDIANA UNIVERSITY- PUR UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 IN208 INVOICE NUMBER:
CUSTOMER PO NBR: 01 AX2931811
PO DT: INVOICE DATE:
10/01/2010
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
BREATH TEST RECERTIFICATION SEPT. 1 -30, 2010 TSDT 2010 -0 E7:INNUn115H 356001673
1
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
2.00 EA BTR BREATH TEST RECERT. ISDT SEPT. 2010 40.00 80.00
OFFICERS WILLIAM E. HAYMAKER DAVID M.
KINYON
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 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))
10/1/10 1AX2931811 paygent for breath test recert for Officer Bill 80.00
Haymaker and Officer Dave Kin on
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, IN 46266 -6271
80.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
Pots or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 IAX2931811 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
October 7 20 10
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund