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190811 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1 ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNEL� CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000 YHECK AMOUNT: $650.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 190811 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4341999 201OPSY05 650.00 OTHER PROFESSIONAL FE Institute for Public Safety Personnel, Inc. Invoice 255 East Ohio Street, Suite 1000 Indianapolis, IN 46204 DATE INVOICE 10/5/2010 2010psy05 BILL TO Carmel Police Department 3 Civic Square Carmel, IN 46032 DESCRIPTION QUANTITY RATE I AMOUNT Applicant psychological evaluations for 2 325.00 650.00 Barlow, Cody Kingery, Adam Make checks payable to: Total $650.00 Insititute for Public Safety Personnel, Inc Phone Fax E -mail 317- 687 -8910 317 -687 -9490 iiifo@ipsp.net ipsp.net 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 Institute for Public Safety Personnel, inc Purchase Order No, 251 East Ohio Street, Suite 1000 Terms Indianapolis, IN 46204 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/5/10 2010 s 05 payment for psychologicals for applicants 650.00 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 Insititute for Public Safety Personnel Inc IN SUM OF 251 East 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 2010 sy05 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 October 8 20 10 -;L101 14 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund