HomeMy WebLinkAbout191694 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
s 0 s ONE CIVIC SQUARE INDIANA UNIVERSITY
CARMEL, INDIANA 46032 PO BOX 66271 CHECK AMOUNT: $40.00
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 191694
CHECK DATE: 11110/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 1I07277411 40.00 TRAINING SEMINARS
INDIANA UNIVERSITY- PURDUE UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 INR86Z INVOICE NUMBER:
CUSTOMER PO NBR: 01 I07277411
PO DT: INVOICE DATE:
11/01/2010
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 FOR INTOXICATION RECERTIFICATION ISDT 2010 -017 FEIN NUMBER 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
1.00 EA BTR BREATH TEST RECERT. ISDT OCTOBER 2010 40.00 40
OFFICER KATHERINE. E. MALLOY
TERMS: NET 30 DAYS PAY THIS AMOUNT 40.00
1
iC
RETAIN TFIIS 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
Indianar�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))
1107 277411 Dayment for breath test recert for Officer Katy Mallo 40.00
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
I ndiana University IN SUM OF
P.O. Bo x66271
Indianapolis, IN 46266 -6271.
40.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 1107277411 570 40.00 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
November S 20 10
&41,dt� b
Signature
Cfidf-=of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund