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192856 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1 0 ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNELLLL� CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000 CHECK AMOUNT: $300.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 192856 <ipH a CHECK DATE: 12115/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350900 201OPSY12OG 300.00 OTHER CONT SERVICES Institute for Public Safety Personnel, Inc. Invoice 251 East Ohio Street, Suite 1000 Indianapolis, IN 46204 DATE INVOICE 12/8/2010 2010psyl206 BILL TO City of Carmel Communications Center 3 Civic Square Carmel, IN 46032 DESCRIPTION QUANTITY RATE AMOUNT Incumbent fitness for duty follow -up psychological 1 300.00 300.00 evaluation for B.C. on 11/30/2010 Make checks payable to: Total $300.00 Insititute for Public Safety Personnel, Inc Phone Fax E -mail 317- 687 -8910 317 -687 -9490 info@ipsp.net ipsp.net VOUCHER NO. WARRANT NO. ALLOWED 20 Inst. For Pub. Safety Personnel IN SUM OF 251 E. Ohio Street, Ste. 1000 Indianapolis, IN 46204 $300.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1115 I 2010psy1206 I 43- 509.00 I $300.00 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 Friday, December 10, 2010 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)) 12/08/10 I 2010psy1206 I I $300.00 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