193140 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1
ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNE AMOUNT: $975.00
CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000
INDIANAPOLIS IN 46204 CHECK NUMBER: 193140
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4340701 201OPSY1207 975.00 MEDICAL EXAM FEES
Institute for Public Safety Personnel, Inc. Invoice
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204 DATE INVOICE
12/8/2010 2010psy1207
BILL TO
Carmel Police Department
3 Civic Square
Carmel, IN 46032
DESCRIPTION QUANTITY RATE AMOUNT
Applicant psychological evaluations for 3 325.00 975.00
Batic, Zachary
Buckingham, John
Koebcke, Chad
Make checks payable to:
Total $975.00
Insititute for Public Safety Personnel, Inc
Phone Fax E -mail
317 -687 -8910 317 687 -9490 info @ipsp.net
VOUCHER NO. WARRANT NO.
ALLOWED 20
Institute for Public Safety Personnel, Inc.
IN SUM OF
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204
$975.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 43- 407.01 1 hereby certify that the attached invoice(s), or
1110 2010psy1207 43- 407.01 $975.00 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
Thursday, December 16, 2010
-b -La"14
Chief of Police
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))
Buckingham Koebcke
12/08/10 2010psy1207 payment for psych evaluations for applicants: Batic $975.00
1 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