159283 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 361222 Page 1 of 1
ONE CIVIC SQUARE CITY OF JEFFERSONVILLE
ti
e:; MEL, INDIANA 46032 500 QUARTERMASTER COURT CHECK AMOUNT: $50.00
JEFFERSONVILLE IN 47130 CHECK NUMBER: 159283
CHECK DATE: 511412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4357004 50.00 EXTERNAL INSTRUCT FEE
INVOICE
IVOICE City of Jeffersonville DATENMAY 9, 2008
500 Quartermaster Ct, Jeffersonville, IN 47130
Phone 812 -285 -6422 Fax 812 285 -6426
TO Douglas Haney SHIP [Name]
Carmel, IN TO [Company Name]
ebass@carmel.in.gov [Street Address]
[City, ST ZIP Code]
[Phone]
Customer ID [ABC12345]
SHIPPING PAYMENT
SALESPERSON JOB SHIPPING TERMS DELIVERY DATE DUE DATE
METHOD TERMS
QTY ITEM DESCRIPTION UNIT PRICE DISCOUNT LINE TOTAL
1 SCIP Registration 50.00 50.00
TOTAL DISCOUNT
SUBTOTAL
SALES TAX
TOTAL 50.00
Make all checks payable to City of Jeffersonville
THANK YOU FOR YOUR BUSINESS!
Prescribed by State Board of Accounis 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.
Pa yye�e
CITY OF JEFFERSONVILLE
Purchase Order No.
500 Quartermaster Court
Terms
Jeffersonville, Indiana 47130
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 -12 -08 Registration for Douglas C. Haney, Carmel City $50.00
A ttorney, to attend the "Systematic Code Enforcemen
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
_C.ih/ 4f Jeffersonville IN SUM OF
x
509 Quartermaster Court
Jeffersonville, Indiana 47130
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -57004 Instructional Fees
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
DOL $50.00 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
20
ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund