167362 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00350172 Page 1 of 1
ONE CIVIC SQUARE INDIANA UNIVERSITY
CHECK AMOUNT: $120.00
CARMEL, INDIANA 46032 PO SOX 66271
INDIANAPOLIS IN 46266 -6271
CHECK NUMBER: 167362
CHECK DATE: 12/23/2008
DEPARTMENT A CCOUNT PO NUMBER IN NUMBER AMO UNT DE SCRIPTION
1110 434199.9 OlEWS691509 40.00 OTHER PROFESSIONAL FE
1110 4341'999 01FV5874509 80.00 OTHER PROFESSIONAL FE
INDIANA UNIVERSITY PURDUE UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 I'I "lggt 67CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01— EWS691509
PO DT: INVOICE DATE:
12/09/2008
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PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: TRENT A. MCINTYRE 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
INDIANA STATE DEPT. OF TOXICOLOGY ISDT 2008 -026 FEIN NUMBER 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT, PRICE
1.00 EA BTR BREATH TEST RECERT. ISDOT 12/1 -4/08 40.00 10.00
TERMS: NET 30 DAYS PAY THIS AMOUNT 40.00
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RETMN TBIS•PORTION•FOR•YOUR RECORDS
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INDIANA UNIVERSITY- PURDUUF UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 2M17 n E 67CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01- FV5874509
PO DT: INVOICE DATE:
12/10/2008
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: KATHERINE E. MALLOY BRADY R INDIANA UNIVERSITY
MYERS PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317 274 -7825
CARMEL IN 46032 FAX 317 -278 -2836
INDIANA STATE DEPARTMENT OF TOXICOLOGY BTR ISDT 2008 -022 FEINNUMBER 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
2.00 EA BTR BREATH TEST RECERT. ISDOTr10 /6- 9/2008 40.00 80.00
TERMS: NET 30 DAYS PAY THIS AMOUNT 80.00
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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
Indiana 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))
12/10/08 OIFV5874509 payment for breath test recert for Officer Katy Malloy 80.00
and Sgt. Brady Myers
12/09/08 01FW5691509 payment for breath test revert for Officer Trent 40.00
McIntyre
Total 120.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
In 4iana University IN SUM OF
P.O. Box 66271
Indianapolis, IN 46266 -6271
120.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
OIEW56 1509 419 -99 40.00 bill(s) is (are) true and correct and that the
OIFV5874509 419 -99 80.00 materials or services itemized thereon for
which charge is made were ordered and
received except
December 16 20 08
Signature
Chief of Pnlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund