166733 12/10/2008 „f CITY OF GARMEL, INDIANA VENDOR: 00350172 Page 1 of 1
0 ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $730.00
GARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 166733
CHECK DATE: 12/10/2008
bEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOU DESCRIPTION
1110 ..'4357004 01XC4196609 80.00..EXTERNAL INSTRUCT FEE
0 1110 4351501 01XU2086509 650.00 EQUIPMENT MAINT CONTR
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INDIANA UNIVERSITY PURDUE UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 AW 67CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01- YC4196609
PO DT: INVOICE DATE:
11/26/2008
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: CHAD B. AMOS SARAH E. HARRIS INDIANA UNIVERSITY
PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317- 274 -7825
CARMEL IN 46032 FAX 31'7- 278 -2836
INDIANA STATE DEPARTMENT OF TOXICOLOGY BTR ISOT 2008 -024 FEINNUMB1 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
2.00 EA BTR BREATH TEST RECERT. ISDOT 11./3 -6/08 40.00 80.00
TERMS: NET 30 DAYS PAY THIS AMOUNT 80.00
i
.........................RETAIN THIS•P- ORTION FOR Y4JUR•RECORDS
"rnivn7rF. nATp F /9(1()R
I NDIANA UNIVERSITY- PUR U INDIANAPOLIS
CUSTOMER NUMBER: CAR912 INZU� INVOICE NUMBER:
CUSTOMER PO NBR: 01 XU2086509
PO DT: INVOICE DATE:
11/13/2008
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A/P 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
IN STATE DEPT. OF TOX. EVIDENTIARY BTI MAINT. PROGRAM 2009 FEIN NUMBER 35 600 1673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
1.00 EA IM EVIDENTIARY BREATH TEST INST MAINT PROG 650.00 650.00
2009
S# 950191
TERMS: NET 30 DAYS PAY THIS AMOUNT 650.00
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RETAIN.THIS PORTION FOR YOUR_RECORDS
Twin it .T no nn mm i'1 /'I 9 /^)nno•
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))
11/26/08 OlYC419660 payment for breath test recert for Officer Chad Amos 80.00
and Officer Sarah Harris
11/13/08 01XU208650 a ent for annual maintenance 650.00
Total 730.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Insiana University IN SUM OF
P.O. Box 66271
Indianapolis, IN 46266 -6271
730.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 01XU2086509 5 15-01 650.00 bill(s) is (are) true and correct and that the
1110 OIYC4196609 570-04 80.00 materials or services itemized thereon for
which charge is made were ordered and
received except
December 3 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund