HomeMy WebLinkAbout161887 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00350172 Page 1 of 1
ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $200.00
t CARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 161887
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
:i110 4357004 01AGO118809�� 200.00 EXTERNAL INSTRUCT FEE
INDIANA UNIVERSITY- PURDUE UNIVERSITY INDIANAPOLIS
INVOICE
CUSTOMER NUMBER: CAR912 1N2086267CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01- AG0118809
PO DT: INVOICE DATE:
07/01%2008
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: 5 ATTENDEES INDIANA "N VERSITY
PAARMACOLOGY TOXICOLOGY
CARMEL PD MS A40:
3 CIVIC SQUARE ?NDTANAPOLI_S IN 46202 -5120
/317 -274 -7825
CARMEL IN 46032 FAX 3 -278 -2836
I NDIANA STATE DEPT. OF TOXICOLOGY BTR, ISDT 2008 -013 HIN NUMBER 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
5.00 EA BTR BREATH TEST RECERT. ISDOT 6/9- 12 /20OR 40.00 200.00
GREGORY F. DAWSON
WILLIAM j. GILBERT
ADAM C. MILLER
TRAVIS C. T" SOK
CHAD R. WIEGMAN
TERMS: NET 30 DAYS PAY THIS AMOUNT 200.00
RETAIN THIS PORTION FOR YOUR RECORDS
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))
7/1/08 01AG0118809 payment for breathttest recert 200.00
Total
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
Indiana University IN SUM OF
P.O. Bo x66271
Indianapolis, IN 46266 -6271
200.00
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or iNVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 01AG011880 570 -04 200.00 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
July 11 20 08
Signature
M,4 of of P_oZ I
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund