166832 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358229 Page 1 of 1
ONE CIVIC SQUARE NICOLE PASSINEAU
•li 0 e CHECK AMOUNT: $41.20
CARMEL, INDIANA 46032 C/o Docs
CHECK NUMBER: 166832
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357002 37773 41.20 EXTERNAL TRAINING FEE
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Page l of 1
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Packing List
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Agricultural Communication Toll Free: 1 888 EXT -INFO
Media Distribution Center (398 -4636)
231 S University Street FAX: (765) 496 -1540
West Lafayette, IN 47907 -2094 Email: media.order@purdue.edu
Order Date: 11/14/2008 Date: 11/14/2008
Purchase Number: Customer ID: 126994
ACS Order Number: 37773 BP ID:
Ship to: NICHOLE PASSINEAU Bill to: NICHOLE PASSINEAU
249 W CASS ST 249 W CASS ST
CICERO, IN 46034 CICERO, IN 46034
Visit our online shopping cart at: http: /Iwww.ces.purdue.edu /new
DESCRIPTION PRODUCT ORDER SHIPPED UNIT UNIT DISC. TOTAL
NUMBER QTY QTY RETAIL
INDIANA PESTICIDE PPP- C -PPP-
APPLICATOR TRAINING 13 1 1 $32.00 Each $0.00 $32.00
MANUAL
UPS Tracking Number(s): Total Discount: $0.00
1Z4414550364286608
Sub Total: $32.00
Shipping /Postage: $6.5
Payment Mastercard. Sales Tax 7 $2-7-0
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Total: $41.20
Comments:
Deleted Items are no longer available. Please do not reorder.
Web Items available only online. Please visit: http /www.ces.purdue.edu /extmedia/
This is not an invoice. Please do not send remittance until you receive an invoice.
Call 1 888 398 --4636 and ask for the Media Distribution Center about billing /return questions or concerns.
Thank you for your order!
httpsa/ secure .agriculture.purdue.edu /mdc/ input reports /packinglist.asp ?posted =l &ordern... 11 /14/200$
Page 1 of 1 p
P TT
RU E Packing List
U N 1 V E B S I T Y
Agricultural Communication Toll Free: 1 888 EXT -INFO
Media Distribution Center (398 -4636)
231 S University Street FAX: (765) 496 -1540
West Lafayette, IN 47907 -2094 Email: media.orderfturdue edu t
Order Date: 11/14/2008 Date: 11/14/2008
Purchase Number: Customer ID: 126994
ACS Order Number: 37773 BP ID:
Ship to: NICHOLE PASSINEAU Bill to: NICHOLE PASSINEAU
249 W CASS ST 249 W CASS ST
CICERO, IN 46034 CICERO, IN 46034
Visit our online shopping cart at: htt :llwww.ces. urdue.edulnew
DESCRIPTION PRODUCT ORDER SHIPPED UNIT UNIT DISC. TOTAL
NUMBER QTY QTY RETAIL
INDIANA PESTICIDE PPP- C -PPP-
APPLICATOR TRAINING 13 1 1 $32.00 Each $0.00 $32.00
MANUAL
UPS Tracking Number(s): Total Discount: $0.00
1Z4414550364286608
Sub Total: $32.00
ShippinglPostage: $6.50
Payment IN Sales Tax 7 $2.70
Total: $41.20
Comments:
Deleted Items are no longer available. Please do not reorder.
Web Items available only online. Please visit: hito Ilww
This is not an invoice. Please do not send remittance until you receive an Invoice.
Call 1 888 398 -4636 and ask for the Media Distribution Center about billing /return questions or concerns.
Thank you for your order!
https: secure .agriculture.purdue.edu /mde/ input reports /packinglist.asp ?posted =l &orders... 11/14/2008
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
x
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 /r
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I 3' )13 c 77-Q i P7 0 1
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
IN SUM OF
Io �1 o
ON ACCOUNT OF APPROPRIATION FOR
l cs
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
20vS
n
u �c---S
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund