HomeMy WebLinkAbout204853 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
ONE CIVIC SQUARE INDIANA UNIVERSITY
CARMEL INDIANA 46032
PO BOX 66271 CHECK AMOUNT: $40.00
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 204853
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 1- LI8281712 40.00 TRAINING SEMINARS
I NDIANA UNIVERSITY- PURDUE UNIVERSITY INDIANAPOLIS
INVOICE
CUSTOMER NUMBER: CAR912 IN2086267CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01 LIB261712
PO DT: INVOICE DATE:
12/06/2011
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A/P RE: DANIEL M. MATTHEWS 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 BTR— 2011 -024 FEIN NUMBM 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
1.00 EA BTR BREATH TEST RECERT. ISDT NOV. 2011 40.00 40.00
TERMS: NET 30 DAYS PAY THIS AMOUNT 40.00
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3
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RETAIN THIS PORTION FOR YOUR RECORDS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana University
IN SUM OF
P.O. Box 66271
Indianapolis, IN 46266 -6271
$40.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
210 1- LI8281712 570.00 $40.00
I hereby certify that the attached invoice(s), or
I I I
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
Thursday, December 15, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/06/11 1- LI8281712 breath test recert Matthews $40.00
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