205205 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1
s•.� ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNEYHECK AMOUNT: $2,040.00
i? CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000
`o INDIANAPOLIS IN 46204 CHECK NUMBER: 205205
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4340701 2011PSY1230 2,040.00 MEDICAL EXAM FEES
Institute for Public Safety Personnel, Inc. Invoice
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204 DATE INVOICE
12/1.9/2011 2011psy1230
BILL TO
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
DESCRIPTION QUANTITY RATE AMOUNT
Applicant psychological evaluations for 6 340.00 2,040.00
Cox, Jordan
Farmer, Christopher
Heavner, Joel
Heinlein, Robert
Laraway, Justin
Thomas, Nathan
I
Make checks payable to: Total
$2,040.00
Insititute for Public Safety personnel, Inc
Phone Fax E -mail
317 687 -891.0 317- 687 -9490 Jeff a ipsp.net
VOUCHER NO. WARRANT NO.
ALLOWED 20
Institute for Public Safety
IN SUM OF
251 East Ohio Street, Ste. 1000
Indianapolis, IN 46204
$2,040.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE I AMOUNT Board Members
1120 I 2011psyl230 i 43- 407.01 I $2,040.00 1 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
JAN 4 2012
Fire Chief
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))
2011 psy1230 $2,040.00
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