179379 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363567 Page 1 of 1
ONE CIVIC SQUARE PRO SAFE CDL
CARMEL, INDIANA 46032 3603 E RAYMON STREET CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46203
CHECK NUMBER: 179379
CHECK DATE: 11/11/2009
D EPARTMENT ACCOU PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
J 651 5023990 0002929 -IN 200.00 EMPLOYEE PENSIONS B
Page: 1
PR /Io11FE
CDL
Invoice Number: 0002929 -IN
Invoice Date: 10/26/2009
Carmel WWTP Customer Number: 50- CW
9609 Hazel Dell Parkway
Indianapolis, IN 46280 Customer P.O.: #511867
Ship VIA:
Contact: Terms: No Terms
Item Code Description UM Quantity Price Amount
OCD CDL Skills Test 1.000 0.000 100.00
10/21 David Turner rec #178452
OCD CDL Skills Test 1.000 0.000 100.00
10121 Blaine Mauaber rec #178453
Net Invoice: 200.00
Please direct any questions regarding this invoice Freight: 0.00
to Erin Redden at 317- 791 -2901 ext 142 Sales Tax: 0.00
Invoice Total: 200.00
3603 E Raymond St, Indianapolis, IN 46203 www.ProSafeCDL.com TEL 317.791.6375 FAX 317.791.2941
VOUCHER 096679 WARRANT ALLOWED
TO696 IN SUM OF
PRO SAFE CDL
3603 e RAYMOND ST
INDIANAPOLIS, IN 46203
r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2929 01- 7042 -06 $200.00
Voucher Total $200.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 19A)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL r
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T0696�
PRO SAFE CDL Purchase Order No.
3603 e RAYMOND ST Terms
INDIANAPOLIS, IN 46203 Due Date 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
11/2/2009 2929 $200.00
)i
j
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 p 5- 11- 10 -1.6
1, 15 i �'l y,c ti
Date Officer