174367 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352898 Page 1 of 1
ONE CIVIC SQUARE INDIANA ALLIANCE OF HAZARDOUS
CARMEL, INDIANA 46032 MATERIALS RESPONDERS, IGCS CHECK AMOUNT: $200.00
�t 160 W CARMEL DRIVE CHECK NUMBER: 174367
CARMEL IN 46032
CHECK DATE: 7/812009
DE PARTMEN T ACC OUNT PO NU INV OICE NU MBER AMO UNT DESCRIPTION
1120 4355300 253 200.00 ORGANIZATION MEMBER
Indiana Alliance of Hazardous Materials Responders Invoice
160 West Carmel Dr., Suite 285
Carmel IN 46032 Date Invoice
6/17/2009 253
Bill To
Carmel Fire Department
Att: Denise Briston
2 Civic Center Square
Carmel, IN 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
Annual Membership Fee for Indiana Alliance of Hazardous Materials Responders 2009 200.00 200.00
/2010
Please remit to above address.
Total $200.00
Presuibed 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))
253 $200.00
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.
Indiana Alliance of Hazardous Materials Respo ALLOWED 20
IN SUM OF
160 W. Carmel Drive #285
Carmel, IN 46032
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 253 43- 553.00 $200.00 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
JUL 6 2009
5/ n d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund