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178729 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00350140 Page 1 of 1 ONE CIVIC SQUARE INDIANA STATE POLICE CHECK AMOUNT: $942.00 4 CARMEL, INDIANA 46032 CIO VICKI E KOOR FISCAL DIVISION 100 N SENATE iGCN CHECK NUMBER: 178729 INDIANAPOLIS IN 46224 CHECK DATE: 10/2812009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION 210 5023990 942.00 OTHER EXPENSES /Prescribed by Slate Board of Accouris C LAI��'I p City Form No. 201lRov.1964� A CLAIM, TO BE PROPERLY ITEMIZED MUST SHOW: KIND OF SERVICE, WHERE PERFORMED, DATES SERVICE RENDERED, BY WHOM, RATE PER DAY, NUMBER OF HOURS, RATE PER HOUR, PRICE PER .FOOT, PER YARD, PER HUNDRED, PER POUND, PER TON, ETC. CITY OF CARPEL INDIANA STATE POLIO On Account of. Appropriation. for t All y FISCAL DIVISION INDIANA STATE POLICE Ad dress 100 N. SENATE AVE.., IGCNI DATE ORDER 79_ NO. ITEMIZED CLAIM DOLLARS CTS. 10.9 D9200c, Law Enforcement C ontinuing Education r 94 i 00 T I I i i r I II i I. i i I I I 1 942 00 Pursuant to the provisions and penalties of Chapter 155. Acts of 1953. 1 hereby certify that the foregoing is just and correct,.that the amount claimed is legally due after allowing all just credits, and that no part of the same has been paid. Date Octob 9., 2009 Acct. Clerk III SIGNATUPF TITLE 317/232- 3430 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. -a Q'�x�. �C�f l�n �y Terms �iicl tL(� Andy1�a 04� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) a,00 Total 9 4 /j,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 VOUCHER NO. WARRANT NO. r ALLOWED 20 IN SUM OF zoo P ON ACCOUNT OF APPROPRIATION FOR 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 a� 2d� i at Cost distribution ledger classification if Itl claim paid motor vehicle highway fund