170439 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00350140 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE POLICE CHECK AMOUNT: $517.00
CARMEL, INDIANA 46032 C/O VICKI E KOOR FISCAL DIVISION
100 N SENATE IGCN CHECK NUMBER: 170439
INDIANAPOLIS IN 46224
CHECK DATE: 4/1/2009
,QEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
210 5023990 517.00 OTHER EXPENSES
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T -y Pres ibetl by Stale Board of Accounts
CLA Clly Form No. 201 (Rev. 19r,4) 4)
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 CARMEL INDIANA STATE POLICE
On Account of Appropriation for To A M /C�f/ E_ �y FISCAL DIVISION
INDIANA STATE POLICE 100 N. SENATE AVE., IGCN
Address fT�- �rrr��—
.DATE ORDER ITEMIZED CLAIM' 7
19 NO. DOLLARS CTS.
3/ 4/09.. 02200 I
Law Enforcement Continuing Education j 5' Ili 00
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Pursuant to the provisions and penalties of Chapter 155. Acts of 1953.
I 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 March 4, 2009 Acct. Clerk TII_
SIGNATURE TITLE
317/2323430
CLAIM ,NO. F, WARRANT NO.
I have examined the within claim and hereby
IN FAVOR OF certify as follows:
t That it is in proper form.
That it is duly authenticated as required by law.
contract
That it is based upon S
statutory authority
correct
That it is apparently
incorrect
ON.ACCOUNT OF APPROPRIATION Clark Treasurer
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ALLOWED 19 7•.
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IN THE SUM OF 3 or m
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BOARD OF TRUSTEES o Q I
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COST DISTRIBUTION LEDGER CLASSIFICATION 3
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IF CLAIM PAID MOTOR VEHICLE HIGHWAY FUND
ACCT: 3
ACCOUNT TITLE AMOUNT n
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ROYCE FOAUB 9YS1EU5 IBGY!]]!N! iJ:
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
/oo G 1 Cy? fin J Terms
ji, 'V (Rao Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
l 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,
ALLOWED 20
IN SUM OF
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
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund