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HomeMy WebLinkAbout180140 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1 ONE CIVIC SQUARE INDIANA UNIVERSITY i CHECK AMOUNT: $40.00 CARMEL, INDIANA 46032 PO BOX 66271 INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 180140 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357004 1LB1993410 40.00 EXTERNAL INSTRUCT FEE INDIANA UNIVERSITY PURDUE UNIVERSITY INDIANAPOLIS CUSTOMER NUMBER: CAR912 11PZlTf067CGG INVOICE NUMBER: CUSTOMER PO NBR: 01 LB1993410 PO DT: INVOICE DATE: 11/24/2009 i PROVIDED TO: BILLED BY (DO NOT REMIT TO): TTN: A /P. RE: DANIEL M. MATTHEWS INDIANA UNIVERSITY PHARMACOLOGY TOXICOLOGY CARMEL PD MS A401 3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120 /317 274 -7825 CARMEL IN 46032 FAX 31.7- 278 -2836 INDIANA STATE DEPT. OF TOXICOLOGY ISDT 2009 -011 FEENNUMBER 356001673 QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE 1.00 EA BTR BREATH TEST RECERT. ISDOT NOV 9 13, 09 40.00 40.00 TERMS: NET 30 DAYS PAY THIS AMOUNT 40.00 RL'TAIA'•Tlil &PORTION FOR1'OUR•RECORDS TNVOTCE nATE 11/24/2009 PrayI.*edby State Board ofAccounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) G 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 i. Indiana University Purchase Order No. P.O. Box 66271 Terms Indianapolis, IN 46266 -6271 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/24109 ILBI-9-93410 D ayment for breath e Total 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 V4JCHER NO. NO. ALLOWED 20 I ndiana University IN SUM OF P.O. Bo x66271 Indianapolis, IN 46266 -6271 40.00 ON ACCOUNT OF APPROPRIATION FOR cont ed fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 210 1LB1993410 570 40.00 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 December 3 20 09 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund