HomeMy WebLinkAbout179719 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of 1
I ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 PO Box 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 179719
ON
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 OIDP8764910 80.00 TRAINING SEMINARS
F
°6
INDIANA UNIVERSITY P
p UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 1[<I "Ld�b 67CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01- DPB764910
PO DT: INVOICE DATE:
11/04/2009
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: NATHANIEL W. HILL SHANE R. INDIANA UNIVERSITY
VANNATTER PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/31.7 27.4 -7825
CARMEL IN 46032 FAX 317 278 -2836
INDIANA STATE DEPT, OF TOXICOLOGY BTR 2009--0010 FEIN NUMBER 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
2.00 EA BTR BREATH TEST RECERT. ISDOT OCT 26 -29, 09 90.00 80.00
TERMS: NET 30 DAYS "r PAY THIS AMOUNT 80. 0D
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R
i
RETAIN THIS PORTION FOR YOUR RLGORDS
Prescni'P� 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
Indiana University Purchase Order No.
s 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))
1DP8764910
VanNatter and Office
Total
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. W RRANT NO.
,f
ALLOWED 20
I ndiana University IN SUM OF
P.O. Bo x66271
Indianapolis, IN 46266 -6271
80.00
ON ACCOUNT OF APPROPRIATION FOR
c oat ed:;fund
Board Members
Pp# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 01DP8764910 570 80.00 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
NOvember-18 20 09
Signature
C:hi of of�01 i ce
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund