HomeMy WebLinkAbout177710 09/29/2009 CITY OF CARMEL INDIANA VENDOR: 00350806 Page 1 of 1
b ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $120.00
CARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 177710
CHECK DATE: 9/29/2009
DEPARTME ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4� 4357000 N___ IXX9153510 120.00 TRAINING SEMINARS
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I NDIANA UNIVERSITY P URDUE UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR9I2 IN Y 9M 67CGG INVOICE NUMBER:
CUSTOMER PO NBR: OI XX91535I0
PO DT: INVOICE DATE:
09/09/2009
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: 3 ATTENDEES INDIANA UNIVERSITY
PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317 -274 -7825
CARMEL IN 46032 FAX 317 278 2836
INDIANA STATE DEPT. OF TOXICOLOGY -BTR -2009 -008 FEIN NUMBER 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
3.00 EA BTR BREATH TEST RECERT. ISDOT 8/24 -28, 09 40.00 120.00
BYRNE, 'TIMOTHY L.
PARIS, MARK J.
TROYER, DARIN M.
TERMS: NET 30 DAYS I PAY THIS AMOUNT 120.00
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RETAIL THIS.P:ORTION.EO:RYDUR.RECORDS
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Prescritrad 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.
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))
9/9/09 01XX9153510 payment for breath test recert for Officer Tim Byrne, 120.00
Officer Mark Paris and Det. Darin Troyer
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. WARRANT NO.
ALLOWED 20
I ndiana University IN SUM OF
P.O. BOX 66271
Indianapolis, IN 46266 -6271
120.00
ON ACCOUNT OF APPROPRIATION FOR
c oast ied fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 1XX9153510 570 120.00 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
September 22 20 09
Signature
Chipf of police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund