HomeMy WebLinkAbout174942 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350806 Page 1 of I
r 0 ONE CIVIC SQUARE INDIANA UNIVERSITY
CARMEL, INDIANA 46032 PO BOX 66271 CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 174942
CHECK DATE: 7/22/2009
DEP A CCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
210 _r 4357000 01UW8710409 200.00 TRAINING SEMINARS
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INDIANA U NIVERSITY PURDUE UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 Yftl'LG"CS% 67CGG INVOICE NUMBER:
CUSTOMER PO NBR: 01 UW8710409
PO DT: INVOICE DATE:
06/30/2009
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
ATTN: A /P. RE: 5 ATTENDEES INDIANA UNIVERSITY
PHARMACOLOGY TOXICOLOGY
CARMEL PD MS 2
3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317 -274 -7825
CARMEL IN 46032 FAX 317 -278 -2836
INDIANA STATE DEPT. OF TOXICOLOGY -BTR 2009 -006 FEIN NUMBER 35600 1673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
5.00 EA BTR BREATH TEST RECERT. I:SDOT 6/15 -17, 2009 40.00 200.00
SHANE P. COLLINS
TROY D. SMITH
R. SCOTT SPILLMAN
JOHN R. TOWLE
ROBERT E. WHITE, IT
TERMS: NET 30 DAYS PAYA_THIS AMOUNT 200.00
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3
........................RETAIN THSTORT4A.F4R•YOUR-RECORDS
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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
Indiana University Purchase Order No.
a
P.O. Box 66271 Terms
Indianapolis, IN 46266 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/30/09 1 1UW8710409 payment for breath test recert 200.00
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
200.00
ON ACCOUNT OF APPROPRIATION FOR
c ont ed fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
210 01Uw8710409 570 200.00 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
July 15 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund