HomeMy WebLinkAbout169958 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00350172 Page 1 of 1
ONE CIVIC SQUARE INDIANA UNIVERSITY CHECK AMOUNT: $240.00
„o CARMEL, INDIANA 46032 PO BOX 66271
INDIANAPOLIS IN 46266 -6271 CHECK NUMBER: 169958
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1110 4357004 OlIK8310909 240.00 EXTERNAL INSTRUCT FEE
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INDIANA U NIVERSITY PURD UNIVERSITY INDIANAPOLIS
CUSTOMER NUMBER: CAR912 -I-'N1.% 67 COG INVOICE NUMBER:
CUSTOMER PO NBR: 01 IK8310909
PO DT: INVOICE DATE:
02/27/2009
PROVIDED TO: BILLED BY (DO NOT REMIT TO):
A-,mN: A /P. RE: 6 ATTENDEES INDIANA UNIVERSITY
PHARMACOLOGY TOXICOLOGY
CARMEL PD MS A401
i 3 CIVIC SQUARE INDIANAPOLIS IN 46202 -5120
/317 -274 -7825
CARMEL IN 46032 FAX 317 278 -2836
INDIANA STATE DEPT. OF TOXICOLOGY BTR 2009 -002 FEIN NUMBB 356001673
QTY UNIT ITEM DESCRIPTION UNIT PRICE EXT. PRICE
6.00 EA BTR BREATH TEST RECERT. ISDOT 2/2 Il. /2009 40.00 240.00
SCOTT W. BICKEZ
ANDREW P. GERDT
JEFFREY J. HORNER
HARLAND J. MCNAIR
ROBERT S. PELZER
CURTIS D. SCOTT
TERMS: NET 30 DAYS PAY THIS AMOUNT 240.00
RETMN THIS.PORTION•FOR- YOURRECORDS
TmNrnT�V nT mc n`J /7"7 /o 11no
Prescrih-.d by 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
.Y
Indiana Univeristy 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))
2127/09 OIIK83t1090 payment for breath test recert 240.00
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
Indianap6lis, IN 46266 -6271
240.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 OIIK8310909 570 -04 240.00 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
March 11 20 09
ignature
Assistant Chief of Polic
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund