178655 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362650 Page 1 of 1
ONE CIVIC SQUARE CENTER FOR PUBLIC SAFETY EXCELLENC
1 CARMEL, INDIANA 46032 4501 SINGER COURT #180 E CK AMOUNT: $650.00
CHANTILLY VA 20151 CHECK NUMBER: 178655
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 05 -1503 650.00 EXTERNAL INSTRUCT FEE
-i
Center for Invoice
Public Safety
Excellence
Date Invoice#
4501 Singer Ct., Ste. 180, Chantilly, VA 20151
866- 866 -2324 T 703- 961 -0113 F 10/7/2009 05-1503
Bill To Ship To
s Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46038 Carmel, IN 46038
P:O. No. Tzrms Due Date Rep
Due on receipt 10/7/2009 MJ
Description Quantity U/M Rate Amount
Self Assessment Workshop 495.00 495.00
Standards of Cover Workshop 155.00 155.00
El Paso, TX Workshops Chief Gary Dufek
"REVISED 10/13/09... WRONG WORKSHOP
INVOICED FOR ON 10/07/09
Non Taxable 0.00% 0.00
Payments /Credits $0.00
Total $650,00.
Thank you for your business! Balance Due
$650.00
Visit our website for more information on our programs and upcoming workshops events in your area!
www.publicsafetyexcellence.org
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05 -1503 $650.00
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. 1. WARRANT NO.
ALLOWED 20
Center for Public Safety Excellence
IN SUM OF
4501 Singer Court, #180
Chantilly, VA 20151
$650.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 05 -1503 43- 570.04 $650.00 I hereby certify that the attached invoice(s), or
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
OCT 2 6 Z999
T
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund