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179726 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1 ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNE L CARMEL, INDIANA 46032 251 E OHIO STREET SUITE 1000 L ECK AMOUNT: $1,625.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 179726 CHECK DATE: 11/2412009 DEPARTMENT ACCOUNT P NUMBER INVOICE NUMB AMOUNT DE 1115 4341999 2009PSY1104 325.00 OTHER PROFESSIONAL FE 1110 4341999 2009PSY1106 1,300.00 OTHER PROFESSIONAL FE e Institute for Public Safety Personnel, Inc. Invoice 251 East Ohio Street, Suite 1000 Indianapolis, IN 46204 DATE INVOICE 11/11/2009 2009psyll06 BILL TO Carmel Police Department 3 Civic Square Carmel, IN 46032 DESCRIPTION QUANTITY RATE AMOUNT Applicant psychological evaluations for 4 325.00 1,300.00 Gauthier, Edward Grimes, Eric Hughes, Crystal Thomas, Richard Make checks payable to: Total $1 r;1p;: Insititute for Public Safety Personnel, Inc Phone Fax E -mail 317- 687 -8910 317- 687 -9490 info @ipsp.net 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 Institute for Public Safety Personnel, Inc Purchase Order No. 251 East OhioStreet, Suite 1000 Terms Indianapolis, IN 46204 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/11/09 2009 s 1'506 payment for psychologicals f6r applicant 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. A ALLOWED 20 Institute for Public Safety personnel Inc. IN SUM OF 251 East Ohio Street, Suite 1000 Indianapolis, IN 46204 1,100-00 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 2009psy1T06 419 -99 1,300.00 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 CHief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund Institute for Public Safety Personnel, Inc. Invoice 251 East Ohio Street, Suite 1000 Indianapolis, IN 46204 DATE INVOICE 11/11/2009 2009psyll04 BILL TO City of Carmel Communications Center 3 Civic Square Carmel, IN 46032 DESCRIPTION QUANTITY RATE AMOUNT Applicant psychological evaluation for Moore, 1 325.00 325.00 LaVernezetta Make checks payable to: Total $325.00 Insitnute for Public Safety Personnel, Inc Phone Fax E -mail 317- 687 -8910 317- 687 -9490 info @ipsp.net 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)) 11/11/09 I 2009psy1104 I I $325.00 1 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 N ALLOWED 20 Irst. For Pub. Safety Personnel IN SUM OF 251 E. Ohio Street, Ste. 1000 Indianapolis, IN 46204 $325.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1115 2009psy1104 43- 419.99 $325.00 1 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 �Tuuesday, November 17, 2009 40 e e 1� Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund