206295 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350140 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE POLICE
CARMEL, INDIANA 46032 100 N SENATE AVE CHECK AMOUNT: $898.00
ROOM 340 IGCN
CHECK NUMBER: 206295
INDIANAPOLIS IN 46204
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 898.00 TRAINING SEMINARS
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Prescribed by State Board of Accounts CLAI City Form No. 201 (Rev. 1961)
A CLAIM, TO BE PROPERLY ITEMIZED MUST SHOW: KIND OF SERVICE, WH r WHOM,
RATE PER DAY, NUMBER OF HOURS, RATE PER HOUR, PRICE PER FOOT, PER YARD, Indiana. Mate Poke Training Fund
CITY OF CARMEL
On Account of Appropriation for To IGCN, Rm 340 100 N. senate Ave.
Address_ Indiananolis.IN 46201
DATE ORDER ITEMIZED CLAIM DOLLARS CTS.
19 NO.
2/8/12 D12012 I Education Training Fund 8 2;8
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Deferrals I 1 7 00
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Pursuant to the provisions and penalties of Chapter 155. Acts of 1951 I
I hereby certify that the foregoing is just and correct, that the amount claimed is legally due after allowing all
just credits, and that no part of the same has been paid.
Date February 8, 2012 1n Acct. Clerk TII
SIGNATURE TITLE
CLAIM NO. WARRANT NO.
IN FAVOR OF 1 have examined the within claim and hereby
certify as follows:
That it Is In proper form.
Thai It Is duly authenticated as required by taw.
That it is based upon
contract
statutory authority
That It is apparently correct
Incorrect
3
ON ACCOUNT- OF APPROPRIATION clerk treasurer
FOR Cr
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COST DISTRIBUTION LEDGER CLASSIFICATION ro
IF CLAIM PAID MOTOR VEHICLE HIGHWAY FUND N u
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SOYU rO US-SYSTEMS 1404 4 13Q
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
d2-u
C S� U Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
4Y t✓LY 20
`3 q IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 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
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund