HomeMy WebLinkAbout206301 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 163730 Page 1 of 1
ONE CIVIC SQUARE INST FOR PUBLIC SAFETY PERSONNELCIHECK AMOUNT: $720.00
CARMEL, INDIANA 46032 INDIANAPOL OHIO STREET �SUIITE 1000
CHECK NUMBER: 206301
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
1120 4340701 2012PSY0107 720.00 MEDICAL EXAM FEES
Institute for Public Safety Personnel, Inc. Invoice
251 East Ohio Street, Suite 1000
Indianapolis, IN 46204 DATE INVOICE
2/3/2012 2012psy0107
BILL TO
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
DESCRIPTION QUANTITY RATE AMOUNT
Applicant psychological evaluations for 2 360.00 720.00
Greiner, Brandon
Mailcoat, Justin
Make checks payable to: Total
$720.00
lnsititute for Public Safety Personnel, inc
Phone Fax E -mail
317- 687 -8910 317 -687 -9490 jeff @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))
2012psy0107 $720.00
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 NO.
ALLOWED 20
Institute for Public Safety
IN SUM OF
251 East Ohio Street, Ste. 1000
Indianapolis, IN 46204
$720.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 2012psy0107 I 43- 407.01 I $720.00 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
FEB 13 M?
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund