180984 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363749 Page 1 of 1
ONE CIVIC SQUARE ERIK THORDARSON
CARMEL, INDIANA 46032 5267 IVY HILL DR CHECK AMOUNT: $15.00
CARMEL IN 46033 CHECK NUMBER: 180984
CHECK DATE: 12/30/2009
D EPARTMENT A PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
4 J120 4357004 15.00 EXTERNAL INSTRUCT FEE
Ivy Tech Community College of Indiana
i
Date: 11- DEC -2009
Receipt 519424
Cashier: DHOFF
Name:
0�
C ude De Debit Credit
XCRC F2- Visa /MC Payment $15.00
FWWR Fl -WED Workforce Cert $15.00
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TQ'1'n1,; $15.00 $15.00
Miscellaneous Receipt
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))
$15.00
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 NQ. W N
ALLOWED 20
Erik Triordarson
IN SUM OF
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 570.04 $15.00 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
DEC 2.1 2009
,,fk 1,J
a
Fire Chief
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund