209028 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: T360481 Page 1 of 1
ONE CIVIC SQUARE JAMES ALDERMAN
CARMEL, INDIANA 46032 7775 KEMBLE COURT CHECK AMOUNT: $150.00
FISHERS IN 46038 CHECK NUMBER: 209028
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 2012 -1 150.00 OTHER CONT SERVICES
INVOICE
BILL SHIP Invoice 2012 -1
TO Carmel Fire Department TO Carmel Fire Department
2 Civic Square 2 Civic Square Invoice Date 4/29/2012
Carmel, IN 46032 Carmel, IN 46032
Customer ID
QTY I DESCRIPTION UNIT PRICE TOTAL
Review, Investigate and correct incidents from January March of 2012 for
6 Hours $25.00 $150.00
;Accreditation Reports
Subtotal $150.00
Tax
Shipping
Miscellaneous
Please return the portion below with your payment. .BALANCE DUE $150.00
REMITTANCE
Invoice 2012 1
Amount Paid
Make checks payable to:
Jim Alderman
7775 Kemble Court
Fishers, IN 46038
E -MAIL aldermanj9509 @gmail.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Alderman
IN SUM OF$
7775 Kemble Court
Fishers, IN 46038
$150.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 2012 -1 I 43- 509.00 I $150.00 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
MAY c
L''J 6 P 1 1. 1'�.
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
I 2012 -1 I I $150.00
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