209581 06/05/2012 \,f 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: $1,527.00
ROOM 340 IGCN
CHECK NUMBER: 209581
INDIANAPOLIS IN 46204
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 5023990 1,527.00 OTHER EXPENSES
Prescribed by State Board of Accounts
CLAI C!ty Form No. 201 (Rev. 1961)
RATE PER DAY, NUMBER OP HOURS, HOUR, I P R O FOOT, PER YARD,EI Indiana State Police Training Fund WHOM,
CITY OF CARMEL IGCN, Rri 340
On Account of Appropriation for To 100 N. Senate Ave.
Indianapolis, IN 46204 -2259
Address_
DATE ORDER
19 NO. ITEMIZED CLAIM
DOLLARS CTS.
i I I
5/17/12: 032012 Continuin Education Training Fund.. I
1
Deferrals I 1 6 00
42012 Continuing.Education Training Fund 6 7 1 00
r
y i Deferrals
8
b1 0
Ali
I 'I
1 1
i
Total I J 5 .7 E 00
Pursuant to the provisions and penalties of Chapter 155. Acts of 1953.
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 May 17, 2012 19 t
SIGNATURE TITLE
RECEVVELD
MAY
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.
Payee
-.7-- 7p4l1uiA16
F�(/�jA n Purchase Order No.
J— A) V Terms
/00 SQ na 1"e A I/�
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i V
0 4 T IA/" l�j 6 E�� c r one 1�?AJAJIM 7 dD
FE MLS b
Total 15'D
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.
ALLOWED 20
�ND S�� r� o C. Lip
IN SUM OF
3qD
01 tom. ✓cam
3: 7 u -,y AO,) t� s -:inl 4 1(a o 7
5,� 7, dl)
ON ACCOUNT OF APPROPRIATION FOR
N D Alof�() IMI A- J-IoAJ
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
IS 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
r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund