210150 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
ONE CIVIC SQUARE TREASURER OF STATE
CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK AMOUNT: $120.00
200 WEST WASHINGTON STREET SUITE 2
OH CHECK NUMBER: 210150
INDIANAPOLIS IN 46204
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISDT -647 40.00 TRAINING SEMINARS
210 4357000 ISDT -648 40.00 TRAINING SEMINARS
210 4357000 ISDT -649 40.00 TRAINING SEMINARS
INVOICE
Indiana Department of Toxicology
550 W. 16` St.
Indianapolis, IN 46202
Invoice Number: ISDT -649
Invoice Date: June 4, 2012
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recert. ISDT May 2012 $40.00 $40.00
Wiegman, Chad R.
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16" St.
Indianapolis, IN 46202
Invoice Number: ISDT -648
Invoice Date: June 4, 2012
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recert. ISDT May 2012 $40.00 $40.00
Miller, Adam C.
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16" St.
Indianapolis, IN 46202
Invoice Number: ISDT -647
Invoice Date: June 4, 2012
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recert. ISDT May 2012 $40.00 $40.00
Meyer, Ryan J.
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana State Budget Agency
IN SUM OF
200 West Washington Street, Room 212
Indianapolis, IN 46204
$120.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
210 ISDT -649 570.00 $40.00_ I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
210 ISDT -647 570.00 $40.00
materials or services itemized thereon for
210 ISDT -648 570.00 $40.00 which charge is made were ordered and
received except
Friday, June 15, 2012
Chief of Police
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))
06/04/12 ISDT -649 breath test recert Wiegman $40.00
06/04/12 ISDT -647 breath test recert Meyer $40.00
06/04/12 j ISDT -648 breath test recert A. Miller $40.00
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