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210469 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352118 Page 1 of 1 ONE CIVIC SQUARE N A S R O CARMEL, INDIANA 46032 N A S R O PRACTITIONER CHECK AMOUNT: $30.00 2020 VALLEYDALE ROAD SUITE 207A CHECK NUMBER: 210469 HOOVER AL 35244 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 30.00 ORGANIZATION MEMBER INVOICE June 27, 2012 City of Carmel Police Department 3 Civic Square Carmel, IN 46032 NASRO Practitioner dues TOTAL AMOUNT DUE: $30.00 Please make check payable to: NASRO Practitioner NASRO 2020 Valleydale Road, Suite 207A Hoover, AL 35244 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)) 06/27/12 membership dues $30.00 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 NASRO NASRO Practitioner IN SUM OF 2020 Valleydale Road, Suite 207A Hoover, AL 35244 $30.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 43- 553.00 $30.00 I 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 Wednesday, June 27, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund