210904 07/17/2012 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: $1,551.00
ROOM 340-IGCN CHECK NUMBER: 210904
INDIANAPOLIS IN 46204
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 1, 551 . 00 TRAINING SEMINARS
Prescribed Dy State Board of Accounts CLAIM _ Clty_Forin No..201(Rev.1961)
A CLAIM, TO BE PROPERLY ITEMIZED MUST SHOW: KIND OF SERVICE, WHERE 'HOM,
RATE PER DAY, NUMBER OF HOURS, RATE PER HOUR, PRICE PER FOOT, PER YARD, PE Indiana State Police Training Fund
CITY OF CARMEL IGCN, Rm 340
Qn Account of Appropriation for TO 100 N. Senate Ave. _
Address Indiananolis. IN 46201
DATE ORDER ITEMfZED CLAIM DOLLARS CTS.
19 NO.
I
7/6/12 06201,2 Continuing Education Training Fund 1 61
I Deferrals 1 00
J-111
I "
I '
Total r. d-'J.1-1 G0
P rsuant to the provisions and penalties of Chapter 155. Aots 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.
oaifall��, 2012 Acct . ClerkIII
SIGNATURE csa TITLE
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
��tc,c�CCyiCd- l c� Purchase Order No.
J iti j qc) 0 a Terms
J1/1d •4Ga Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total Jr5/, d o
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
IN SUM OF $
. .end
$ 1�s/ O-V
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
io Sc-5 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
l 20
C
e
Cost distribution ledger classification if Tifle
claim paid motor vehicle highway fund