HomeMy WebLinkAbout212514 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 363050 Page 1 of 1
ONE CIVIC SQUARE AMANDA BENNETT
CARMEL, INDIANA 46032 510 N RILEY AV
CHECK AMOUNT: $232.77
INDPLS IN 46201 CHECK NUMBER: 212514
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4343002 105 . 00 EXTERNAL TRAINING TRA
209 4357002 127 . 77 EXTERNAL TRAINING FEE
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER
"+ FEDERAL EXCISE TAX EXEMPT �.
A0 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
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TO
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT / ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
ck'/ L' °.�X00 ;i- PAYMENT t Ia? •7
` A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. f L /� F.••+�""'°
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25208 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
AQ
O CCOUNT-OF APPROPRIATION FOR
a
Board Members
PO#or
DEPT, NO. ACCT#/TITLE AMOUNT 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------------_--------____---._..-_--------.----
20/
a
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Amanda Bennett
Purchase Order No.
510 North Riley Avenue
Terms
Indianapolis, Indiana 46201 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8-31-12 Reimburse Amanda Bennett for monies she personally $105.00
expended for training per the attached receipt
Total
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 $105.00
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
A m nde Bennett — IN SUM OF $
510 North Riley Avenue
Indianapolis, IN 46201
$ $105.00
ON ACCOUNT OF APPROPRIATION FOR
Deferral Fee Fund
430-43002 External Training Travel Lodging
Board Members
D--eP� INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
209 $105.00 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
20
Si nature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund