213718 10/10/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 00350140 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE POLICE
0 CHECK AMOUNT: $2,466.00
CARMEL, INDIANA 46032 100 N SENATE AVE
94iuh gip? ROOM 340-IGCN CHECK NUMBER: 213718
INDIANAPOLIS IN 46204
CHECK DATE: 10/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 2 , 466 . 00 TRAINING SEMINARS
Prescribed by State Board of nccouMs CLAIM
City Form No.201(Rev.19W)
A CLAIM, TO BE PROPERLY ITEMIZED MUST SHOW: KIND OF SERVICE, WHERE PERFORMED, DATES SERVICE RENDERED, BY WHOM,
RATE PER DAY, NUMBER OF HOURS, RATE PER HOUR, PRICE PER FOOT, PER YARD, PER HUNDRED, PER POUND, P TON, ETC/ n
CITY OF CARMEL /1p�� 4� vse
On Account of Appropriation for TO
Address - D
0
DATE ORDER
19 NO. ITEMIZED CLAIM DOLLARS CTS.
I i
9/19/12 82011 CONTINUING EDUCATION TRAINING FUND . ' ! 1 16''00
i DEFERRALS ' 2� 101 00
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Total - 19 4 .61 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.
September 19, 2012
Date �-� Acct. Clerk III
SIGNATURE 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.
ee' `4. &It Purchase Order No.
/U 0 �. "ajj- at"e— , Terms
TzL'�6 Y Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ry
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
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ju
joy yi . �
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
�20
V� qP0
atur
Cost distribution ledger classification if Itle
claim paid motor vehicle highway fund