213833 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: T360481 Page 1 of 1
0 ONE CIVIC SQUARE JAMES ALDERMAN
CARMEL, INDIANA 46032 7775 KEMBLE COURT CHECK AMOUNT: $475.00
FISHERS IN 46038 CHECK NUMBER: 213833
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 475 . 00 OTHER CONT SERVICES
INVOICE
BILL SHIP Invoice# 2012-2
TO Carmel Fire Department TO Carmel Fire Department —-------
2 Civic Square 2 Civic Square Invoice Date 10/19/12
Carmel, IN 46032 Carmel, IN 46032
Customer ID
QTY DESCRIPTION PRICE TOTAL
Review, Investigate and correct incidents from April—July of 2012 for
19 Hours Accreditation Reports $25.001 $475.00
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Subtotal i -$475.00 i
Tax
Shipping
Miscellaneous
Please return the portion below with your payment. BALANCE DUE $475.001
_
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REMITTANCE
Invoice# ----- 2012-2
Amount Paid
Make checks payable to:
Jim Alderman
7775 Kemble Court
Fishers,IN 46038
E-MAIL aidermanj9509@grnaii.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Alderman
IN SUM OF $
7775 Kemble Court
Fishers, IN 46038
$475.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I 2012-2 I 43-509.00 I $475.00 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
OCT 2 2 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed by State Board of Accounts City Form No 201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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))
2012-2 $475.00
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
120
Clerk-Treasurer