213835 10/23/2012 "±yf CITY OF CARMEL, INDIANA VENDOR: 00351034 Page 1 of 1
0 ONE CIVIC SQUARE AMERA-CHEM,INC CHECK AMOUNT: $46.95
CARMEL, INDIANA 46032 BOX 518
GRAND JUNCTION CO 81502 CHECK NUMBER: 213835
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4239099 53596 46 . 95 OTHER MISCELLANOUS
Amera-Chem, Inc.
P.O. Box 518 Invoice
Grand Junction, CO 81502 53596
TEL 800-772-2539
FAX 800-852-7870
FEI NUMBER 84-1436389
BILL TO: SHIP TO:
Hamilton/Boone County Drug Task Force SAME
Maire Doan
3 Civic Square
Carmel,IN 46032
I l
YOUR P.O. NUMBER DATE ORDER RECEIVED TERMS DATE DUE
None 10/15/2012 Net 30 Days 11/14/2012
ORDER RECEIVED BY DATE SHIPPED SHIPPED VIA NUMBER OF PACKAGES
mdoan((:�carmel.in.gov 10/15/2012 US Mail 1
QTY ORDERED QTY SHIPPED DESCRIPTION PRICE EACH AMOUNT
1 1 Drug Identification Bible-2012 edition 39.95 39.95
Shipping&handling 7.00 7.00
xx Thank you for your order! ** Total Due $46.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
Amera-Chem, Inc.
IN SUM OF $
P.O. Box 518
Grand Junction, CO 81502
$46.95
ON ACCOUNT OF APPROPRIATION FOR
Project 2012-911 Task 2012-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 53596 42-390.99 $46.95 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
Friday, October 19, 2012
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/15/12 53596 $46.95
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