HomeMy WebLinkAbout215061 12/04/2012 a „*f CITY OF CARMEL, INDIANA VENDOR: 00350140 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE POLICE CHECK AMOUNT: $1,153.00
CARMEL, INDIANA 46032 100 N SENATE AVE
�. .o� ROOM 340-IGCN CHECK NUMBER: 215061
INDIANAPOLIS IN 46204
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 5023990 102012 1, 153 . 00 OTHER EXPENSES
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Prescribed by State Board of Accounts CLAIM City Form No.201(Rev.1961)
A CLAIM, TO BE PROPERLY ITEMIZED MUST SHOW: KIND OF SERVICE, WHERE -- -- --` --""-- --"----- --- - -'+OM,
RATE PER DAY, NUMBER OF HOURS, RATE PER HOUR, PRICE PER FOOT, PER YARD, PER Indiana State Ponce Training Fund
CITY OF CARMEL IGCN Room 340
On Account of Appropriation for TO _ 100 N. senate Ave.
Address Indianapolis, IN 46204-2259
DATE ORDER
19 NO. ITEMIZED CLAIM DOLLARS CTS.
11/14/12 1020121 Continuing Education Training Fund _ 08800
Deferrals 151 00
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Pursuant to the provisions and penalties of Chapter 155. Adts 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.
Date November 14, 2012 19 Acct.:" Clerk III
SIGNATURE TITLE
CLAIM NO. WARRANT NO. ur��
IN FAVOR OF I have examined the within claim and hereby
certify as follows:
That It Is In proper form.
That it is duly authenticated as required by law.
f contract
That It is based upon 1 statutory authority
i That it Is apparently correct
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ON ACCOUNT.OF APPROPRIATION Clerk-Treasurer
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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
Ise T12AW/ / AJ G r_-jxtull�
Purchase Order No.
Terms
lQ
Date Due
N ri P110 1 —1_11\I/ 114r —1 1 1
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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Total / 3, 60
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.
'T� -r-a r tA,t4 ALLOWED 20
IN SUM OF $
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ON ACCOUNT OF APPROPRIATION FOR .
No
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
O 3,Cfb 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
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund