215222 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00353287 Page 1 of 1
ONE CIVIC SQUARE WESTFIELD FIRE DEPARTMENT CHECK AMOUNT: $1,480.00
CARMEL, INDIANA 46032 17535 DARTOWN ROAD
WESTFIELD IN 46074 CHECK NUMBER: 215222
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4348000 TF-12-0011 1, 480 . 00 ELECTRICITY
CITY OF
Westfield
INDIANA
Westfield Invoice
Fire Department
Mayor
Andy Cook Invoice # TF-12-0011
City Council
John Dippel
Steve Hoover Due Date: Upon receipt
Robert L.Horkay
Ken Kingshill DATE:November 14,2012
Robert J.Smith
Tom Smith
Rob Stokes
Cleric Treasurer TO:CHIEF KEITH SMITH
Cindy J. Gossard CARMEL FIRE DEPARTMENT
STEVEN A.COUTS FIRE HEADQUARTERS
2 CIVIC SQUARE
CARMEL,INDIANA 46032
Qty. Description Unit Price Total Due
$1,480.00 $1,480.00
City of Westfield training
center 2012 operating
expenses
MAKE CHECK PAYABLE TO:
Westfield Fire Department
MAIL PAYMENT TO:
Westfield Fire Department
77535 Dartown Road
Westfield,IN 46074
Attention:Kristen Sparks(Westfield Training Facility)
Fite Department
(317)804-3333 admin office
(317) 804-3395 fax
17535 Dartown Road
Westfield, IN 46074
westfield.in.gov
VOUCHER NO. WARRANT NO.
ALLOWED 20
Westfield Fire Department
IN SUM OF $
17535 Dartown Road
Westfield, IN 46074
$1,480.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I TF-12-0011 I 43-480.00 I $1,480.00 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
DEC 3
Fire Chief
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))
TF-12-0011 $1,480.00
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
20
Clerk-Treasurer