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HomeMy WebLinkAbout215485 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1 ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $680.00 i4�•io CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY 200 WEST WASHINGTON STREET SUITE 2 CHECK NUMBER: 215485 INDIANAPOLIS IN 46204 CHECK DATE: 12/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 210 4357000 ISDT-1719 40 . 00 TRAINING SEMINARS 210 4357000 ISDT-1720 40 . 00 TRAINING SEMINARS 210 4357000 ISDT-1885 300 . 00 TRAINING SEMINARS 210 4357000 ISDT-1886 300 . 00 TRAINING SEMINARS INVOICE Indiana Department of Toxicology 550 W. 16`h St. Indianapolis, IN 46202 Invoice Number: ISDT-1885 Invoice Date: December 5, 2012 Vendor: Carmel Police Dept. 3 Civic Square _ Carmel,IN 46032 - - - - - - - --- — --P Qty Unit Item Description Unit Price Ext Price 1 ea BTS O'Brian, Mary Kathalyn $300.00 $300.00 Terms: NET 30 DAYS PAY THIS AMOUNT $300.00 RETAIN THIS PORTION FOR YOUR RECORDS INVOICE Indiana Department of Toxicology 550 W. 16"St. Indianapolis, IN 46202 Invoice Number: ISDT-1886 Invoice Date: December 5, 2012 Vendor: Carmel Police Dept. 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTS Zellers,T. Andrew $300.00 $300.00 Terms: NET 30 DAYS PAY THIS AMOUNT $300.00 RETAIN THIS PORTION FOR YOUR RECORDS INVOICE Indiana Department of Toxicology 550 W. 16"St. Indianapolis, IN 46202 Invoice Number: ISDT-1720 Invoice Date: December 3, 2012 Vendor: Carmel Police Dept. 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTR Breath Test Recertification $40.00 $40.00 Malloy, Katherine E. INVOICE Indiana Department of Toxicology 550 W. 16th St. Indianapolis, IN 46202 Invoice Number: ISDT-1719 Invoice Date: December 3, 2012 Vendor: Carmel Police Dept. 3 Civic Square Carmel, IN 46032 Qty Unit Item Description Unit Price Ext Price 1 ea BTR Breath Test Recertification $40.00 $40.00 Amos, Chad B. VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana State Budget Agency IN SUM OF $ 200 W. Washington Street, Room 212 Indianapolis, IN 46204 $680.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 ISDT-1720 43-430.02 $40.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1110 ISDT-1719 43-430.02 $40.00 materials or services itemized thereon for 1110 ISDT-1886 43-430.02 $300.00 which charge is made were ordered and 1110 ISDT-1885 43-430.02 $300.00 received except Friday, December 07, 2012 Chief of Police 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)) 12/03/12 ISDT-1720 breath test recert-Malloy $40.00 12/03/12 ISDT-1719 breath test recert-Amos $40.00 12/05/12 ISDT-1886 breath test cert-A.Zellers $300.00 12/05/12 ISDT-1885 breath test cert-O'Brian $300.00 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