215560 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: T360481 Page 1 of 1
ONE CIVIC SQUARE JAMES ALDERMAN CHECK AMOUNT: $475.00
CARMEL, INDIANA 46032 7775 KEMBLE COURT
`o FISHERS IN 46035 CHECK NUMBER: 215560
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 2012-3 475 . 00 OTHER CONT SERVICES
INVOICE
BILL SHIP Invoice# 2012-3
TO Carmel Fire Department TO Carmel Fire Department �— — --_ -- --
2 Civic Square 2 Civic Square Invoice Date 12/14/12
Carmel,IN 46032 Carmel, IN 46032 --
Customer ID
I QTY I DESCRIPTION UNIT PRICE TOTAL
j I Review, Investigate and correct incidents from October- November 2012 for $25.00 i $475.00
19 Hours Accreditation Reports and ERF Reports for 2010 and 2011
I i
I
Subtotal $475.00
I
Tax I
1 Shipping J
Miscellaneous
I I
Please return the portion below with your payment. I BALANCE DUE $475.00
REMITTANCE
- ----------- ------
f i
Invoice# 1 2012-3
Amount Paid---------� --.,����-�------ -------------------- -------
Make checks payable to:
Jim Alderman
7775 Kemble Court
Fishers,IN 46038
E-MAIL aldermanj9509 @gmail.com
1
VOUCHER NO. WARRANT NO.
Jim Alderman ALLOWED 20
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 AMOUNT Board Members
1120 I 2012-3 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
�.d €f
n
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))
2012-3 $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