215674 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 358905 Page 1 of 1
g � ONE CIVIC SQUARE INDIANA SCHOOL OF BACKFLOW&CRpoggg
® � CARMEL, INDIANA 46032 2313 WEST STATE ROAD 32 CHECK AMOUNT: $1,300.00
WESTFIELD IN 46074 CHECK NUMBER: 215674
CHECK DATE: 12118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 26313 26313 1, 300 . 00 TRAINING FEES
The Indiana School of Backflow and Cross Connections
2313 West State Road 32 - Suite B
Westfield, Indiana 46074
(317) 867-3388
htty://www.insbc.or-
INVOICE: PO 26313
Few Attendee BPAT - IN Class
(2) $650.00 Carmel St. Dept. 01/14/2013 through 01/18/2013
Total: $1300.00
Methods of Payment Accepted: Check, Credit Card, Money Order
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana School of Backflow & Cross Connecton
IN SUM OF $
2313 W. S. R. 32
Westfield, IN 46074
$1,300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26313 I PO 26313 I 43-570.041 $1,300.00 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
t Friday, December 14;2012
,Set:Commissibner
tre
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))
12/10/12 PO 26313 $1,300.00
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