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216088 01/09/2013 ".f CITY OF CARMEL, INDIANA VENDOR: 354777 Page 1 of 1 _�. ONE CIVIC SQUARE INDIANA SWAT OFFICERS ASSOC, INC CHECK AMOUNT: $250.00 CARMEL, INDIANA 46032 ATTN:TOM KUHLENSCHMIDT-ISOA TREAS o� PO Box 1016 CHECK NUMBER: 216088 CROWN POINT IN 46308 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355300 250 . 00 ORGANIZATION & MEMBER INVOICE January 3, 2013 City of Carmel Police Department 3 Civic Square Carmel, IN 46032 2012 - 2013 Team Membership Dues TOTAL AMOUNT DUE: $250.00 Please make check payable to: Indiana SWAT Officers Association ATTN: Tom Kuhlenschmidt P.O. Box 1016 Crown Point, IN 46308 VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana SWAT Officers Association Tom Kuhlenschmidt IN SUM OF $ P.O. Box 1016 Crown Point, IN 46308 $250.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I I 43-553.00 I $250.00 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 Thursday, January 03, 2013 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)) 01/03/13 membership dues $250.00 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