216165 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 363567 Page 1 of 1
0 ONE CIVIC SQUARE PRO SAFE CDL
CARMEL,INDIANA 46032 3603 E RAYMON STREET CHECK AMOUNT: $100.00
INDIANAPOLIS IN 46203 CHECK NUMBER: 216165
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0006474IN 100 . 00 EMPLOYEE PENSIONS & B
Page: 1
PR I , IC � l
AF
COIL
Invoice Number: 0006474-IN
Invoice Date: 12/27/2012
Carmel WWTP Customer Number: 50-CWWTP01
9609 Hazel Dell Parkway
Indianapolis,IN 46280 Customer P.O.: S13417
Ship VIA:
Contact: Terms: No Terms
Item Code Description LIM Quantity Price Amount
OCD CDL Skills Test 1.000 0.000 100.00
12/0/12 Michael Turner rec#335762
0K
Net Invoice: 100.00
Please direct any questions regarding this invoice Freight: 0.00
to Alicia Gahimer at 317-791-2901 ext 162 Sales Tax: 0.00
Invoice Total: 100.00
3603 E Raymond St,Indianapolis,IN 46203 www.ProSafeCDL.com TEL 317.791.6375 FAX 317.791.2941
VOUCHER # 126403 WARRANT # ALLOWED
T0696 IN SUM OF $
PRO SAFE CDL
3603 e RAYMOND ST
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT ! Audit Trail Code
00064741N 01-7040-01 $100.00
Voucher Total $100.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T0696
PRO SAFE CDL Purchase Order No.
3603 e RAYMOND ST Terms
INDIANAPOLIS, IN 46203 Due Date 12/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/281201, 00064741N $100.00
I 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
1 l�i Iii cp /1" vkt,' -
Date Officer