220110 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 367134 Page 1 of 1
' ` ONE CIVIC SQUARE CITY OF WESTFIELD TRAINING CENTE R
) CARMEL, INDIANA 46032 WESTFIELD FIRE DEPARTMENT CHECK AMOUNT: $8,380.00
17535 DARTOWN ROAD CHECK NUMBER: 220110
WESTFIELD IN 46074
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 25730 TF-13-0008 8, 380 . 00 TRAINING CETNER
SRO
CITY OF
Westfield
INDIANA
West i d
Invoice
Mayor Fire Department
Andy Cook Invoice # TF-13-0008
City Council
John Dippel
Steve Hoover Due Date: Upon receipt
Robert L.Horkay
Ken Kingshill DATE:May 6,2013
Robert J.Smith
Tom Smith
Rob Stokes
Clerk Treasurer TO:TIM GREEN
Cindy J. Gossard CHIEF OF POLICE
CARMEL POLICE DEPARTMENT
CITI'OF CARMEL
3 CIVIC SQUARE
CARMEL,INDIANA 46032
Qt}'. Description Unit Price Total Due
$8,380.00 $8,380.00
Training center 2013
operating expenses.
41AKE CHECK PA)ABLE TO:
City,of Training Center
MAIL PAYMENT TO:
Westfield Fire Department
17535 Dartown Road
Westfield,IN 46074
Attention:Kristen Sparks(14festfield Training Centel)
Fire Department
(317) 804-3333 admin office
(317) 804-3395 fax
17535 Dartown Road
Westfield, IN 46074
westfeld.in.gov
r _
INDIANA RETAIL TAX EXEMPT PAGE
City o , ai CERTIFICATE NO.003120155 002 0 111111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
City of Westfield Training Center Camel Police DepaAment
SHIP
VENDORWOBtfield Fire Department TO 3 Civic Square
17535 D artown Road Carmel, IN 46032
Westfield. IN 46074 61711. Sg
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-570.00
t Each training center $8,380.00 $8,380.00
Sub Total: $8.380A0
. �le
69 , °•e
......
Send Invoice To:
Cafnel Police Department
Attn: Teresa Anderson
3 Civic Square
Carrel, IN 42- PLEASE INVOICE IN DUPLICATE,
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ., PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOB GATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY F� HE VE ORDER.
•SHIP REPAID. JL11 C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL f
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 9IL 6 a!S llloftt
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25730 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
r•„
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I 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
20
Signature
— --------------------...._.------
. - ---- --
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))
05/06/13 TF-13-0008 training center $8,380.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
City of Westfield Training Center ALLOWED 20
Westfield Fire Department
IN SUM OF $
17535 Dartown Road
Westfield, IN 46074
$8,380.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25730 I TF-13-0008 I -570.00 I $8,380.00 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
Wednesday, May 15,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund