220374 05/21/2013 a emu,, CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
ONE CIVIC SQUARE TREASURER OF STATE
` CARMEL, INDIANA 46032 STATE BOARD OF ACCOUNTS CHECK AMOUNT: $360.00
302 W WASHINGTON,RM E418
CHECK NUMBER: 220374
INDIANAPOLIS IN 46204
CHECK DATE: 5121/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISDT-2661-68 360 . 00 TRAINING SEMINARS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2661
Invoice Date: May 1, 2013
Vendor: Carmel Police Deparment
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Kari White 3/9/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2662
Invoice Date: May 1, 2013
Vendor: Carmel Police Deparment
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Charles Fisher 3/27/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2663
Invoice Date: May 1, 2013
Vendor: Carmel Police Deparment
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Dwight Frost 3/27/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INVOICE
Indiana Department of Toxicology
550 W. 16`h St.
Indianapolis, IN 46202
Invoice Number: ISDT-2664
Invoice Date: May 1, 2013
Vendor: Carmel Police Deparment
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Richard Lovitt 3/8/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2665
Invoice Date: May 1, 2013
Vendor: Carmel Police Deparment
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
ryan jellison 3/18/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2666
Invoice Date: May 1, 2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Anna Flaming 3/9/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2667
Invoice Date: May 1, 2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Jeffrey Sedberry 3/28/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2668
Invoice Date: May 1, 2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Michael Mabie 3/9/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16`h St.
Indianapolis, IN 46202
Invoice Number: ISDT-2669
Invoice Date: May 1, 2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTR Breath Test Recertification - March $40.00 $40.00
Michael Rush 3/5/2013
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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))
05/01/13 ISDT-2669 breath test recert- Rush $40.00
05/01/13 ISDT-2669 breath test recert-Mabie $40.00
05/01/13 ISDT-26667 breath test recert- Sedberry $40.00
05/01/13 ISDT-26666 breath test recert- Flaming $40.00
05/01/13 ISDT-2665 breath test recert-Jellison $40.00
05/01/13 ISDT-2664 breath test recert- Lovitt $40.00
05/01/13 ISDT-2663 breath test recert- Frost $40.00
05/01/13 ISDT-2662 breath test recert- Fisher $40.00
05/01/13 ISDT-2661 breath test recert- K. White $40.00
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.
ALLOWED 20
Indiana State Budget Agency.
IN SUM OF $
200 West Washington Street, Room 212
Indianapolis, IN 46204
$360.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 ISDT-2669 -570.00 $40.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
210 ISDT-2669 -570.00 $40.00
materials or services itemized thereon for
210 ISDT-26667 -570.00 $40.00 which charge is made were ordered and
210 ISDT-26666 -570.00 $40.00 received except
210 ISDT-2665 -570.00 $40.00
210 ISDT-2664 -570.00 $40.00
210 ISDT-2663 -570.00 $40.00
Wednesday, May 15,2013
210 ISDT-2662 -570.00 $40.00
210 ISDT-2661 -570.00 $40.00
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund