221109 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367223 Page 1 of 1
ONE CIVIC SQUARE JASON M BAKER PUBLIC SAFETY COM I
0 t. ICK AMOUNT: $240.00
•o CARMEL, INDIANA 46032 9449 COMPTON ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 221109
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 051713 240 . 00 INTERNAL INSTRUCT FEE
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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))
CISM Class $240.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jason M Baker Public Safety Committee
IN SUM OF $
9449 Compton Street
Indianapolis, IN 46240
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1120 I I 43-570.03 I $240.00 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
JUN 7013
04 A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund