221742 07/02/2013 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: $940.00
[? 302 W WASHINGTON,RM E418
CHECK NUMBER: 221742
INDIANAPOLIS IN 46204
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISDT-2949 300 . 00 TRAINING SEMINARS
210 4357000 ISDT-2950 300 . 00 TRAINING SEMINARS
210 4357000 ISDT-2951 300 . 00 TRAINING SEMINARS
210 4357000 ISDT-3058 40 . 00 TRAINING SEMINARS
���,F CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
`` ONE CIVIC SQUARE TREASURER OF STATE
CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK AMOUNT: $300.00
�* + 200 WEST WASHINGTON STREET SUITE 2
CHECK NUMBER: 221743
t,,o��;
INDIANAPOLIS IN 46204
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISDT-2948 300 . 00 TRAINING SEMINARS
I
INVOICE
Indiana Department of Toxicology
550 W. 16t'St.
Indianapolis, IN 46202
Invoice Number: ISDT-3058
Invoice Date: June 21, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS May 2013 $40.00 $40.00
Willie H. Collins
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
Indiana Department of Toxicology
550 W. 16t'St.
Indianapolis, IN 46202
Invoice Number: ISDT-2951
Invoice Date: June 21, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS June 2013 $300.00 $300.00
Cristhian Rodriguez
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
----------------------------------------------------------------------------------------------------------------------------------
RETURN THIS PORTION WITH PAYMENT
INVOICE
Indiana Department of Toxicology
550 W. 16th St.
Indianapolis, IN 46202
Invoice Number: ISDT-2950
Invoice Date: June 21, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS June 2013 $300.00 $300.00
Steven H. Cash II
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
----------------------------------------------------------------------------------------------------------------------------------
RETURN THIS PORTION WITH PAYMENT
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2949
Invoice Date: June 21, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS June 2013 $300.00 $300.00
Zachary Batic
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
----------------------------------------------------------------------------------------------------------------------------------
RETURN THIS PORTION WITH PAYMENT
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-2948
Invoice Date: June 21, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS June 2013 $300.00 $300.00
Cody Barlow
Terms: NET 30 DAYS PAY THIS AMOUNT $300.00
RETAIN THIS PORTION FOR YOUR RECORDS
----------------------------------------------------------------------------------------------------------------------------------
RETURN THIS PORTION WITH PAYMENT
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))
06/21/13 ISDT-2948 breath test cert-C. Barlow $300.00
06/21/13 ISDT-2949 breath test cert- Batic $300.00
06/21/13 ISDT-2950 breath test cert-Cash $300.00
06/21/13 ISDT-2951 breath test cert- Rodriguez $300.00
06/21/13 ISDT-3058 breath test recert-W. Collins $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
P�."vtc2-ar-
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana State Budget Agency
IN SUM OF $
200 West Washington Street, Room 212
Indianapolis, IN 46204
$1,240.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 ISDT-2948 -570.00 $300.00_ I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
210 ISDT-2949 -570.00 $300.00
materials or services itemized thereon for
210 ISDT-2950 -570.00 $300.00 which charge is made were ordered and
210 ISDT-2951 -570.00 $300.00 received except
210 ISDT-3058 -570.00 $40.00
Tuesday, June 25, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund