222603 07/30/2013 (9) CITY OF CARMEL, INDIANA VENDOR; 307600 Page 1 of 1
ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY
200 WEST WASHINGTON ROOM 212 CHECK NUMBER: 222603
INDIANAPOLIS IN 46204
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISDT-3172 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3173 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3174 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3175 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3176 40 . 00 TRAINING SEMINARS
INVOICE
Indiana Department of Toxicology
550 W. 16th St.
Indianapolis, IN 46202
Invoice Number: ISDT-3172
Invoice Date: July 24, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description
Unit Price Ext Price
1 ea BTS Shane P. Collins
$40.00 $40.00
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-3173
Invoice Date: July 24, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Crystal K. Hughes $40.00 $40.00
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
INVOICE
fndiana Department of Toxicology
550 W. 16t' St.
Indianapolis, IN 46202
Invoice Number: ISDT-3174
Invoice Date: July 24, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Greg A. Loveall $40.00 $40.00
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-3175
Invoice Date: July 24, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Trevor M. Renforth $40.00 $40.00
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-3176
Invoice Date: July 24, 2013
Vendor: Carmel Police Dept.
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS R. Scott Spillman $40.00 $40.00
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana State Budget Agency
IN SUM OF $
200 West Washington Street, Room 212
Indianapolis, IN 46204
$200.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 ISDT-3176 -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-3175 -570.00 $40.00
materials or services itemized thereon for
210 ISDT-3174 -570.00 $40.00 which charge is made were ordered and
210 ISDT-3173 -570.00 $40.00 received except
210 ISDT-3172 -570.00 $40.00
w
Friday, July 26, 2013
Chief of Police
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))
07/24/13 ISDT-3176 breath test recert-Spillman $40.00
07/24/13 ISDT-3175 breath test recert- Renforth $40.00
07/24/13 ISDT-3174 breath test recert-Loveall $40.00
07/24/13 ISDT-3173 breath test recert- Hughes $40.00
07/24/13 ISDT-3172 breath test recert-S. 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