223610 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 364761 Page 1 of 1
ONE CIVIC SQUARE PIKE TOWNSHIP FIRE DEPARTMENT
CARMEL, INDIANA 46032 4881 WEST 71ST STREET CHECK AMOUNT: $50.00
'P INDIANAPOLIS IN 46268
CHECK NUMBER: 223610
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 106109 50 . 00 EXTERNAL INSTRUCT FEE
n Z ®ice for �r ��s
Pike Township ire Department
� 4881 West 71st Street
Indianapolis, IN 46268
Bill To: Invoice Number: 106109
ATTN: Training Officer
Training Officer Date: 7/25/2013
Quantity Description Unit rice Amount
1 Firefighter Misconduct - Curt Varone $50.00 $50.00
Jeremy Maners - Carmel Fire Department
Notes: Name of attendee: Amount Due $50.00
Jeremy Maners - Carmel Fire Department
Remit To:
Pike Township Fire Department
4881 West 71st Street
Indianapolis, IN 46268 Prompt payment is appreciated
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pike Township Fire Department
IN SUM OF $
4881 West 71 st Street
Indianapolis, IN 46268
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 106109 I 43-570.04 I $50.00 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
AUG 2 6 2013
Fire Chief
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))
106109 $50.00
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