223978 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00352898 Page 1 of 1
ONE CIVIC SQUARE INDIANA ALLIANCE OF HAZARDOUS
CARMEL, INDIANA 46032 MATERIALS RESPONDERS,IGCS CHECK AMOUNT: $200.00
o 160 W CARMEL DRIVE CHECK NUMBER: 223978
CARMEL IN 46032
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 407 200 . 00 ORGANIZATION & MEMBER
i
Indiana Alliance of Hazardous Materials Responders Invoice
160 West Carmel Dr., Suite 285 Date Invoice#
Carmel, IN 46032
8/29/2013 407
Bill To
Carmel Fire Department
Att: Denise Briston
2 Civic Center Square
Carmel, IN 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
Annual Membership Fee for Indiana Alliance of Hazardous Materials Responders 2013 200.00 200.00
/2014
Total $200.00
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))
407 $200.00
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
Indiana Alliance of Hazardous Materials Respo
IN SUM OF $
160 W. Carmel Drive #285
Carmel, IN 46032
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#frITLE AMOUNT Board Members
1120 I 407 I 43-553.00 I $200.00 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
FP - 9 2DU
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund