225996 11/05/2013 (9) 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: $160.00
200 WEST WASHINGTON ROOM 212 CHECK NUMBER: 225996
INDIANAPOLIS IN 46204
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 ISDT-3451 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3452 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3453 40 . 00 TRAINING SEMINARS
210 4357000 ISDT-3454 40 . 00 TRAINING SEMINARS
INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-3451
Invoice Date: October 28, 2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Brett Keith $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. 16th St.
Indianapolis, IN 46202
Invoice Number: ISDT-3452
Invoice Date: October 28, 2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Danny.lent $40.00 $40.00
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-3453
Invoice Date: October 28,2013
Vendor: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Richard Thomas $40.00 $40.00
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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INVOICE
Indiana Department of Toxicology
550 W. 16"St.
Indianapolis, IN 46202
Invoice Number: ISDT-3454
Invoice Date: October 28, 2013
Vendor: Carmel Police Dept
3 Civic Square
Carmel, IN 46032
Qty Unit Item Description Unit Price Ext Price
1 ea BTS Edward Gauthier $40.00 $40.00
Terms: NET 30 DAYS PAY THIS AMOUNT $40.00
RETAIN THIS PORTION FOR YOUR RECORDS
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VOUCHER N 1'.�U�WAXRANT NO.
Indiana State Budget Agency ALLOWED 20
IN SUM OF $
200 West Washington Street, Room 212
Indianapolis, IN 46204
$160.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
210 ISDT-3454 -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-3453 -570.00 $40.00
materials or services itemized thereon for
210 ISDT-3452 -570.00 $40.00 which charge is made were ordered and
210 ISDT-3451 -570.00 $40.00 received except
Thursday, October 31, 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))
10/28/13 ISDT-3454 breath test recert-Gauthier $40.00
10/28/13 ISDT-3453 breath test recert-Thomas $40.00
10/28/13 ISDT-3452 breath test recert-Jent $40.00
10/28/13 ISDT-3451 breath test recert- Keith $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