HomeMy WebLinkAbout227837 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
wF ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $650.00
CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY
�o�'r� 200 WEST WASHINGTON STREET SUITE 2 CHECK NUMBER: 227837
�''�<ioH oar
INDIANAPOLIS IN 46204
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 ISDT-14-022 650 . 00 EQUIPMENT MAINT CONTR
Invoice
Indiana State Department of Toxicology
To: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Invoice Number: ISDT-14-022 Invoice Date: November 29, 2013
Item: 2014 Evidential Breath Test Instrument Maintenance Agreement
Pay this amount $650.00
Make check payable to: Treasurer of State
Remit to: Indiana State Budget Agency
200 W. Washington Street, Rm 212
Indianapolis, IN 46204
Retain this portion for your records
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))
01/01/14 ISDT-14-022 annual payment $650.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treasurer of State
Indiana State Budget Agency IN SUM OF $
200 W. Washington Street, Rm 212
Indianapolis, IN 46204
$650.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1110 I ISDT-14-022 I 43-515.01 I $650.00 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
Friday, January 03, 2014
4/Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund