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236628 09/03/2014
J,j `"�`,• CITY OF CARMEL, INDIANA VENDOR: 363862 ONE CIVIC SQUARE JASON FORCE CHECK AMOUNT: $*******100.00* 9 �� CARMEL, INDIANA 46032 21589 OVERDORF ROAD CHECK NUMBER: 236628 M�«oN�, NOBLESVILLE IN 46062 CHECK DATE: 09/03/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 100.00 EXTERNAL INSTRUCT FEE Force, Jason S From: EVT CERTIFICATION COMM <gateway@linkpt.net> Sent: Tuesday, September 02, 2014 7:44 AM To: Force,Jason S Subject: Receipt from EVT CERTIFICATION COMM Company: EVT CERTIFICATION COMM Reference Number: 10.174.5.172-148362D5C71-62CC3258-37E9509A Subtotal:$100.00 Tax:$0.00 Shipping: $0.00 Total:$100.00 EVT CERTIFICATION COMM FEES POfZ OHIO y�v . -Tkank You Page 1 of 1 ♦ e Thank you,your payment has been received.This is not a confirmation that you are registered.Within two business days,upon review of your registration,a confirmation will be mailed to the registrant's address. Please note that if you do not receive the confirmation email that means that an error has occurred and you are not registered.If there is a problem contact us at 847-426-4075. I An Admittance Form/Confirmation Letter will be mailed to the registrants address which must be brought to the test site along with picture ID. Here is your registration info: Test Name F4 Fire Apparatus Electrical Systems E2 Ambulance Electrical Systems Location Site ID:01-192514 Location: Reynoldsburg www.oaevt.org Date:Thursday Sep 25, 2014 4:00 p.m. Billing Information: Date: 9/1/2014 Name on Card:Jason S Force Card Number: (Visa) ....3381 Total Amount Charged: $100.00 Click here to register again. https://register.evtce.org/Page/Thankyou 9/2/2014 Account Activity https://cards.chase.com/cc/Account/Activity/446054683 CHASE !i SOUTHVIESTCW a Ai IVi2£WiVOIr CREDIT CARD(...0416) Account Info Payment Info Current balance $1,897.52 Balance last statement(08/08/2014) $195.34 Pending charges $0.00 Minimum payment due(2 $0.00 Available credit $18,102.48 Payment due date 09/05/2014 Southwest Airlines Rapid Rewards® Premier Posted Activity Since Last Statement Trans Date Post Date Type Description Amount ® 09/03/2014 09/03/2014 Sale AMAZON MKTPLACE PMTS $9.85 ® 09/02/2014 09/03/2014 Sale EVTCERTIFICATION COMM $100.00 ® 09/02/2014 09/03/2014 Sale RUNYON EQUIPMENT RENTAL $64.74 IN 08/31/2014 08/31/2014 Sale JOHN WILEY&SONS,INC $144.99 IA 08/30/2014 08/31/2014 Sale AMAZON MKTPLACE PMTS $8.99 ® 08/30/2014 08/31/2014 Sale AMAZON MKTPLACE PMTS $7.91 ® 08/29/2014 08/31/2014 Sale AMAZON MKTPLACE PMTS $8.41 ® 08/25/2014 08/27/2014 Sale VANS ELECTRICAL SYSTEMS $126.70 © 08/23/2014 08242014 Payment Payment Thank You-Web -$500.00 111 08/23/2014 08/24/2014 Sale EASTBAY $133.45 ® 08/20/2014 08/21/2014 Sale TAKE SHAPE FOR LIFE $223.00 IN 08/18/2014 08/19/2014 Sale GODBY DFM $460.05 IN 08/11/2014 08/12/2014 Sale AMAZON MKTPLACE PMTS $24.94 ® 08/102014 08/11/2014 Safe PAYPAL*TA DD $279.21 ® 08/09/2014 08/11/2014 Sale NORTHSIDE TRAILER SALE $239.94 ® 08/07/2014 08/10/2014 Sale LOW COST SPRAY NEUTER $370.00 1 of 1 9/4/2014 6:39 AM VOUCHER NO. WARRANT NO. ALLOWED 20 Jason Force IN SUM OF$ $100.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 1120 43-570.04 $100.00 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 SEP - 2 2014 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. I i Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) Testing Fee $100.00 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