239797 12/03/14 y u}4�qy
JY ? CITY OF CARMEL, INDIANA VENDOR: 368793
ONE CIVIC SQUARE MICHAEL SHEEKS CHECK AMOUNT: $*******168.00*
r =q CARMEL, INDIANA 46032 14382 WHISPER WIND DR CHECK NUMBER: 239797
9M�roN :` CARMEL IN 46032 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 168.00 EXTERNAL INSTRUCT FEE
Sheeks, Mike
From: PearsonVUEConfirmation@pearson.com
Sent: Wednesday, November 26, 2014 8:56 AM
To: Sheeks, Mike W
Subject: Pearson VUE International Code Council Payment Receipt
"PLEASE DO NOT RESPOND TO THIS E-MAIL."
Invoice Number: 0015-7032-0733
Payment Number:264027619
Payment By:Credit Card-
Account Number:XXXXXXXXXXX:
Card Holder:Michael A Sheeks
Submitted By:Michael Sheeks —
Date Prepared:26 November 2014
QTY Type Description Authorized Item Unit Price Amount
Pearson"Professional 26 P1-2012 ENU on 11 December
1 Exam Centers-Indianapolis IN, November 2014 08:00 AM; Student: 168.00 168.00 USD
Indianapolis 2014 Michael Sheeks
Pearson VUE represents and warrants that Cardholder authorizes Subtotal: 168.00 USD
payment in the Total Amount shown (together with any other Shipping: 0.00 USD
charges due thereon)subject to and in accordance with the pp g'
agreement governing the use of Cardholder's card. Tax: 0.00 USD
Total: 9176871
FUSD
NCS Pearson, Inc.
5601 Green Valley Drive
Bloomington MN 55437
USA
VAT Registration No.: EU826000387
US Federal Taxpayer ID:41-000850527
Bill To: Ship To: VUE ID: 235561409
Michael A Sheeks Michael A Sheeks
14382 Wisper Wind Drive 14382 Wisper Wind Drive
Carmel, Indiana 46032 Carmel, Indiana 46032
United States I United States
X Phone Order/World Wide Web
Please visit our website,http://www.pearsonvue.com/contact for a complete listing of company telephone numbers and e-mail
addresses.
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Michael Sheeks
IN SUM OF$
C/O One Civic Square
Carmel, IN 46032
$168.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1192 43-570.04 $168.00
hereby certify that the attached invoice(s), or
I I I
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
I�
Wednesday, November 26, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201 (Rev.1995)
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))
11/26/14 $168.00
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