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HomeMy WebLinkAbout243152 3 /18/2015 CITY OF CARMEL, INDIANA VENDOR: 364386 ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: $********90.00* CARMEL, INDIANA 46032 a0 ENGINEERING CHECK NUMBER. 243152 CHECK DATE: 03/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4357004 90.00 EXTERNAL INSTRUCT FEE EnviroCert Certification Portal Store Page 1 of 2 EnviroCert Certification Portal Store _ _.._.... --- Home (/) / Checkout Back to Portal (https://envirocertintf.useclarus.com) I PRODUCTS _ i - Recently Added (/view/recent/) Best Sellers (/view/bestsellerso i CATEGORIES Index (/categoryo Vouchers (/category/voucherso ACCOUNT Account Details (/accountso i Log out(/accounts/logout/?next=/checkout/credit/successo Cart(/cart/) (/carte Check out(/checkout/) Thank you for your order! Please print out this page as a receipt. Order # 5108 i Status March 13th 2015 10:12: New Order successfully submitted https://envirocertintl-store.useclarus.com/checkout/credit/success/ 3/13/2015 EnviroCert Certification Portal Store Page 2 of 2 Items Ordered l Renewal Fee- 1 year(CESSWI)- $90.00 x 1 = $90.00 j Contact Information I r I Kurt Anderson kanderson@carmel.in.gov j 3174029774 Shipping Method No Shipping $0.00 j Total I Total = $90.00 Paid i 15-Mar-13 10:12 Credit cards- $90.00 Balance= $0.00 € Please click here to return to the portal dashboard (https://envirocertintl.useclarus.com) https://envirocertintl-store.useclarus.com/checkout/credit/success/ 3/13/2015 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 Kurt Anderson Purchase Order No. Terms Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 3/13/2015 0 EnviroCert Renewal fee $ 90.00 Total $ 90.00 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. . Kurt Anderson ALLOWED 20 IN SUM OF$ i $ 90.00 ON ACCOUNT OF APPROPRIATION FOR I. Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 0 2200-4357004 $ 90.00 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and I received except .1 li I� I ;l r 3/16/2015 Signature 1 City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund