HomeMy WebLinkAbout244557 04/21/15 ii�.G�N1J
q`� CITY OF CARMEL, INDIANA VENDOR: 00352879
ONE CIVIC SQUARE PAGE,WOLFBERG,WIRTH LLC CHECK AMOUNT: $*'**'**299.00*
s` ,?q CARMEL, INDIANA 46032 5010 E TRINDLE ROAD SUITE 202 CHECK NUMBER: 244557
'M,�roN�. MECHANICSBURG PA 17050 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 2015-1529 299.00 EXTERNAL INSTRUCT FEE
VL UGl 11 U1111.lG1. J 1 V
5010 E. Trindle Road, Suite 202 04/20/2015 09:40:23
Mechanicsburg, PA 17050
Phone: (717) 691-0100
Toll-free: (877) EMS-LAW1 (877-367-5291)
Organization:
City Of Carmel Fire Department
Billing Contact: Shipping Contact:
Denise Snyder Denise Snyder
2 Civic Square 2 Civic Square
Carmel, IN 46032 } Carmel, IN 46032
United States { United States
Please be sure to include a copy of this invoice with your payment or invoice number on your check. Thank you!
Title Unit price • • .
ICD-10 * 5/6/2015 *Implementation
(icdl0may6l5implementation) Price: $129:00 1 Price: $129.00
ICD-10 * 5/13/2015 * Coding (icdlOmay132015coding) Price: $129.00 1 Price: $129.00 f
ICD-10 *5/20/2015*Documentation
(icd10may202015documentation) v ^— — -- Price: $129.00 1Price: $12y9.00
Payments Received $0.00
Refunds/Credits $0.00
Amount Due $299.00
�— Please make all checks payable to Page, Wolfberg&Wirth,LLC. www.pwwemslaw.com
We appreciate your business!
VOUCHER NO. WARRANT NO.
Page, Wolfberg &Wirth, LLC ALLOWED 20
IN SUM OF $
5010 E. Trindle Road, Ste. 202
Mechanicsburg, PA 17050
$299.00
I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 2015-1529 43-570.04 $299.00 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 i
SPR 2 0 2095
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
2015-1529 $299.00
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