246842 06/30/15 �.'Gggy
>`' CITY OF CARMEL, INDIANA VENDOR: 00350460
® 'r ONE CIVIC SQUARE MARK HULETT CHECK AMOUNT: $*****3,750.00*
a° CARMEL, INDIANA 46032 7526 STONEY SIDE LANE CHECK NUMBER: 246842
'+,,�roN�o, INDIANAPOLIS IN 46259 CHECK DATE: 06(30(15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 24721 3,750.00 AHA CTC
Invoice: Mark Hulett ` �' 1
7526
Stoney Side Lane
Indianapolis IN 46259
City of Carmel Invoice# 0000001
One Civic Square Invoice Date June 24, 2015
Carmel IN 46032 Amount Due $3,750.00 USD
Item Description Unit Cost Quantity Line Total
Carmel Fire Dept. AHA Community Training Center Coordinator 625.00 6 3,750.00
Total 3,750.00
Amount Paid -0.00
Amount Due $3,750.00 USD
Terms
$625.00 per month for a total of$7500.00 per year.
Notes
This invoice based on payment from January 2015 to June 2015
This invoice was sent using
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))
1 CTC Coordinator Fees $3,750.00
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark Hulett
IN SUM OF $
7526 Stoney Side Lane
Indianapolis, IN 46259
$3,750.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
syn \ 1 43-570.03 $3,750.00 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
JUN 2 9 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund