HomeMy WebLinkAbout247488 07/15/15 9W"C4N*
;;�'" Y*. CITY OF CARMEL, INDIANA VENDOR: 369559
d ONE CIVIC SQUARE ST VINCENT EMS EDUCATION CHECK AMOUNT: $*****3,987.50*
CARMEL, INDIANA 46032 8220 NAAB ROAD#200 CHECK NUMBER: 247488
, INDIANAPOLIS roN�.? INDIANAPOLIS IN 46260 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 1-2016 3,987.50 EXTERNAL INSTRUCT FEE
STATEMENT Date: 6/30/2015
Statement # 1-2016
St.Vincent EMS Education BIII TO Chief Tom Small
8220 Naab Road, Suite 200 Carmel Fire Department
Indianapolis, IN 46260 2 Civic Square
317-338-7042 Carmel, IN 46032
Fax 317-338-7277 [Phone]
bsholt@stvincent.org Customer ID CFD2016
Comments
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6/30/15 Application fee for Paramedic Program ($35ea) X 5 applicants 175.00
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6/30/15 Testing fee for Paramedic Program ($50ea)X 5 applicants 250.00
6/30/15 First Semester Tuition X 5 applicants($1425ea)X 5 applicants f 7125.00
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Carmel Fire Department Applicants:
Aaron Reese
Joshua Haus
Kevin Young
Robert Heinlein
Carlos Wilson
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Affiliate discount on tuition 50% -3562.50
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Due upon j
1 receipt -1 --- - - - -----
Remittance
Statement# 1-1-2016
i Date 6/30/2015
Aunt Due $3987.50
St
.Vincent --mo--------
m'. i Amount Enclosed
EaLS Education and Trainin7
Make all checks payable to St. Vincent EMS Education
Thank you for your business!
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))
1-2016 Medic Class $3,987.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
St. Vincent EMS Education
IN SUM OF $
8220 Naab Road, #200
Indianapolis, IN 46260
$3,987.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 1-2016 43-570.04 $3,987.50 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
JUL 13 2015
Wr
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund