248205 08/11/15 iii�'G�gMf
�; �• CITY OF CARMEL, INDIANA VENDOR: 368793
® ONE CIVIC SQUARE MICHAEL SHEEKS CHECK AMOUNT: $*******168.00*
:9 ,?�; CARMEL, INDIANA 46032 14382 WHISPER WIND DR CHECK NUMBER: 248205
�'���bii�°" CARMEL IN 46032 CHECK DATE: 08/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 168.00 EXTERNAL INSTRUCT FEE
Sheeks, Mike
From: PearsonVUEConfirmation@pearson.com
Sent: Friday,July 24, 2015 8:31 AM
To: Sheeks, Mike
Subject: Pearson VUE International Code Council Payment Receipt
"*PLEASE DO NOT RESPOND TO THIS E-MAIL."
_; Invoice Number: 0021-7560-1500
Payment Number:2721759'
Payment By:Credit Card-' -
Account Number:XXXXXXXXXXXXq
Card Holder:Michael A Sheeks
Submitted By:Michael Sheeks
Date Prepared:24 July 2015.
QTY Type Description Authorized Item Unit Price Amount
Pearson VUE Test 24 July E1-2012 ENU on 30 July 2015
1 Exam Center-Indianapolis IN, 2015 12:45 PM; Student: Michael 168.00 168.00 USD
Indianapolis Sheeks
Pearson VUE represents and warrants that Cardholder authorizes Subtotal: 168.00 USD
payment in the Total Amount shown(together with any other Shipping: 0.00 USD
charges due thereon)subject to and in accordance with the
agreement governing the use of Cardholder's card. Tax Tax: 0.00 USD
Total: 168.00 USD
Effective 1 st January 2015:
France VAT Registration No.:VAT number applied for
Germany VAT Registration No.: DE20559285003
Greece VAT Registration No.: EL997181260
Spain VAT Registration No.: ESN4007505C
United Kingdom VAT Registration No.:GB128937382
Expired 31st December 2014:
VAT Registration No.: EU826000387
US Federal Taxpayer ID:41-000850527
Bill To: Ship To: VUE ID:235561409
Michael A Sheeks Michael A Sheeks
14382 Wisper Wind Drive 14382 Wisper Wind Drive
Carmel, Indiana 46032 Carmel, Indiana 46032
United States_ United States - --
X Phone Order/World Wide Web
Please visit our website, http://www.pearsonvue.com/contact for a complete listing of company telephone numbers and e-mail
addresses.
i
VOUCHER NO. WARRANT NO.
Michael Sheeks ALLOWED 20
IN SUM OF$
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
I hereby certify that the attached invoice(s), or
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
Monday, ugu 10, 15
Director
Title
i
5
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))
07/24/15 Exam $168.00
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