249166 09/09/15 oi.
CITY OF CARMEL, INDIANA VENDOR: 010175
ONE CIVIC SQUARE AMERICAN HEART ASSOCIATION CHECK AMOUNT: S*******220.00*
CARMEL, INDIANA 46032 8645 GUION ROAD CHECK NUMBER: 249166
PO BOX 681550 CHECK DATE: 09/09/15
INDIANAPOLIS IN 46268
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 220.00 EXTERNAL INSTRUCT FEE
Snyder, Denise W
From: sessions <sessions@xpressreg.net>
Sent: Tuesday, September 01, 2015 12:23
To: Snyder, Denise W
Subject: AHA Scientific Sessions - Receipt and Invoice for Mark Hulett
Attachments: Mark Hulett Reciept and Invoice AHA Scientific Sessions 2015.pdf
Please the attached receipt and invoice for Mark Hulett's registration for the American Heart Association Scientific
Sessions.
The balance due of$220 is the difference between member and nonmember pricing.
If you need further assistance please feel free to contact us Monday through Friday from 9 to 5 Eastern Standard Time.
Thank you,
Cathie
Contact Center Representative
American Heart Scientific Sessions Registration
c/o Convention Data Services
107 Waterhouse Rd
Bourne MA 02532
Phone: 800-748-3583 or 508-743-8517
Fax: 508-743-9610
Email:sessions@xpressreg.net
Web: http://scientificsessions.org_
i
Page 1 of 1
Receipt/Invoice for American Heart Association Scientific Sessions 2015
Order#: 34355 Date/Time:8/24/2015 10:30:43 AM
Primary Contact:
Name: Mark Hulett
Company: Carmel Fire Dept
Address: 2 Civic Square
City: Carmel
State: IN
Postal Code: 46032
Country: United States
Phone: 3175712600
Fax:
Registered Badges / Items Purchased:
Badge Registrations LastName FirstName Reg Purchased
# Date Category Total
230897 8/24/2015 10:30:44 Hulett Mark Payment $815
AM Problem
(1)-General Session(GEN)($0)
(1)-One Time Service Charge($20 for hardcopy reg.form submitted)(SC)($20)
(1)-BAG(BAG)($0)
(1)-Abstracts on Disc(DISC)($0)
(1)-Membership Invitation Join/Renew(MINVITE)($0)
(1)-Science and Technology Hall(STH)($0)
(1)-Sponsorship Item(SPONSOR)($0)
(1)-CME Ticket Item(CME)($0)
(1)-Monday Only Nonmember(MON—NM)($600)
(1)-ECC Guidelines Instructor Conference Non-Member(ECC_NM)($195)
Count: Order
1 Purchased
Total:$815
Payment Records:
Payment Date Payment Type Reference# Payment Amount
8/24/2015 10:35:37 AM Check 248223 $595
Order Payment Total:$595
https://www.xpressreg.net/Admin_V l 05/PrintReceipt.asp?MID=1&OID=34355 9/1/2015
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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))
Original Registration Fee paid as member $220.00
HE IS A NON-MEMBER OF THE AHA
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.
ALLOWED 20
American Heart Association
Scientific Sessions 2015 IN SUM OF $
107 Waterhouse Road
Bourne, MA 02532
$220.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 43-570.04 $220.00 1 hereby certify that the attached invoice(s), or
1120 43-570.04 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 205__
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund