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HomeMy WebLinkAbout253110 01/11/16 �./ ��• CITY OF CARMEL, INDIANA VENDOR: 362436 i; ONE CIVIC SQUARE INTERNTL ASSOC OF ARSON INVEST. CHECK AMOUNT: $'""""975.00' CARMEL, INDIANA 46032 2111 BALDWIN AVENUE,STE 203 CHECK NUMBER: 253110 CROFTON NID 21114 CHECK DATE: 01/11/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 1305942 975.00 ORGANIZATION & MEMBER Invoice 2111 Baldwin Avenue, Suite 203 Crofton, MD 21114 410-451-3473 ` 12/22/2015 Customer Id#: 1305942 Balance Due: $ 975.00 City of Carmel 2 Civic Sq Carmel IN 46032-2584 Date Inv.# Description Amount Total Paid Adjustments Balance Due 12/03/2015 82957 Active Membership- Renewal $ 120.00 $ 0.00 $ 0.00 $ 120.00 for 121671 (Christopher M. Ellison) 12/03/2015 82816 Active Membership- Renewal $ 120.00 $ 0.00 $ 0.00 $ 120.00 for 27369 (Jeffery W. Fuchs) 12/03/20.15 83209 Active Membership- Renewal $ 120.00 $ 0.00 $ 0.00 $ 120.00 for 1305932 (Jason L Reecer) 12/03/2015 83210 Active Membership- Renewal $ 120.00 $ 0.00 $ 0.00 $ 120.00 for 1305935 (Mr. Luke M Ray) 12/03/2015 83212 Active Membership- Renewal $ 120.00 $ 0.00 $ 0.00 $ 120.00 for 1305940(Mr. Bruce A Knott) 12/03/2015 83188 Active Membership-Renewal $•135.00 $ 0.00 $ 0.00 $ 135.00 for 1304036 (Mr. James P - Foster)- 12/03/2015 83060 Active Membership- Renewal $ 120.00 $ 0.00 $ 0.00 $ 120.00 for 1301217(Mr. Donovan C Anderson) 12/03/2015-83194 Active-Membership=Renewal $ 120.00 $ 0.00---- $ 0.00 $ 120.00 for 1305790 (Mr.Anthony R - Keaton) City of Carmel Customer Id#: 1305942 2 Civic Sq Carmel IN 46032-2584 1 to 30 Days Over 30 Days Over 60 Days Over 90 Days Over 120 Days AMOUNT DUE ,rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL ►n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by ftm, 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)) 1305942 $975.00 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer I I VOUCHER NO. WARRANT NO. ALLOWED 20 IAAI IN SUM OF$ 2111 Baldwin Avenue, #203 Crofton, MD 21114 1 $975.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department i PO#/Dept. INVOICE NO. ACCTWTITLE AMOUNT Board Members 1120 1305942 43-553.00 $975.00 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 JAN -- iG Fire Chief Title Cost distribution ledger classification if ! claim paid motor vehicle highway fund