HomeMy WebLinkAbout257930 04/26/16 v`% "p; CITY OF CARMEL, INDIANA VENDOR: 00350460
® 1 ONE CIVIC SQUARE MARK HULETT CHECK AMOUNT: $*******625.00*
i° CARMEL, INDIANA 46032 7526 STONEY SIDE LANE CHECK NUMBER: 257930
9.y�TON�` INDIANAPOLIS IN 46259 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 10 625.00 INTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO.
ALLOWED 20
MARK HULETT
7526 STONEY SIDE LANE IN SUM OF $
INDIANAPOLIS, IN 46259
$625.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
10 I 43-570.03 I $625.00 1 hereby certify that the attached invoice(s), or
1120 101
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
Thursday, April 14, 2016
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
>rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
04/13/16 I 10 $625.00
$625.00
1120 101
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
INVOICE
Mark A. Hulett
7526 Stoney Side Lane
Indianapolis, Indiana.46259
City of Carmel Invoice#10
One Civic Square Invoice Date:4-13-2016
Carmel, Indiana.46032 Amount Due:$625.00
ITEM DESCRIPTION UNIT COST QUANTITY LINE TOTAL
Carmel Fire Dept. AHA Community Training Center Coordinator $625.00 1 $625.00
Total: $625.00
Amount Due: $625.00
Terms: $625.00 per month for a total of$7500.00 per year
Notes: This invoice is for the monthly payment of April 2016