HomeMy WebLinkAbout259578 06/14/16 iiia'"Alp
CITY OF CARMEL, INDIANA VENDOR: 00350460
Qb ? ONE CIVIC SQUARE MARK HULETT CHECK AMOUNT: $*****1,250.00*
CARMEL, INDIANA 46032 7526 STONEY SIDE LANE CHECK NUMBER: 259578
9.J�`TON � INDIANAPOLIS IN 46259 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 11 625.00 INTERNAL INSTRUCT FEE
1120 4357003 12 625.00 INTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
MARK HULETT ACCOUNTS PAYABLE VOUCHER
7526 STONEY SIDE LANE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46259 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,250.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
11 43-570.03 $625.00 1 hereby certify that the attached invoice(s),or 6/1/16 11 $625.00
1120 101 1120 101
12 43-570.03 $625.00 bill(s)is(are)true and correct and that the 6/1/16 12 ,$625.00
1120 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Wednesday,June 01,2016
David Haboush
Fire Chief
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
Mark A. Hulett
7526 Stoney Side Lane
Indianapolis, Indiana.46259
City of Carmel Invoice#11
One Civic Square Invoice Date: 5-31-2016
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 May 2016
INVOICE
Mark A. Hulett
7526 Stoney Side Lane
Indianapolis, Indiana.46259
City of Carmel Invoice#12
One Civic Square Invoice Date: 6-1-2016
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 June 2016