HomeMy WebLinkAbout301149 07/25/16 CITY OF CARMEL, INDIANA VENDOR: 369559
® ONE CIVIC SQUARE ST VINCENT EMS EDUCATION CHECK AMOUNT: $*****4,875.00*
s, a? CARMEL, INDIANA 46032 8220 NAAB ROAD#200 CHECK NUMBER: 301 149
INDIANAPOLIS IN 46260 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 1-2016 4,875.00 EXTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ST VINCENT EMS EDUCATION
IN SUM OF$ CITY OF CARMEL
8220 NAAB ROAD#200
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46260 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Payee
$4,875.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1-2016 43-570.04 $4,875.00 1 hereby certify that the attached invoice(s),or 7/18/16 1-2016 $4,875.00
1120 101 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
Monday,July 18,2016
David Haboush
Fire Chief
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
t rtYf( _i_ --f
Date: 6/30/2015
Statement# 1-2016
St.Vincent EMS Education Bill TO Chief Tom Small
8220 Naab Road,Suite 200 Carmel Fire Department
Indianapolis,IN 46260 2 Civic Square
317-338-7042 Carmel,IN 46032
Fax 317-338-7277 [Phone]
bsholt@stvincent.org Customer ID CFD2016
Comments
Balance Amount
7/8/16 Second Semester Tuition x 5 students($1425/ea) $7125
7/8/16 Third Semester Tuition X 5 students($525/ea) i $2625
EMS Scholarship X 5 students { -$4875
! I
I 1 I
I I I
Carmel Fire Department Applicants: � I
Aaron Reese
i
Joshua Haus {
Kevin Young
Robert Heinlein
Carlos Wilson
i I
ys 61-90 Days
I
Over
/ Amount
Past I
I
Due upon $4875
receipt -- --- — -- ---1--- - —
Remittance
Statement# 2-2016
Date 8/1/16
,_Amount Due $4875.00
Amount Enclosed _, J
Make all checks payable to St.Vincent EMS Education
Thank you for your business!