HomeMy WebLinkAbout304282 10/20/16 �4gtF. CITY OF CARMEL, INDIANA VENDOR: 365287
j; ONE CIVIC SQUARE MICHELLE HARRINGTON CHECK AMOUNT: $********55.90*
:9 ?Q CARMEL, INDIANA 46032 3012 ROLLSHORE CT CHECK NUMBER: 304282
CARMEL IN 46033 CHECK DATE: 10/20/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 101816 55.90 POSTAGE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
MICHELLE HARRINGTON ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
3012 ROLLSHORE CT IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46033 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$55.90 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
0 43-421.00 $55.90 1 hereby certify that the attached invoice(s),or 10/12/16 0 $55.90
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
Thursday, October 13,2016
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Snyder, Denise W
From: Harrington, Michelle
Sent: Monday, October 10, 2016 09:04
To: Snyder, Denise W
Subject: RECEIPT total $55.90
Attachments: USPS FEES.pdf
Denise,
I had to send Medicare and Medicaid our new ambulance certificate express next day.
It expired 10/01/2016. Renewed and our new expiration date is 10/01/2018.
I will also put the original receipt in your mail box.
Thank you,
Michelle Harrington-CPC
EMS Adminstrator-HIPAA Privacy Officer
City of Carmel Fire Department
Office 317-571-2604
Fax 317-571-2660
i
C V 1
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1
�o�t �c�Ce�le
CARMEL
275 MEDICAL DR
CARMEL
IN
46032-9998
1712760814
10/03/2016 (800)275-8777 9:21 AM
Product---------------Sale-------Final
Description Qty Price
PM Exp 1-Day i $27.95
Flat Rate Env
(Domestic)
(INDIANAPOLIS, IN 46207)
(Flat Rate)
(Signature Waiver)
(Scheduled Delivery Day)
(Tuesday 10/04/2016 10:30 AM)
oney Back Guarantee)
(USPS Tracking #)
(EL490245725US) -
PM Exp 1 $0.00
Insurance
(Up to $100.00 included)
Signature 1 $0.00
Waived
PM Exp 1-Day 1 $27.95
Flat Rate Env
(Domestic)
(MADISON, WI 53708)
(Flat Rate)
(Signature Waiver)
(Scheduled Delivery Day)
(Tuesday 10/04/2016 10:30 AM)
(Money Bark Guarantee)
(USPS Tracking #)
(EL490245711US) C�
PM Exp 1 $0.00
Insurance
(Up to $100.00 included)
Signature 1 $0.00
Waived
Total $55.90
Debit Card Remit'd $55.90
(Card Name:Debit Card)
(Account #:XXXXXXXXXXXX5951)
(Approval #:766861)
(Transaction #:458)
(Receipt #:006810)
(Debit Card Purchase:$55.90)
(Cash Back:$0.00)
Includes up to $100 insurance
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