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HomeMy WebLinkAbout304625 10/31/16 r cqq CITY OF CARMEL, INDIANA VENDOR: 00350460 ONE CIVIC SQUARE MARK HULETT CHECK AMOUNT: $*******625.00* s! _� CARMEL, INDIANA 46032 7526 STONEY SIDE LANE CHECK NUMBER: 304625 +NITON�. INDIANAPOLIS IN 46259 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357003 05 625.00 INTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) MARK HULETT ALL 20 ACCOUNTS PAYABLE VOUCHER 7526 STONEY SIDE LANE IN SUM OF$ 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. $625.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 5 43-570.03 $625.00 1 hereby certify that the attached invoice(s),or 10/12/16 5 $625.00 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 Thursday, October 13, 2016 P44.ar __ZS_ 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 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#05 One Civic Square Invoice Date: 11-24-2015 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 November 2015