319380 12/05/2017 � C4p
CITY OF CARMEL, INDIANA VENDOR: 372095,..
?, ONE CIVIC SQUARE INDIANA UNIVERISTY CHECK AMOUNT: $*****5,500.00*
?� CARMEL, INDIANA 46032 P.O.BOX 78000 CHECK NUMBER: 319380
'M,.._.b• DEPT.78920 ATT:A/R CHECK DATE: 12/05/17
DETROIT MI 48278-0920
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 67835197 5,500.00 EXTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City FormNo.201 (Rev.1995)
Vendor# 372095 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
INDIANA UNVI. ACCTS RECEIVABLE IN SUM OF$ CITY OF CARMEL
P.O. BOX 78000 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DEPT. 78920 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
DETROIT, MI 48278-0920
Payee
$5,500.00
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
67835197 43-570.04 $5,500.00 1 hereby certify that the attached invoice(s),or 12/1/17 67835197 $5,500.00
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
Friday, December 01,2017
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited samein accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
INDIANA UNIVERSITY-PURDUE UNIVERSITY
INDIANAPOLIS, IN 46202
Page 1 of 1 FED ID#356001673
Date: 11/30/2017 INVOICE: � 67835197
CUSTOMER NUMBER:. ' CAR918 BILLED BY(DO NOT REMIT TO):
q N: BUSINESS
PHONE: (317)278-1405
SHIP TO: FAX: (317)274-5113
PREPARED BY: Tamara Martin
PO/AGREEMENT NO:
PO/AGREEMENT DATE:
ITEM
QTY UNIT DESCRIPTION-_ _ _ _ ___.CODE _ UNIT PRICE_ _ ._AMOUNT
1.00 EA PARTICIPATION FEE FOR THE 2018 TOBIAS FELLOWS 5,500.00 5,500.00
PROGRAM. ATTENDEE IS DAVID HABOUSH
(additional invoice lines may be printed on the following pages)
NET 30 DAYS
ON-LINE PMT: WWW.OFS.IUPUI.EDU/OFSPAY.ASP PAY THIS AMOUNT: 5,500.00
Detach &Return Lower Portion with Payment