320700 01/11/18 aai`-.CggMF
CITY OF CARMEL, INDIANA VENDOR: 00353243
ONE CIVIC SQUARE EMS EDUCATION.NET, LLC CHECK AMOUNT: $*****8,360.00*
CARMEL, INDIANA 46032 C/O MICHAEL A.KAUFMANN,MO CHECK NUMBER: 320700
M«oN. 5245 N CR 600 E CHECK DATE: 01/11/18
BROWNSBURG IN 46112
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 0 8,360.00 SUBSCRIPTIONS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
vendor# 00353243
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER EMS EDUCATION.NET, LLC CITY OF CARMEL
IN SUM OF$
C/O MICHAEL A. KAU FMANN, MD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
5245 N CR 600 E rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
BROWNSBURG, IN 46112
Payee
$8,360.00
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
0 43-552.00 $8,360.00 1 hereby certify that the attached invoice(s),or 1/4/18 0 $8,360.00
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,January 05,2018
D40D'-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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
—_ -� -�--~_-~----- —~–;Michael A.Kaufmann,M.D.,FACEP 1
i EMSEducation.net,LLC
EMSEducation.net, LLC j 5245County Road 600Fast
Brownsburg,Indiana 46112
A Phone:317-514-6985
IE-Mail:makaufmann@me.com
Invoice
Bill To: Reference: EMSEducation.net Access
Tom Small Carmel Fire Department Billing Date: 1/1/2018—12/31/2018
EMS Division Chief 2 Civic Square
Carmel,Indiana 46032 1/3/2018
Checks should be made payable to Balance due within 30 days
EMS Education.net, LLC -W-9 attached
1— Contract Date j Approved by: ! Service Rate l
1/3/2018 Tom Small 1 year account access to monthly lectures $55/account
and reviews.
G I !
Accounts j Start Date End Date Days of service j Description ^{ Total
152 accounts 1/1/2018 i 12/31/2018 365 Account/access '$55/account/year
i Subtotal: $8360
Tax
Shipping:
Miscellaneous:
Balance Due: $8360