321198 01/25/18 Coy
CITY OF CARMEL, INDIANA VENDOR: 371893
\1 ONE CIVIC SQUARE DAVID MOORE CHECK AMOUNT: $*****2,650.00*
CARMEL, INDIANA 46032 2735 N RILEY HIGHWAY CHECK NUMBER: 321 198
SHELBYVILLE IN 46176 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 101201 2018-01 1,275.00 INSTRUCTOR FEES
1120 4357003 101201 2018-02 1,375.00 INSTRUCTOR FEES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 371893 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DAVID MOORE IN SUM OF$ CITY OF CARMEL
2735 N RILEY HIGHWAY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
SHELBYVILLE, IN 46176
Payee
$2,650.00
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
101201 2018-02 43-570.03 $1,375.00 1 hereby certify that the attached invoice(s),or 1/19/18 2018-02 $1,375.00
1120 101 1120 101
101201 2018-01 43-570.03 $1,275.00 bill(s)is(are)true and correct and that the 1/19/18 2018-01 $1,275.00
1120 1 1 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Monday,January 22,2018
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
INVOICE=
BILL SHIP Invoice# 2018-01
TO TO
Carmel Fire Depa,itment Carmel Fire Department Invoice Date 01/12/2018
2 Civic Square 2 Civic Square
Carmel,IN 46032 Carmel,IN 46032 Appropriation#43-570.03,
PO Number: P.G.#: 100682
QTY DESCRIPTION, UNIT PRICE TOTAL
1 AFG Class—Fire Officer 11101-08-2018 through 01-12-2018 $1,275.00 $1,275.00
Subtotal $1,275.00
Tax
Shipping
Miscellaneous
Please return the portion below with your payment. BALANCE DUE` ' $1,275.00
REMITTANCE
Invoice# 2018-01
Amount Paid
I
Make checks payable to:
David Moore
2735 N. Riley.Hwy
Shelbyville,IN 46176 .
INVOICE
BILL SHIP. Invoice# 2018-02
TO TO
Carmel Fire Department Carmel Fire Department Invoice Date 01/12/2018
2 Civic Square 2 Civic Square
Carmel,IN 46032 Carmel,IN 46032 Appropriation#43-570.03,
PO Number: p.0.#: 100682
QTY DESCRIPTION.- ,. UNIT PRICE TOTAL
1 AFG Class—ISO 02-05-2018 through 02-09-2018 $1,375.00 $1,375.00
Subtotal $1,375.00
Tax
Shipping
Miscellaneous
Please return the portion below with your payment. BALANCE DUE $1,375.00.
REMITTANCE
Invoice# 2018-02
Amount Paid
.Make checks payable to:
David Moore
.2735 N.Riley,Hwy
Shelbyvil le,-IN-46176