322774 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 3718934,;':•
j_ ONE CIVIC SQUARE DAVIUMOORE CHECK AMOUNT: $""""*1,275.00*
CARMEL, INDIANA 46032 2735,N RILEY HIGHWAY CHECK NUMBER: 322774
M;roN- SHEEBYVILLE IN 45176 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 101201 2018-05 1,275.00 INSTRUCTOR FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371893 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DAVID MOORE IN SUM OF$ 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
$1,275.00
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 2018-05 43-570.03 $1,275.00 1 hereby certify that the attached invoice(s),or 3/4/18 2018-05 $1,275.00
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
Sunday, March 04,2018
David Haboush
Fire Chief
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
BILL-- SHIP. InVOIC2#. 2018-05
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 Nu ber: P.O.#: 100682
QTY. DESCRIPTION UNIT PRICE TOTAL '
1 AFG Class—FOST 03-19-2018 through 03-23-2018 $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# 2018-05
Amount Paid
..Make checks payable to:
David Moore
2735 N.Riley Hwy
Shelbyville,IN 46176