Loading...
HomeMy WebLinkAbout323621 04/04/18 CITY OF CARMEL, INDIANA VENDOR: 364386 4� 4 ® i ONE CIVIC SQUARE KURT ANDERSON CHECK AMOUNT: $*******106.00* 9 ?� CARMEL, INDIANA 46032 C/O ENGINEERING CHECK NUMBER: 323621 ;,oN�o• CHECK DATE: 04/04/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4357004 28540 106.00 EXTERNAL INSTRUCT FEE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 364386 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KURT ANDERSON IN SUM OF$ CITY OF CARMEL C/O ENGINEERING 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. Payee $106.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering 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 28540 43-570.04 $106.00 1 hereby certify that the attached invoice(s),or 3/20/18 28540 EnviroCert Renewal $106.00 2200 2200 2200 2200 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, March 30,2018 Jeremy Kashman Director 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 EnviroCert Certification Portal Store Page 1 of 2 EnviroCert Certification Portal Store _ ___ _ _ ........... ........... ....... Thank you for your order! Please print out this page as a receipt. Order# 28540 Transaction # 61012007672 Status March 20th 2018 11:26: New Order successfully submitted Items Ordered Renewal Fee- 1 year(CESSWI)- $100.00 x 1 = $100.00 Contact Information Kurt Anderson kanderson@carmel.in.gov 3174029774 Shipping Method Flat Rate Shipping Third Party Credit Card Fee $6.00 https://envirocertintl-store.useclarus.com/checkout/credit/success/ 3/20/2018 EnviroCert Certification Portal Store Page 2 of 2 Total I Shipping + $6.00 Total = $106.00 Paid 18-Mar-20 11:26 Credit cards- $106.00 Balance= $0.00 ................................_.__..._..................._ ........................................................................... ---------- Shipping _.._.__Shipping To _..........._........--._.........................__....._......._ ........................._..._......__..._._._.._..._ ..... __..._...__._.__. __._.... .__.......... One Civic Square Department of Engineering Carmel IN f 46032 United States Please click here to return to your portal dashboard (https://envirocertintl.useclarus.com) https:Henvirocertintl-store.useclarus.com/cheekout/credit/success/ 3/20/2018