HomeMy WebLinkAbout325144 05/09/18 .4aq'
���.- '�• - CITY OF CARMEL, INDIANA VENDOR: 366749
ONE CIVIC SQUARE MALINOWSKI CONSULTING INC CHECK AMOUNT: $*****9,500.00*
r, CARMEL, INDIANA 46032 755 W CARMEL DRIVE STE 203 CHECK NUMBER: 325144
CARMEIIIIN,46032 CHECK DATE: 05/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER'' AMOUNT DESCRIPTION
1120 4340400 20170434 9,500.00 CONSULTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 366749 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MALINOWSKI CONSULTING INC IN SUM of$ CITY OF CARMEL
755 W CARMEL DRIVE STE 203 An invoice or bill to be properly itemized mustshow: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.
CARMEL, IN 46032
Payee
$9,500.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
20170434 43-404.00 $9,500.00 1 hereby certify that the attached invoice(s),or 5/3/18 20170434 $9,500.00
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
Thursday, May 03, 2018
,Qe.�D mss_ _7k. ,,A
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 distribution ledger classification if claim paid motor vehicle highway fund. . Clerk-Treasurer
it malcon
MALINOWSKI CONSULTING, INC.
Invoice
Date: 4/26/2018 Invoice #: 20170434
To:
Michelle Harrington
Carmel-Fire Department
2 Civic Square, Station 41
Carmel, IN 46032
For Professional Services
Rendered:
For preparation of Medicaid Ambulance Cost Report for the Year Ended December 31,
2016.
Per negotiated specifications.
Total invoice amount .................. $9;500.00
Invoices are due in full 45 days of receipt. Please make all checks payable to:
Malinowski Consulting, Inc.
I
...............................................................................................................................................................................................
755 W Carmel Drive,Suite 203 1 Carmel,IN 46032
TEL 317.818.1876 Fax 877.346.7986 www malconindiana.com