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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