331177 10/17/18 �u1"C�N,I
/ CITY OF CARMEL, INDIANA VENDOR: 363967
ONE CIVIC SQUARE SHAWN GRASS CHECK AMOUNT: $*****2,400.00*
:9� /�� CARMEL, INDIANA 46032 2615 SOUTH 700 EAST CHECK NUMBER: 331 177
M,�TON.�. GREENFIELD IN 46140 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 18-221 2,400.00 INTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 363967 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SHAWN GRASS IN SUM OF$ CITY OF CARMEL
2615 SOUTH 700 EAST 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.
GREENFIELD, IN 46140
Payee
$2,400.00
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
18-221 43-570.03 $2,400.00 1 hereby certify that the attached invoice(s),or 10/11/18 18-221 Elevator Class $2,400.00
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
Friday,October 12,2018
D4MDr _ZS.
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
- f
INVOICE '
Shawn A. Grass INVOICE#18-221
DATE: OCTOBER 8, 2018
2615 S. 700 East Greenfield, IN 46140
317.223.8346
TO City of Carmel Fire Department
c/o Chief Cromlich
QTY DESCRIPTION UNIT PRICE LINE TOTAL
1 class/12 1 elevator review class meeting NFPA 1006/1670
sessions/6 awareness/operations minimums- No certificates given. 2400.00
days All in service hours.
SUBTOTAL
SALES TAX
TOTAL 2400.00
Make all checks payable to Shawn Grass
THANK YOU FOR YOUR BUSINESSI