HomeMy WebLinkAbout258756 05/18/16 CITY OF CARMEL, INDIANA VENDOR: 368793
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ONE CIVIC SQUARE MICHAEL SHEEKS CHECK AMOUNT: $*******199.00*
CARMEL, INDIANA 46032 14382 WHISPER WIND DR CHECK NUMBER: 258756 9 CARMEL IN 46032 CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357004 050616 199.00 EXTERNAL INSTRUCT FEE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
MICHAEL SHEEKS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM of$ CITY OF CARMEL
14382 WHISPER WIND DR
An invoice or bill to be properly itemized mustshow:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$199.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
43-570.04 $199.00 1 hereby certify that the attached invoice(s),or 5/13/16 0 Property Management Exam $199.00
1192 �� 101 1192 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, May 13,2016
I
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
Sheeks, Mike
From: PearsonVUEConfirmation@pearson.com
Sent: Friday, May 6,2016 8:46 AM
To: Sheeks, Mike
Subject: Pearson VUE Confirmation of Payment
**PLEASE DO NOT REPLY TO THIS E-MAIL**
This is a receipt for your order and
should be kept for your records.
Pearson VUE INVOICE
5601 Green Valley Drive
Bloomington MN 55437 Invoice Number: 0030-5169-8829
UNITED STATES Transaction Date: Friday, May 6, 2016
US Tax ID: 41-0850527
Ship To: Bill To:
Michael A Sheeks Michael A Sheeks
14382 Wisper Wind Drive 14382 Wisper Wind Drive
Carmel, Indiana 46032 Carmel, Indiana 46032
United States United States
Quantity Item ID Description Shipped To Unit Price Amount
1 299341479 64-2012 Candidate ID: ICCO0232805 199.00 199.00 USD
64 - Property Maintenance and Housing
Inspector Candidate Name: Michael Sheeks
English
Appointment: Friday, May 13, 2016
8:00:00 AM EDT
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Center: Pearson VUE Test Center-
Indianapolis IN Indianapolis
Pearson VUE represents and warrants that Cardholder authorizes payment in the Total Amount shown Subtotal 199.00 USD
(together with any other charges due thereon) subject to and in accordance with the agreement
governing the use of Cardholder's card. Shipping: 0.00 USD
Tax 0.00 USD
Pearson VUE US is a business of NCS Pearson, Inc Total 199.00 USD
Taxpayer Name and Address:
NCS Pearson, Inc
5601 Green Valley Drive
Bloomington, Minnesota 55437
United States
Payment Information
Payment Number: 282841045
Payment Type: Credit Card - VISA
Card Number XXXXXXXXXXXX6269
Card Holder: Michael A Sheeks
European Union Customers Only: If the tax amount is zero (0.00), this service may be subject to reverse charge procedures by the customer.
Article 44 VAT Directive 200/112/EC applies.
If you have questions regarding your order or this statement, please visit our website, www.pearsonvue.com/contact for a complete listing of
company telephone numbers and other contact information.
http://www.pearsonvue.com/leciaI/privacy/
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