180994 12/30/2009 ,,57 CITY OF CARMEL, INDIANA VENDOR: 363749 Page 1 of 1
i t i t ONE CIVIC SQUARE ERIK THORDARSON CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 5267 IVY HILL DR
CARMEL IN 46033 CHECK NUMBER: 180984
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 15.00 EXTERNAL INSTRUCT FEE
v IfV;YTECH' Ivy Tech Community College of Indiana
CCOMMUNIEYCOLLt E
D 11-DEC-2009
Receipt 519424
Cashier: DHOFF
Name:
Code Description Debit Credit
XCRC F2- Visa /MC Payment $15.00
FWWR F1 -WED Workforce Cert $15.00
t UL LVMMMHti IIKL)
MUIICIL. IId 47302
765 643 -7133
IERMINAI ID.: 72691725
MERCHANT b. 290000060700
SWIPED
SALE
BRIM 000148 I IU 000002/
Dec 11, 09 09:13/
RRN: 934514200342 AUT H 005006
TRAI11 SEQ 002286
APPROVAL 005088
150
ERIR 10000085011
THANK YOU
CUSi019ER COPY
TO'T'AL: $15.00 $15.00
Miscellaneous Receipt
VOUCHFR,NO. WARRANT NO.
ALLOWED 20
Erik TI ordarson
IN SUM OF
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43- 570.04 $15.00 I hereby certify that the attached invoice(s), or
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
DEC 2.1 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$15.00
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
Clerk- Treasurer