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185426 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 363967 Page 1 of 1 ONE CIVIC SQUARE SHAWN GRASS 1 CARMEL, INDIANA 46032 2615 SOUTH 700 EAST CHECK AMOUNT: $800.00 ho M o GREENFIELDIN 46140 CHECK NUMBER: 185426 CHECK DATE: 5/1112010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357003 12766 04 -225 800.00 FIRE CLASS INVOICE Shawn A. Grass INVOICE 04 -225 Burning PassionTraining Systems DATE: APRIL 15, 2010 2615 S. 700 East Greenfield, IN 46140 317.223.8346 TO Carmel Fire Department Chief Matt Hoffman 2 Civic Square Carmel IN 46032 QTY DESCRIPTION UNIT PRICE LINE TOTAL 4 sessions Command and control officer development courses 2 hrs each 800.00 SUBTOTAL SALES TAX TOTAL 800.00 Make all checks payable to Shawn Grass THANK YOU:•FOR YOUR BUSINESS! VOUCHER NO. WARRANT NO. ALLOWED 20 Shawn Grass IN SUM OF 2615 S. 700 East Greenfield, IN 46140 $800.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# /Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members 12766 04 -225 43- 570.03 $800.00 1 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 MAY 1 2010 rr 1 f y L 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)) 04 -225 $800.00 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