HomeMy WebLinkAbout189440 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364658 Page 1 of 1
;i ONE CIVIC SQUARE JAMES MITCHELL CHECK AMOUNT: $260.00
+e CARMEL, INDIANA 46032 8600 WEST 100 SOUTH
JAMESTOWN IN 46147 CHECK NUMBER: 189440
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 260.00 EXTERNAL INSTRUCT FEE
.i
Application Payment Receipt Page I of I
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The National Registry
Of
Emergency
Medical
TechniciansO
Paramedic Application Payment Receipt
Today's Date: 8118i2010 9:47,43 AM
Application: 2010137026
Applicant:
Jarnes Mitchell
8600 W 100 S
Jamestown IN, 46147
Application Level: Paramedic
Amount Paid: $110.00
Payment Date: 8111120107:3516 AM
Payment Method: Credit Card
Transaction Code: VSJA5CAF704A
https://www.nremt.org/nremt/CbtEmtServices/ebtPrintAppRcpt.asp?Appld= 2010137026&... 8/18/2010
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jmitchell cx carmel.in.gov.
Candidate: Jarnes C Mitchell j
NREMT Candidate ID: NR00353174
i I
Exam: Paramedla001: Paramedic
t_anguage: English
Test Center: Pearson Professional (,enters Indianapolis IN
3500 DePauw Blvd. Bldg 2, EI 8, ;ate 2080
i The Pyramids at College Park
(Northwest side of Indianapolis)
Indianapolis, IN 46208
USA
317- 337 -9553 i
i
Appointment: Mon, 23 Aug 2010 1 Start Time; 2:00 PM
I Appointment Number: 237277901
1 DatefTime Appointment Created: Wed,. 18 Aug 2010, at 2:56 PM
'J ax: $US 0.00
Amount Paid: $US 0.00
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Order N um be r: 0003 -5431 -3909
Check -in Policy:
Please arrive at the test center 15 minutes before your scheduled appointment. This will allow you enough time to complete
the check -in procedures before beginning your exam. You will be required to shove two (2) valid forms of personal
identification. Both forms must contain your signature, must be current (not expired), and at least one form must contain your
photo. If you arrive more than '15 minutes after your appointment tirne and are refused admission, the exam and delivery fees
are not refundable.
You will not be allowed to take any personal items with you into the testing room. This includes all bags, books not authorized
by the testing program, notes, cell phones, pagers, watches and wallets.
Cancellation Policy:
To cancel or reschedule your exam appointment and receive a full refund, you must notify Pearson VUE at least one business
day before your appointment. Otherwise, your exam fee is not refundable. Your exam fee is also not refundable if you do not
arrive at the test center for your scheduled appointment. (There is no liability for any fees if your exam is free.) Please contact
a Pearson VUE agent if you have questions about this policy.
in case of a failure to deliver the exam, Pearson VUE will not be held responsible for expenses you incur beyond the cost of
the exam, including but not limited to travel expenses and lost wages or) the day of the exam
All policies are subject to change without notice. Please check your email confirmation tetter for the current policy for this
program.
Pearson VUE's goal is to make your testing experience a pleasant one, We thank you for selecting Pearson VUE as your
testing service provider, and look forward to serving you again. Please feel free to contact us with your camments or
questions.
https: /www6.pearsonvue .corn /Di spate her ?v =W2L& application= RegSched =Y... 8/18/2010
`i
Community Health Network nvo® ce
EMS Education
1 500 N. Ritter, Building #3 Suite #3 [late Invoice
Indianapolis, IN 46219
8 /I6 /2010 2010 -23
Bill To
new
P.O. Number Terms
Quantity Item Code Description Price Each Amount
1 Paramedic Practical 150,00 150.00
Payment Must be made in cash or Money Order made out to
Terri Hamilton
Please make checks payable to;
Communitv Fleaith Network Total Il llii $150A0
294264
PURCHASER'S COPY OF PERSONAL MONEY ORDER DRAWN ON BANK SHOWN HEREON
JAMES C MITCHELL DATE 8/25/10
PAID 'ro TERRI HAMILTON
EXACTLY *150 AND 00 /100 DOLLARS $150.00
NOT NEGOTIABLE
PROOF OF PURCHASE The customer procuring the Personal Money Order form
NO REFUND DR REISSUE WITHOUT corresponding in number and amount to that shown thereon, agrees to
THIS COPY inset thereon in ink, the date, payee, signature, and address and
STATE BANK assumes responsibility for all events made possible by his failure to do so.
o F L t z .T U N SAVE THIS COPY FOR YOUR RECORDS
CQur fi�iuiteidl gauls::wniprs.
VOUCH—';:R NO. WARRANT NO.
ALLOWED 20
James Mitchell
IN SUM OF
$260.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 43- 570.04 $260.00 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
AUG 3 0 2019
t
V< w
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))
Medic Written Practical $260.00
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