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190887 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 353740 Page 1 of 1 ONE CIVIC SQUARE OAKLAND COMMUNITY COLLEGE 1, CARMEL, INDIANA 46032 ACCT SPEC -J125 /AUBURN HILLS CAMPUS CHECK AMOUNT: $1,190.00 2900 FEATHERSTONE ROAD CHECK NUMBER: 190887 AUBURN HILLS MI 48326 -2845 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4357004 0895930 1,190.00 EXTERNAL INSTRUCT FEE OAKLAND COMMUNITY COLLEGEe September 28 2010 STATEMENT OF CHARGES FOR SPONSORED STUDENTS Page 1 10:59 OAKLAND COMMUNITY COLLEGE 2480 Opdyke Road Bloomfield Hills MI 48304 -2266 FED TAX ID 38- 1751522 Invoice Number: 80701 Sponsorship..: PACCCCO910 Invoice Date..: 09/28/10 Contract.....: PASEP10 Invoice Period: 08 /01 /04to 09/28/10 Contract Type: Sponsor.........: 0895930 Carmel Clay Communications Payment Due..: 11/12/10 Carmel Clay Communications 31 1st Ave N.W. Carnel, IN 46032 Student..: 0895937 Mindy L. Collins Term..: 2011 /AY Contact..: Course Section Course Section Name Credits Term Start Date End Date Status PBSV- 5496 -x1614 Dispatch Quality Assurance 2011 /AY 09/22/10 09/23/10 N AR Cd Description Amount Payments Balance 1APTT Advance Police Train Tuition 595.00 0.00 595.00 Totals: 595.00 0.00 595.00 Student..: 0895938 David M. Heinzman, Jr. Term... 2011 /AY Contact..: Course Section Course Section Name Credits Term Start Date End Date Status PBSV 5496 -K1614 Dispatch Quality Assurance 2011 /AY 09/22/10 09/23/10 N AR Cd Description Amount Payments Balance 1APTT Advance Police Train Tuition 595.00 0.00 595.00 Totals: 595.00 0.00 595.00 Grand Total for Sponsorship: PACCCCO910 Term: 2011 /AY AR Cd Description Amount Payments Balance lAPTT Advance Police Train Tuition 1190.00 0.00 1190.00 Totals: 1190.00 0.00 1190.00 Statement Total: 1190.00 0.00 1190.00 A0540A 11107 OAKLAND COMMUNITY COLLEGE® Sept' 28 2010 STATEMENT OF CHARGES FOR SPONSORED STUDENTS Page 2 10:59 OAKLAND COMMUNITY COLLEGE 2480 Opdyke Road Bloomfield Hills MI 48304 -2266 FED TAX ID 38- 1751522 Invoice Number: 80701 Sponsorship..: PACCCC0910 Invoice Date..: 09/28/10 Contract.....: PASEP10 Invoice Period: 08 /01 /04to 09/28/10 Contract Type: Sponsor.........: 0895930 Carmel Clay Communications Payment Due..: 11/12/10 PAYMENT INSTRUCTIONS We accept checks, money orders, Visa, Master Card and Discover. Please detach the coupon and return with your payment to the address indicated on the coupon. OCC is not responsible for declined charges. PLEASE DETACH THE COUPON BELOW AND RETURN WITH PAYMENT VOU NO. WARRANT NO. ALLOWED 20 Adcounting Specialist J -125 Auburn Hills Campus /Oakland Community Coll IN SUM OF 2900 Featherstone Rd Auburn Hills, MI 48326 -2845 $1,190.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1115 80701 43- 570.04 $595.00 1 hereby certify that the attached invoice(s), or 1115 80701 43- 570.04 $595.00 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, October 06, 2010 Director 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)) 09/28/10 80701 $595.00 09/28/10 80701 $595.00 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer