192190 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00352879 Page 1 of 1
0 ONE CIVIC SQUARE PAGE, WOLFBERG, WIRTH LLC CHECK AMOUNT: $99.00
CARMEL, INDIANA 46032 5010 E TRINDLE ROAD SUITE 202
MECHANICSBURGPA 17050 CHECK NUMBER: 192190
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4469000 2006512 99.00 LIBRARY REF MATERIALS
Not
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5010 E Trindle Road, Suite 202
Mechanicsburg, PA 17050
877 EMS -LAW1 1877-367-5291
www.pwwemsiaw.com
INVOICE
Becky Lannan
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
Please remit payment to the address below. Thank You!
Order 2006512 Order Date: 11/22/2010
Quantity Description Price
1 Medicare Alert: Fractional. Mileage, Fee Schedule $99.00
Reductions and More!
Tax $0.00
TOTAL $99.00
Please detach and return this section with your payment to ensure proper crediting of your account.
2006512 TOTAL AMOUNT DUE: $99.00
Becky Lannan
Carmel Fire Department
Page, Wolfberg Wirth, LLC
5010 E Trindle Road, Suite 202
Mechanicsburg, PA 17050
VOUCHER NO. WARRANT NO.
ALLOWED 20
Page, Wolfberg Wirth, LLC
IN SUM OF S
5010 E. Trindle Road, Ste. 202
Mechanicsburg, PA 17050
$99.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
1120 2006512 102 690.00 $99.00 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
NOV 2 2 2010
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))
2006512 $99.00
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