HomeMy WebLinkAbout164702 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00351688 Page 1 of 1
ONE CIVIC SQUARE GARY FISHER
CARMEL, INDIANA 46032 316 NORRIS DRIVE
ANDERSON IN 46013 CHECK AMOUNT: $5.00
CHECK NUMBER: 164702
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 5.00 EXTERNAL INSTRUCT FEE
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10/6/2002 9:17 AJi FROM: Fat Hamilton County Health DepartmenL TG: 8, 171 -2615 PAGE: 002 OF 002
Hamilt County H D
Hamilton County Health Department Phone: 317-776-8500
One Hamilton County Square, Suite 30 Fax: 317 776 8506
Noblesville, Indiana 46060
INVOICE
Date of Course 9/24/2008
Course Name Cost Per Student Total Students Total
TB Card $5.00 j 3 $1 5.00
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Hamilton County 1lealth Dept
Subtotal $15.00
One Hamilton: Co. Sq. Suite 30 k
Noblesville, IN 46060 Tax 0
(317) 776 -8500 Balance Due $0.00
2 {3 x 3 =pax =h Please make check payable to:
American Lung Association
�`•���c please send payment to:
Hamilton County Health Department
One Hamilton County Sq, Suite 30
Noblesville, In 46060
VOUCHER NO. VVARRANT NO.
ALLOWED 20
Gary Fisher
IN SUM OF
$5.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 570.04 $5.00 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
OCT IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
Y
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))
Reimburse Fee $5.00
1 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