HomeMy WebLinkAbout163815 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00353243 Page 1 of 1
ONE CIVIC SQUARE MICHAEL A. KAUFMAN MD
CARMEL, INDIANA 46032 5245 NORTH CO. ROAD 600 EAST CHECK AMOUNT: $800.00
BROWNSBURG IN 46112
CHECK NUMBER: 163815
CHECK DATE: 9117/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4340400 16551 800.00 PROFESSIONAL SERVICES
I
�D
Invoice
Appropriation 43- 404.00
P.O. 16551
Date: 8/26/2008
Name of Company Michael A. Kaufmann, M.D.
Address Zip: 5245 North Co. Rd. 600 East
Brownsburg, Indiana 46112
Telephone No.: 317- 858 -8471
Fax No.: 317- 858 -8718
Project Name Communications Medical Direction
Goods /Services Provided:
Prep and Delivery of Educational Topics at CCC
Medical Oversight and Direction
General Training and Education
Communications Meetings
Meetings with CCC Medical Officer
Date Hrs
May 2008 2hrs
June 2008 2hrs
July 2008 2hrs
August 2008 2hrs
GRAND TOTAL 8 hours
X
Signature
Michael A. Kaufmann, M.D.
Printed Name
Page 1 of 1
Arnone, Janet R
From: Collins, Mindy L
Sent: Friday, August 29, 2008 10:32 PM
To: Arnone, Janet R
Subject: FW: invoice
Attachments: CCCQ2- 32008.doc; ATT7081 91 1.htm
Here is Dr. Kaufmann's invoice.
Mindy
Mindy Collins
EMD Coordinator
Carmel Clay Communications Center
mcollins @carmel.in.gov
From: Michael Kaufmann [mailto:makaufmann @indy.rr.com]
Sent: Tuesday, August 26, 2008 12:30 PM
To: Collins, Mindy L
Subject: Re: invoice
Mindy,
The last invoice I submitted ended on April 2008.
The attached invoice includes time averaged out over May, June, July, August. Please call or email with
questions. Sorry for the delay.
Mike K.
9/2/2008
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))
08/26/08 I I I $800.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Di°. Michael A. Kaufmann
IN SUM OF
5245 No. Co. Road 600 East
Brownsburg, IN 46112
$800.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
16551 43- 404.00 $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
Thursday, September 11, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund