HomeMy WebLinkAbout164937 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00350084. Page 1 of 1
ONE CIVIC SQUARE TOM SMALL
CHECK AMOUNT: $5.00
CARMEL, INDIANA 46032 201 COTTONWOOD DR
ANDERSON IN 46012 CHECK NUMBER: 164937.
T CHECK DATE: 10/1612008
DE PARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 5.00 EXTERNAL INSTRUCT-FEE
:0 %•.200f .AM FRtti'M Fax F1 tiM;It:.m U1,L Heald, DApar[mer,C TG: 571 -2615 `A 002 i_F 002
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Hamilton County H Dep artment
Haunilton Count- Health Department Phone.317- 776 -5500
Onc 1-1,11111/1011 County Squnre, Suitt, 30 teas: 317- 776 -8506
Noblesville, Indium 46060
INVOI
Date of Course 9/24/2008
Course Name Cost Per Student Total Students Total
i
T8 Card $5.00 3 $15.00
PAID
y
w
t
Hamilton County Itlealth'Dept.
Sub total $15.
One I lamilton. Co: Sq. Suite 30
Noblesville, IN 46060 Tax 0
(317) 776 5500 Balance Du e $0.00
•r =t ,�s v sf Please make check payable to.
American Lung Association
Please send payment to:
Hamilton County Health Department
One Hamilton County Sq, Suite 30
Noblesville, In 46060
I
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))
Reimburse Fee $5.00
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
VOLIC HER NO. WARRANT NO.
ALLOWED 20
Tom Small
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 13 2008
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund