HomeMy WebLinkAbout202637 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361926 Page 1 of 1
ONE CIVIC SQUARE DOUG KIZER CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 13504 E 131 ST
FISHERS IN 46037 CHECK NUMBER: 202637
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 225.00 EXTERNAL INSTRUCT FEE
1
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Last Kizer First Doug
Department Carmel FD
Address 11373 Loch Raven Blvd.
City Fishers ST IN ZIP 46037
Contact Information
Home Phone (317) 841 -0271 Work Phone (317) 846 -2554
Cell (317) 201 -1624 Fax Phone
E -Mail doug.kizer @nvcl.org
Date 08/15/2011
General Conference 225.00 I✓ PD 1- WP
Spouse Att 125.00 F SP 17 SWP SP Name Cindy
All Preconference 150.00 for members of FFC For non members 250.00
Essentials of Fire Chaplaincy Paid $225 #4634
CISM -Grief Following Trauma
CISM Individual Crisis Int.
Total Paid $225.00 Total Owed
DOUGLAS J KIZER 4634
CYNTHIA A KIZER 20-7404P2740
PH 317- 841 -0212 &R-A.MQi 23
11373 LOCH RAVEN! BLVD
FISHERS, IN 46037
DATE
PAY 7C3 TI {E
ORDER OF
DOLLARS
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Date:08/19/2011 Account: 110001662793 Seria1:4634 Amount :$225.00 Sequence: 5667122 Route &Transit:274074040 TranCode:4634
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Doug Kizer
IN SUM OF
13504 E. 131 st Street
Fishers, IN 46037
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
T
1120 43- 570.04 I $225.00 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
T 10 2019
a
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))
$225.00
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