205639 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 356296 Page 1 of 1
ONE CIVIC SQUARE WORLDPOINT ECC CHECK AMOUNT: $113.95
.�.,r CARMEL, INDIANA 46032 6388 EAGLE WAY
y oN .o CHICAGO IL 60678 CHECK NUMBER: 205639
CHECK DATE: 1 /1 712 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357001 5237378 113.95 INTERNAL TRAINING FEE
INVOICE 5237378
W o O r I P i nt t Invoice Date 1/9 /2012 10:57:18
Please Remit to:
Phone: (888) 322 -8350 WorldpointECC, Inc.
...:6388 Eagle Way
Chicago, IL 606784638
Bill To: Ship To:
City of Carmel Fire Department City of Carmel Fire Department
2 Civic Square 2 Civic Square
Attn: Accounts Payable Attn: Mark Hulett
CARMEL, IN 46032 CARMEL, IN 46032
USA USA
Ordered By: Mark Hulett
Cu.stnmer_ID:_200584,_
PO Number Terms Description Net Due Date Order Number Page
Mark Hulett Net 30 2/8/2012 1209962 1 of 1
Order Date Pick Ticket No Primary Salesrep Name Taker
1/9/2012 10:14:49 3201013 Indiana Indiana FRANK
Quantity Extended
Catalog Number Description ListPrice Unit Price price
Order I ship 1 BO
2.00 2.00 0.00 90 -1817 PALS Instructor Course Cards 3 card 52.0000 52.00 104.00
Total Lines: l SUB TOTAL: 104.00
TAX: 0.00
FREIGHT: 9.95
Carrier: UPS Ground Tracking AMOUNT DUE: 113.95
Past due balances are subject to a 1.5%
ORIGINAL monthly late fee
VOUCHER NO. WARR NO.
ALLOWED 20
Worldpoint ECC, Inc.
IN SUM OF
6388 Eagle Way
Chicago, IL 60678
$113.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I 5237378 I 43- 570.01 $113.95 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
JAN 13 2012
r
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))
5237378 $113.95
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