HomeMy WebLinkAbout205911 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00353243 Page 1 of 1
ONE CIVIC SQUARE MICHAEL A. KAUFMANN MD
CARMEL, INDIANA 46032 5245 NORTH CO. ROAD 600 EAST CHECK AMOUNT: $8,820.00
BROWNSBURG IN 46112 CHECK NUMBER: 205911
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357003 8,820.00 INTERNAL INSTRUCT FEE
Michael A. Kaufmann, M.D., FACED
L A
MSEducati oil. net
EMSEducation.net 5245 North CR 600 East
Brownsburg, Indiana 46112
P hone: 317- 514 -6955
E-Mail: inakaufniarm'. niac.COITI
Bill To ReCet nce: EMSEducation.net
Mark Hulett Carmel Fire Department Bill-ine Date: 1/25/2012 —112512013
EMS Division Chief 2 Civic SqLiare
Carmel, Indiana 46032 1 250 201.
Checks may be made payable to either Michael A. Kaufmann, M.D. or Balance due within 60 days
EMS Education.net
Contract Date Approved by: Service Rate
1/25/2012 Mark Hulett I year account access to rriontlity lectures S60/account
and reviews.
Accounts Start Date End Date Days of service Description Total
BAllcn(tL;carrnel.in.gov 1/25/2012 1/25/2013 365
Account access and courses $60/account
ja Iverson@,carinchn.gov
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iribailey@carmel.in.gov
SBaskerville@karmel.in.gov
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MCallahan@carmel.in.gov
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KCcmdra@tcannel.in.gov
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jcox@carmel.in.gov
BCratic@cannet.in.gov
MCrornfich@carrnelJn.gov
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
F 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))
$8,820.00
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
Michael Kaufmann, MD
IN SUM OF
5245 North Co. Road 600 East
Brownsburg, IN 46112
$8,820.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I I 43- 570.03 I $8,820.00 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
JAN 3 0 2012
5
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund