178738 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362742 Page 1 of 1
ONE CIVIC SQUARE IVY TECH COMMUNITY COLLEGE CHECK AMOUNT: $2,392.14
CARMEL, INDIANA 46032 PO BOX 1373
`o KOKOMO IN 46609 CHECK NUMBER: 178738
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 5166 2,392.14 EXTERNAL INSTRUCT FEE
R ..A H�
MAKE CHECK PAYABLE TO:
IVY TECH COMMUNITY COLLEGE OF INDIANA Invoice No: 5156
P.O. BOX 1373 Invoice Date: 10/14/09
KOKOMO, IN 46903 -1373 Due Date: 11/14/09
CARMEL FIRE DEPARTMENT Please Pay: $2,392.14
ATTN: DENISE SNYDER
2 CIVIC SQUARE
CARMEL, IN 46032
PROGRAM TITLE: Paramedic Science
NUMBER OF STUDENTS: 3 -Kip Benbow, James Mitchell Christopher Walker
LENGTH OF TRAINING: Fall -2009
1- semester
LOCATION OF TRAINING: Riverview Hospital -EMS Education Building
205 Building
395 Westfield Road
Noblesville, IN 46060
AMOUNT DUE: $2,392.14
Thank you. We appreciate the opportunity to be of service.
Please return a copy of the invoice with your remittance.
RIV 092 -01 -01
#ARE300067 -56
1815 EAST MORGAN
P.O. WX 1373
KOKOMO, iND1ANA 46903 -1373
765- 459 -0561
FAX 765- 454 -5111
L
Iyy Tech is an accredited, equal opportunity. affn'matiyc action community collc11e.
t-
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))
5166 $2,39214
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ivy Tech Community College
IN SUM OF
P.O. Box 1373
Kokomo, IN 46609
$2,392.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 5166 43- 570.04 $2,392.14 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
6
a�J U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund