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210738 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 359959 Page 1 of 1 ONE CIVIC SQUARE AMERICAN RED CROSS-HLTH 8,SFTY SOCK AMOUNT: $1,227.00 � o CARMEL, INDIANA 46032 25688 NETWORK PLACE CHICAGO IL 60673-1256 CHECK NUMBER: 210738 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358300 10089930 76 . 00 OTHER FEES & LICENSES 1096 4358300 10099813 1, 151 . 00 OTHER FEES & LICENSES Page 1 of 1 American Red Cross Attn:Health and Safety INVOICE Processing Center ` 3400 Cottage Way,Suite F Invoice No.: 10099813 Sacramento,CA 95825 Invoice date: 6/20/2012 Customer PO Ref: Customer Number: 14164-566 THE MONON CENTER Invoice Total: $1,151.00 1411 EAST 116 STREET CARMEL IN 46032-3455 Please Use Our Remittance Address Shown Below Payment Terms: Net30 ORDER# CHAPTER DESCRIPTION CLASS DATE INSTRUCTOR NAME TOTAL -9879704----American Ked Cross of Liieguarding item Lisi Price 6i8i2012 Mehl,Eric Ri $525.00 Greaterindianapolis 15.00 students x$35.00 fee per student=$525.00 9879440 American Red Cross of Adult and Pediatric First 6/6/2012 Mehl,Eric RI $486.00 Greaterindianapolis Aid/CPR/AED Item List Price 18.00 students x$27.00 fee per student=$486.00 9881013 American Red Cross of Water Safety Instructor Item 6/15/2012 Mehl, Eric RI $140.00 Greaterindianapolis List Price 4.00 students x$35.00 fee per student=$140.00 Purchase ° Description Gass (irtihcC-JI 9'11S P.O.# �1C003b�a Op or � ` G.L.# JUL 4 2 2012 Budaet Se i r. Purchaser Date - Approval Date Invoice Total: $1,151.00 Thank you for your support of the American Red Cross!If you have questions about this invoice or want to make a credit card payment,please -------------------------------contact us-at-1-888-284-0607 or by email atbillinQ1 redcrss o .org _____________________________ - --------- ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 359959 American Red Cross Terms 25688 Network Place Chicago, IL 60673-1256 Invoice Invoice Description Amount Date Number or note attached invoice(s) or bill(s)) PO# $ 76.00 616112 10089930 Adm. Fees for class certifications $ 1,151.00 6120112 10099813 Adm. Fees for class certifications NiTotaE$ 1,227.00 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 5-11-10-1.6 120_ Clerk-Treasurer Voucher No. Warrant No. 359959 American Red Cross Allowed 20 25688 Network Place Chicago, IL 60673-1256 In Sum of$ $ 1,227.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#fTlTLE AMOUNT Board Members Dept# 1096-10 10089930 4358300 $ 76.00 1 hereby certify that the attached invoice(s), or 1096-10 10099813 4358300 $ 1,151.00 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 12-Jul 2012 Signature $ 1,227.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund