HomeMy WebLinkAbout212273 08/28/2012 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: $420.00
BROWNSBURG IN 46112 CHECK NUMBER: 212273
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 2012-2013 420 . 00 SUBSCRIPTIONS
Michael A.Kaufmann,M.D.,FACEP
EMSEducation.net
EMSEducation.net 5245 North CR 600 East
Brownsburg,Indiana 46112
Phone:317-514-6985
E-Mail:makaufmann @mac.com
I
Invoic(c
Bill To: Reference: EMSEducation.net
Mark Hulett Carmel Fire Department Billing Date: 8/1/2012-7/31/2013
EMS Division Chief 2 Civic Square
Carmel,Indiana 46032 8/1/2012
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
8/l/2012 Mark Hulett 1 year account access to monthly lectures $60/account
and reviews.
Accounts Start Date End Date Days of service Description Total
Jordan Cox 8/1/2012 7/31/2013 365 Account access and courses $60/account
Andy Heinlein
Justin Laraway
Nathan Thomas
Joel Heavneis
Justin Mailcoat
Brandon Greiner
Subtotal: $420 i
- ---- - ---- ---—--Tax:---------— I
Shipping:
Miscellaneous:
Balance Due: $420
3rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
qn 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))
$420.00
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.
EMSEducation.Net ALLOWED 20
Michael A. Kaufmann, MD
IN SUM OF $
5245 North CR600 East
Brownsburg, IN 46112
$420.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 j I 43-552.00 j $420.00 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
AUG 2 .7 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund