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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