212896 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366536 Page 1 of 1
ONE CIVIC SQUARE ACROSS THE STREET PRODUCTIONS
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CARMEL INDIANA 46032 19101 STONE RIDGE DR,STE A CHECK AMOUNT: $2,475.00
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SOUTH BEND IN 46637 CHECK NUMBER: 212896
CHECK DATE: 9/2512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 24387 12-0914 2 , 475 . 00 REGISTRATION FEES
BLUE C865
Invoice
Across the Street Productions
19101 Stone Ridge Drive - Suite A Date Invoice#
South Bend, Indiana 46637 9/11/2012 12-0914
Bill To ..,
Carmel Fire Department
Denise Snyder
2 Civic Square
Carmel, IN 46032
" `P.O.'NO. - Terrns' - Due Date`
24387 Net 30 10/11/2012
Quantity. Description'" Rafe Amount'.
5 Brunacini Hazard Zone Conference at Notre Dame University 495.00 2,475.00
2012; Vallone, Buttler, Steele, Hensley; Harrington
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Train the Trainer Invoices must be paid 14 days prior to the start of class
Total $2,475.00
Make Checks Payable to:
Across the Street Productions — .g
Phone (574) 273-0962 Toll Free. (855) 872-5822 Fax(574) 273-3174 Website www.bshifter.coni
VOUCHER NO. WARRANT NO.
ALLOWED 20
Across the Street Productions
�� IN SUM OF $
19101 Stone R419d Drive, Ste. A.
South Bend, IN 46637
$2,475.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24387 I 12-0914 I 43-570.04 I $2,475.00 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
SE-P 2 .1-2992
< I
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12-0914 $2,475.00
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