213837 10/23/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 359959 Page 1 of 1
` ONE CIVIC SQUARE AMERICAN RED CROSS-HLTH&SFTY SvC
4o CARMEL, INDIANA 46032 25688 NETWORK PLACE CHECK AMOUNT: $97.00
CHICAGO IL 60673-1256 CHECK NUMBER: 213837
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358300 10157704 97 . 00 OTHER FEES & LICENSES
Page 1 of 1
American Red Cross
Attn:Health and Safety INVOICE
Processing Center
3400 Cottage Way,Suite F �+ �V � Invoice No.: 10157704
Sacramento,CA 95825 1
0C1 9 2012 1 Invoice date: 9/26/2012
BY:--- Customer PO Ref:
Customer Number:
14164-566
THE MONON CENTER Invoice Total: $97.00
1235 CENTRAL PARK DR EAST
CARMEL IN 46032-4421 Please Use Our Remittance
Address Shown Below
Payment Terms: Net30
ORDER# CHAPTER DESCRIPTION CLASS DATE INSTRUCTOR NAME TOTAL
10212237 American Red Cross of Adult and Pediatric First 9/12/12 Mehl,Eric R $27.00
Greaterindianapolis Aid/CPR/AED Item List
Price
CRS/Offering ID:2475622 1 Students x$27.00 fee per Students=$27.00
10212809 American Red Cross of Water Safety Instructor Item 8/26/12 Mehl,Eric R $70.00
Greaterindianapolis List Price
CRS/Offering ID:2475587 2 Students x$35.00 fee per Students=$70.00
Purchase /� n
Description
P.O.# /U/'00 33 G`1 P orb
G.L.# /o`/(� w
Budget � e ,,F L
Line Descr � -� �^4,0��
Purchaser Date�0 i� Z
Approval Date____
Invoice Total: $97.00
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 at billing @redcross.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
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/26/12 10157704 ARC Certification fees $ 97.00
Total $ 97.00
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.
359959 American Red Cross Allowed 20
25688 Network Place
Chicago, IL 60673-1256
In Sum of$
$ 97.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 4358300 4358300 $ 97.00 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
18-Oct 2012
Signature
$ 97.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund