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216343 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 365939 Page 1 of 1 ONE CIVIC SQUARE AAPC ` 1 CARMEL, INDIANA 46032 2480 S 3850 WEST,STE.B CHECK AMOUNT: $125.00 SALT LAKE CITY UT 84120 CHECK NUMBER: 216343 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355300 670992 125 . 00 ORGANIZATION & MEMBER - - - - - - - - -- -- --- ------------------------------- Purchase Order - AAPC --- - - Page 1 of 2 AA-V Home About AAPC I Contact Us I Membership I Cart n Hart+:iim o'AAPC Other Coding/Billing Websites Training Certification Continuing Education ICD-10 Jobs Networking Resources Store My AAPC Michelle Terese Harrington CPC(0 1085497 1 Indianapolis Indiana Chapter) Log out My Account Home>Purchase Order Membership Renewal: Mall Order 1/31/2013(renew now) 36 CEUs Due:1/31/2015 r0rder,#670992 Date: 1/10/2013 Add CEUs I Earn CEUs o: Payment Information: elle Terese Harrington Pending Payment 317-706-9640 Overview Profile/Preferences My Purchases/Items CEU Tracker 0 0 6 7 0 9 9 2 _ 0 6 7 4 2 Event Calendar Subtotal:$125.00 Resources Tax: $0.00 Benefits Shipping: $0.00 Total:$125.00 Instructions ' r 1'4f)_-•-t! 14}v`:vc-,� tH 1. Print a copy of this invoice to include with mailed payment. ICD-10 � 2. Make a company check,certified check or money order payable to"AAPC".Personal checks - are NOT accepted. 3. Write your order number(00670992_06742)on the check. 4. Mail check to: AAPC 2480 South 3850 West Suite B Salt Lake City,Utah 84120 [Renewal rder Details em Quantity Price Total For IShipped To Membership-Individual 1 $125.00_ $125.00 Michelle Terese Harrington Subtotal: $125.00 Tax: $0.00 Shipping: $0.00 Total: $125.00 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIII 0 0 6 7 0 9 9 2 _ 0 6 7 4 2 ©Copyright 2013,AAPC Home Membership News&Press Advertise About Us Contact Us Team Up With Us Policies http://www.aapc.com/ShOpping/po.aspx?i=afc9 l 3 68-8262-460d-8ca7-3 aeaf9O93 eOd 1/10/2013 I I Prescribed by State Board of Accounts City form No.201(Rev. 1995) ACCOUNTS PAYABLE VOUCHER I CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by i Iwhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee I Purchase Order No. Terms Date Due IlInvoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 670992 Billing Membership Renewal $125.00 I I I 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 20 Clerk-Treasurer i I VOUCHER NO. WARRANT NO. ALLOWED 20 AAPC IN SUM OF $ 2480 S. 3850 West, Ste. B Salt Lake City, UT 84120 I $125.00 I ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 670992 I 43-553.00 I $125.00 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 JAN 14 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund