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217222 02/13/2013 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: $7,689.45 BROWNSBURG IN 46112 CHECK NUMBER: 217222 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355200 7, 689 . 45 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 I Invoice Bill To: Reference: EMSEducation.net Mark Hulett Carmel Fire Department Billing Date: 1/25/2013-12/31/2013 EMS Division Chief 2 Civic Square Carmel,Indiana 46032 1/1/2013 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 1/25/2013 Mark Hulett 1 year account access to monthly lectures $55/account and reviews. Accounts Start Date End Date Days of service Description Total 147 accounts 1/25/2013 12/31/2013 340 Account access and courses $55/account/year 7 accounts 8/1/2013 12/31/2013 150 Prorated to align renewal dates Subtotal: $7689.45 Tax: Shipping: Miscellaneous: Balance Due: $7689.45 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. i Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $7,689.45 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Michael Kaufmann, MD IN SUM OF $ 5245 North Co. Road 600 East Brownsburg, IN 46112 $7,689.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 43-552.00 I $7,689.45 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 FEB 1 2013 It fA a e-w V,e rp- Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund