HomeMy WebLinkAbout218816 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 365721 Page 1 of 1
ONE CIVIC SQUARE MIKE DELONG
CHECK AMOUNT: $110.00
CARMEL, INDIANA 46032 CIO CFD
CHECK NUMBER: 218816
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357001 110 . 00 INTERNAL TRAINING FEE
Application Payment Receipt Page 1 of 1
Close
The National Registry
Of t,}
Emergency
Medical
Technicians®
EMT-Paramedic/Paramedic Application Payment Receipt
Today's Date: 3128/2013 6:36:42 AM
Application: 2013051470
Applicant:
Michael DeLong
13713 Mapleleaf Circle
Fishers IN, 46038
Application Level: EMT-Paramedic;'Paramedic
Amount Paid: $110.00
Payment Date: 3/22/2013 8:11:16 AM
Payment Method: Credit Card
Transaction Code: 5104031315
https://www.nremt.org/nremt/CbtEmtServices/cbtPrintAppRcpt.asp?Appld=2013051470&... 3/28/2013
Manage:'Your Accounts Page 1, of 2
Posted transuk3?1s
o3t VII.. Omcmwm -
03 2,W1'3 eiUL AVUSMY OF EWS 110.00 110
OL21i3 137
RED S4
t1#l7tU1:3
03!? 13 qm 7
3 z r.Q t'?11Rl13 a 30
1ta
t13J17i13 NORM 16
g3l17(1
43.
03j'17/!3 _ 46
Of i7J13 64
031i7Jt3.
26
fifi11:9 31
OJlaf13 176
jl t/i3 Iwo 95.
03f1Mi3 tai
O-V14113
0,13111 IONVENOW as
031'37!!3 (!� 119
i}31 LTf33
`3�f1 r�i3 1t
1i1CM33''" "9ldlllllM 17
11tt3°'�13 4w 63
��i.. ` r!f � a-_ li.,1 �.' � .� ter,1,e,.'�.+..a-•. 4".t
ff + ilk . J3.
' saw* AMM
MWw .
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
Nhom, 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))
Regis. Fee-Medic Testing $110.00
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.
ALLOWED 20
Mike Delong
IN SUM OF $
$110.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I I 43-570.04 I $110.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund