220054 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 359959 Page 1 of 1
ONE CIVIC SQUARE AMERICAN RED CROSS-HLTH&SFTY Svv
` CARMEL, INDIANA 46032 25688 NETWORK PLACE CCK AMOUNT: $280.00
CHICAGO IL 60673-1256 CHECK NUMBER: 220054
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358300 10221531 280 . 00 OTHER FEES & LICENSES
Page 1 of 1
American Red Gross �y- PT, j�.�
Attn:Health and Safety INVOICE
Processing Center
100 West 10th Street,Suite 501 APR 2 3 2013 Invoice No.: 10221531
Wilmington,DE 19801
�t'� Invoice date: 4/17/2013
Customer PO Ref:
Customer Number:
CARMEL CLAY PARKS AND RECREATION 14164CCPR
tit 1411 E 116TH ST Invoice Total: $280.00
:? ATTN PAULA SCHLEMMER
w CARMEL IN 46032-3455 Please Use Our Remittance
Address Shown Below
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Payment Terms: Net30
ORDER# CHAPTER DESCRIPTION CLASS DATE INSTRUCTOR NAME TOTAL
10981641 American Red Cross of Lifeguarding Item List Price 4/4/2013 Mehl,Eric RI $280.00
Greaterindianapolis
CRS/Offering ID:2915771 8 Students x$35.00 fee per Students=$280.00
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Purchaser Date
Approval Data
Invoice Total: $280.00
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
4/17/13 10221531 Lifeguarding $ 280.00
Total $ 280.00
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$
$ 280.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 4358300 4358300 $ 280.00 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
16-May 2013
Signature
$ 280.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund