224510 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 354402 Page 1 of 1
1J� ONE CIVIC SQUARE DAVID HABOUSH CHECK AMOUNT: $75.75
®? CARMEL, INDIANA 46032 1942 TROWBRIDGE HIGH STREET
CARMEL IN 46032 CHECK NUMBER: 224510
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 75 . 75 EXTERNAL TRAINING TRA
Family Escort Application - 2013 MW - RegOnline Page 1 of 2
NATIONAL FALLEN FIREFIGHTERS
MEMORIAL WEEKEND
a October 4 - f, 2013
Irv!�aRl � � FOR MORE INFORMATION VISIT: Weekend.Fire Hero,oj
! 2013
Receipt
Receipt Number: 1243315-57504728
Registration ID: 57504728
Registration Date: 6/28/2013
Receipt Date: 6/28/2013
Issued By: National Fallen Firefighters Foundation
Event: Family Escort Application -2013 MW
Date/Time: Friday, October 04, 2013 - Sunday, October 06, 2013
Reciistrants
Name Registration Type
ID yp
David Haboush 57504728 General Application
Billing Information
David Haboush
1942 Trowbridge High St.
Carmel, IN 46032
United States
Personal Info
David Haboush
2 Civic Sq.
Carmel, IN 46032
3177051942
dhaboush @carmel.in.gov
--- Fees
Fee Quantity Unit Price Amount
https://www.regonline.com/register/invoice.aspx?Eventld=1243315&Attendeeld=geHG4NaUTiK... 8/27/2013
Family Escort Application - 2013 MW - RegOnline Page 2 of 2
Fee Quantity Unit Price Amount
Fee
All Meals 1 $75.75 $75.75
Subtotal: $75.75
Total: $75.75
--- Transactions
Transaction Type Date Amount Balance
' Transaction Amount 8/26/2013 $75.75 $75.75
Online Credit Card Payment(***""*"""*" ) Details 8/26/2013 ($75.75) $0.00
Current Balance: $0.00
Payment Method
Payment Method: Credit Card (Discover)
The online credit card payment for this event will be listed on your credit card statement with the name NFFF.
https://www.regonline.com/register/invoice.aspx?Eventld=1243315&Attendeeld=geHG4NaUTiK... 8/27/2013
DAVID G HABOUSH _Open Date:Aug 10, 2013-Close Date:Sep 9,2013 Page 4 of 8
Transactions - continued
Trans.Date Post Date
u,
Aug 26 Aug 26 ACT'NFFF 877-551-5560 CA 75.75 0
V
NHQEDDUF87901304
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dave Haboush
IN SUM OF $
$75.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
r
1120 I I 43-430.02 I $75.75 1 hereby certify that the attached invoice(s), or
f 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
SEP 2 3 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$75.75
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
120
Clerk-Treasurer