226376 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367633 Page 1 of 1
ONE CIVIC SQUARE KIRK KUROIWA
CARMEL, INDIANA 46032 7855 CARDINAL COVE SOUTH DRIVE CHECK AMOUNT: $2,400.00
M"ON`a INDIANAPOLIS IN 46256 CHECK NUMBER: 226376
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 002 2 , 400 . 00 OTHER EXPENSES
Kirk Kuroiwa INVOICE
7855 Cardinal Cove South Drive
Indianapolis,IN 46256
Phone 317-849-9609
INVOICE#002
DATE:11/8/2013
TO: FOR:
Carmel Utilities Drinking Water Operator Training
3450 W.1315`Street
Carmel,IN 46074
Wv�l
DESCRIPTION HOURS RATE AMOUNT
Classroom instruction 15 150.00 2250.00
Math tutoring session 2 75.00 150.00
TOTAL 2400.00
� THANK YOU FOR YOUR BUSINESS!
VOUCHER # 133299 WARRANT # ALLOWED
367633 IN SUM OF $
KIRK KUROIWA ,
7855 CARDINAL COVE SOUTH DR
INDIANAPOLIS, IN 46256
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
002 01-6040-03 $2,400.00
1
Voucher Total $2,400.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367633
KIRK KUROIWA Purchase Order No.
7855 CARDINAL COVE SOUTH DR Terms
INDIANAPOLIS, IN 46256 Due Date 11/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/8/2013 002 $2,400.00
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
Date Officer