HomeMy WebLinkAbout230146 03/12/14 .coq
>' "F CITY OF CARMEL, INDIANA VENDOR: 00350366
® it ONE CIVIC SQUARE THE TIMES CHECK AMOUNT: $**"****374.19*
iq CARMEL, INDIANA 46032 641 WESTFIELD RD CHECK NUMBER: 230146
9.y._.___,` NOBLESVILLE IN 46060 CHECK DATE: 03/12/14
��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4346500 TL4726 115.94 CITY PROMOTION ADVERT
610 5023990 TL4749 96.62 OTHER EXPENSES
1701 4345500 TL4774 128.62 PUBLICATION OF LEGAL
1192 4345500 TL4789 18.52 PUBLICATION OF LEGAL
1192 4345500 TL4790 14.49 PUBLICATION OF LEGAL
The Times Invoice
641 Westfield Rd.
Noblesville, IN 46060 Date invoice#
2/20/2014 TL 4726
Bill To
City of Carmel - Clerk-Treasurer
One Civic Square
Carmel, IN 46032
ATTN: Sandy Johnson
Description Qty Rate Amount
Request for Proposals (Golf Cart Fleet) $115.94 $115.94
Ad Ran:
2/13/2014
2/20/2014
PLEASE INCLUDE YOUR INVOICE NUMBER(TL4726) ON YOUR
CHECK WHEN MAKING A PAYMENT
Subtotal $115.94
Total $115.94
Balance Due $115.94
Request for Proposals—City of Carmel
Brookshire Golf Course Golf Cart Fleet Proposal
Overview
The City of Cannel,Brookshire Golf Course,is accepting proposals for
the supply of a golf cart fleet. The golf course consists of 18 holes of public golf;
a driving range and practice area,and a Pro Shop and Snack Bar. Brookshire
Golf Course is located at 12120 Brookshire Pkwy,Carmel,IN 46033. Questions
concerning proposals should be directed to:
Bob Higgins
GM/Superintendent
Brookshire Golf Course
317-249-2716
All sealed responses to this request shall be opened at the Carmel
Board of Public Works and Safety meeting dated March 5,2014,at 10:00
am local time. Responses should be clearly marked"RFP-Brookshire Golf
Carts"on the outside of the envelope and delivered to the office of the Clerk
Treasurer no later than 10:OOam on March 5,2014.
Method of Selection
The City of Carmel will review all proposals submitted and reserves the
right to request additional information from all or some of the respondents.
Following the review,the City may select the proposal that,in the opinion of
the City,is best able to meet the needs of Brookshire Golf Course. The City
reserves the right to reject any and all responses submitted or to cancel this RFP
at any time. Any and all costs associated with the preparation of a response and
participation in this RFP process shall be the responsibility of the respondent.
Proposal Infomtation
All responses shall include the following information as it pertains to
this RFP,and shall be separated to be shown in a-la-carte selection fashion. If
multiple options are available through a specific vendor,please show all options
which apply. All vehicles shall be new,and not used condition. Please include
as Exhibit A:
-Price per electric cart for a fleet that will total between 60 and 75 cans
-Price per cart for a long wheel base gas utility vehicle with utility bed
-Price per cart for short wheel base gas utility vehicle with utility bed
-Price per unit for a utility vehicle used for a driving range picking
cart,with appropriate protection devices
-Price per unit for a beverage vehicle
All electric golfcarts for the fleet should be equipped as follows:
-AII carts are to be white
-Numerical identification of each cart
-Two divot bottles per cart
-Foldable front windshield
-Information display holders
-Six(6),eight(8)volt battery configuration system
-Battery gauge
-Single point battery filling system
-All carts shall have front bumpers
-Towing capability
-Adjustable speed setting
With the proposal for the fleet of electric golf carts,not dependent on
number of tails,the following items shall also be included,with prices shown
separately for each item. Please include as Exhibit B:
-Three(3)towing apparatus or bars
-One hand held diagnostic and/or programming device
Financing Options
Although the City reserves the right to select financing from outside
sources,each proposal shall also include the following financing information for
consideration. All information should take into consideration a six oil/six off
payment option,with payments to be made from May until October. Numerical
factors will be multiplied by the total amount of equipment to be decided on to
calculate monthly payment.Please include as Exhibit C:
-Numerical lease factor for 3 year lease option
-Numerical lease factor for 4 year lease option
-Numerical lease factor for 5 yea;lease option
-Residual buyout price,per cart,for 3,4,and 5 year lease options
The City shall also consider the financing of the golf cart fleet for the
purpose of purchase. The following options should be included in proposals. All
infonnation should again take into consideration a six on/six off payment with a
One Dollar purchase at the end of term:
-Finance rate for a 4 year purchase
-Finance rate for a 5 year purchase
-Finance rate for a 6 year purchase
Special Considerations
Any special considerations which can be taken into account,and are to the
benefit of the City and Brookshire Golf Course should be explained and described
as to how they are of benefit. Examples would include rebates,or financing
considerations. Please include as Exhibit D.
Warranty Information
All proposals being considered by the Cit-and Brookshire Golf Course
nmst include a written warranty,and associated explanation of the warranty. The
explanation shall include a breakdown and description of specific parts covered
and the period of time for which they are covered. Also,please provide the
address and contact information for any local service suppliers which will be
responsible for warranty work and or service. Please include as Exhibit E.
Cart Rental
Included in all proposals,please explain cart rental opportunities which
may arise on special occasions for the golf course. Site from where carts will be
shipped,cost per cart per day,delivery fees,and any other special considerations
which may be considered.
Also included in considerations should be the availability of 40 electric
golf carts to be used by Brookshire front the time of proposal acceptance until the
time of delivery of new fleet. Please include as Exhibit F.
References
Include any references,to include similar types of facilities using similar
types of vehicles,which are within 100 allies of Brookshire Golf Course. Please
include as Exhibit G.
714726 2113,2120 21 ltspaxlp
Prescribed by State Board of Accounts General Form No.99P(Rev.2009A)
LU ...........City of Carmel..:.Clerk-Treasurer............ To....The.Times.......................................................................
LU (Governmental Unit) 641 Westfield Rd.
= Noblesville, IN 46060
Z ...........................................H.amilton......County,Indiana ......................,............................................................
LU
2 PUBLISHER'S CLAIM
w
N
�
LINE COUNT
LU Display Master(Must not exceed two actual lines, neither of which shall
Qtotal more than four solid lines of the type in which the body of the
Q advertisement is set)--number of equivalent lines
...........................
Head- number of lines
Body- number of lines ......................I....
Q_ Tail--number of lines
O -- --------------------------------
V Total number of lines in notice ---------------------- ......•••.......••
V
Q
COMPUTATION OF CHARGES
Q 96 lines, ...�.....columns wide equals.19?.equivalent lines at..0 6039
cents per line $115.94
Additional charges for notices containing rule or tabular work (50 per cent
of above amount) ----____ $0.00
Charge for extra proofs of publication ($1.00 for each proof in excess
of two) ......... ..............
TOTAL AMOUNT OF CLAIM $115:94
DATA FOR COMPUTING COST
Width of single column in picas.......9:499.....I... Size of type..........point.
Number of insertions...............?..............
Pursuant to the provisions and penalties of IC 5-11-10-1, 1 hereby certify that the foregoing account is
just and correct,that the amount claimed is legally due, after allowing all just credits, and that no part of the same
has been paid.
I also certify that the printed matter attached hereto is a true copy, of the same column width and type size,
which was duly published in said paper...........?........... times. The dates of publication being as follows:
...........................................................................................................................................
2/13/2014 2/20/2014
...........................................................................................................................................
Additionally, the statement checked below is true and correct:
. Newspaper does not have a Web site.
X.. Newspaper has a Web site and this public notice was posted on the same day as it was published in
the newspaper.
Newspaper has a Web site, but due to technical problem or error, public notice was posted on ................
...... Newspaper has a Web site but refuses to post the public notice.
Thursday,February 20,2014 Legals Advertising
Date....................................................I ........... Title...........................................................................
TL 4726
PU13LIS1-1J,WS A FF ID.<\VIT
State of Indinna
) ss:
Hamilton County )
Personally ;:appeared before nw, a notary public in and fol'said county and state, the
undei:signecl Tin, Timmons -110, being duly swoon; says that;he is Publisher of 7'he Times
newspaper of general circulation printed ,,Incl publishecl in the F:nglish language in the city
of Noblesville in state rued count; afore said, and tlint: the printecl matter attached hereto
is a true cony, which was duly published in said paper f'or 2 tillie(s), the clate(s) of
publication being as follows:
2/13/201.4
2/20/201.4
Subscribed ,incl sworn to before me this'I'hursdsr)?, Iebr•uary 20, 20:11.
Notary Puhlic
[My commission expires: 05/28/2020
Jennifer Louise May
Resident of Marion County
Publisher's Fee: $115.94
JENNIFER%-GUISE MAY
Notary Public-Seal
Stale of Indiana
My Commission Expires May 28,2020
Y 1 77,4726
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Times
IN SUM OF $
641 Westfield Road
Noblesville, IN 46060
$115.94
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I TL4726 I 43-465.00 I $115.94 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
Friday, February 28, 2014
Director, Brooks Ir Golf Club
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))
02/20/14 I TL4726 I Proposals I $115.94
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
The Times Invoice
641 Westfield Rd.
Noblesville. IN 46060 Date Invoice#
2/21/2014 TL 4789
Bill To
City of Carmel- Dept of Community Services
ONE CIVIC SQUARE
CARMEL, IN 46032
ATTN: Adrienne Keeling
Description Qty Rate Amount
Ordinance Z-586-14 $18.52 $18.52
Ad Ran:
2/21/2014
PLEASE INCLUDE YOUR INVOICE NUMBER(TL4789)ON YOUR
CHECK WHEN MAKING A PAYMENT
Subtotal $18.52
Total $18.52
Balance Due $18.52
The Times Invoice
641 Westfield Rd.
Noblesville. IN 46060 Date Invoice#
2/21/2014 TL 4790
e�
Bill To .% 234s��
City of Carmel- Dept of Community Services
ONE CIVIC SQUARE
CARMEL, IN 46032 RECEIVE as
ATTN: Drew Rosenbarger FEB 27 2014
DOCS =_�
9.9
Description Qty Rate Amount
Notice (Docket 14020004 V) $14.49 $14.49
Ad Ran:
2/21/2014
I
PLEASE INCLUDE YOUR INVOICE NUMBER(TL4790)ON YOUR
CHECK WHEN MAKING A PAYMENT
Subtotal $14.49
Total $14.49
Balance Due $14.49
E
7�"' CHER NO. WARRANT NO.
ALLOWED 20
The Times
IN SUM OF $
641 Westfield Road
Noblesville, IN 46060
$33.01
ON ACCOUNT OF APPROPRIATION FOR
i
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 TL 4790 43-455.00
1 hereby certify that the attached invoice(s), or
$14.49
bill(s) is (are) true and correct and that the
i 1192 TL 4789 43-455.00 $18.52
! materials or services itemized thereon for
which charge is made were ordered and
received except
I
Monday, March 10, 2014
Director
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))
02/21/14 TL 4790 Ad Docket 14020004V $14.49
02/21/14 TL 4789 Ad Ordinance Z-586-14 $18.52
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
The Times Invoice
641 Westfield Rd.
Noblesville, IN 46060 Date Invoice#
2/26/2014 TL 4749
Bill To
City of Carmel -Clerk-Treasurer
One Civic Square
Carmel, IN 46032
ATTN: Sandy Johnson
Description Qty Rate Amount
Notice to Bidders(96th Street) $96.62 $96.62
Ad Ran:
2/19/2014
2/26/2014
PLEASE INCLUDE YOUR INVOICE NUMBER(TL4749)ON YOUR
CHECK WHEN MAKING A PAYMENT
Subtotal $96.62
Total $96.62
Balance Due $96.62
VOUCHER # 134319 WARRANT # ALLOWED
00350366 IN SUM OF $
THE TIMES
641 Westfield Rd
Noblesville, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4749 06-1052-17 $96.62
Availability
D)
Voucher Total $96.62
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
00350366
THE TIMES Purchase Order No.
641 Westfield Rd Terms
Noblesville, IN 46060 Due Date 3/3/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/3/2014 4749 $96.62
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 U dff er
The chimes !Invoice
641 Westfield Rd.
Noblesville, IN 46060 Date Invoice#
2/20/2014 TL 4774
Bill To
City of Carmel - Clerk-Treasurer
One Civic Square
Carmel, IN 46032
ATTN: Lois Craig
Description Qty Rate Amount
Annual Report $128.62 $128.62
Ad Ran:
2/20/2014
PLEASE INCLUDE YOUR INVOICE NUMBER (TL4774) ON YOUR
CHECK WHEN MAKING A PAYMENT
Subtotal $128.62
Total $128.62
Balance Due $128.62
Prescribed by State Board of Accounts General Form No.99P(Rev,2009A)
w City of Carmel -Clerk-Treasurer To The.Times
ry, (Governmental Unit) 641 Westfield Rd.
LU
= Noblesville, IN 46060
F- _......,_...,-___.....,.._.Hamilton...._Co�nty,Indiana ..._..........................................................
w
LL,
PUBLISHER'S CLAIM
~ LINE COUNT
LU Display Master(Must not exceed two actual lines, neither of which shall
ptotal more than four solid lines of the type in which the body of the
Q advertisement is set)--number of equivalent lines .....LL
...... ......•••.•..•,
0 Head--number of lines
O -----------------------------------
Body number of lines
CL Tail--number of lines ---
OU Total number of lines in notice ----------------------------,
2
U
Q
COMPUTATION OF CHARGES
Q ....7? lines, ...3..... columns wide equals .??.3.. equivalent lines at..0 4026
cents per line .....$85.-.
Additional charges for notices containing rule or tabular work(50 per cent
$42.87
of above amount)
Charge for extra proofs of publication($1.00 for each proof in excess
oftwo) ------------------- ......................
-----------------------------------
TOTAL AMOUNT OF CLAIM — ....2
DATA FOR COMPUTING COST
Width of single column in picas..........`t.998....... Size of type—... point,
Number of Insertions-........_._?..............
Pursuant to the provisions and penalties of IC 5-11-10-1, I hereby certify that the foregoing account is
just and correct,that the amount claimed is legally due, after allowing all just credits, and that no part of the same
has been paid.
I also certify that the printed matter attached hereto is a true copy, of the same column width and type size,
which was duly published in said paper ............?........... times. The dates of publication being as follows:
_......................................._.................,.............,................................................
2/20/2014
...........................................................................................................................................
Additionally,the statement checked below is true and correct:
Newspaper does not have a Web site.
X.. Newspaper has a Web site and this public notice was posted on the same day as it was published in
the newspaper.
... Newspaper has a Web site, but due to technical problem or error, public notice was posted on ................
..... Newspaper has a Web site but refuses to post the public notice.
Thursday, February 20, 2014 Legals Advertising
Date ..................................................... ........... Title...........................................,...............................
TL 4774
PUBLISHE'R's AFFIDAVI '
h,!I-SorI1I11\ ;tpp.."Ilvd lwl'mv III('' iI 110t-:,ir\ l"uh]W III mid For ,iiia cou 111 :11 Id
Tim Timmons who, N.,ing (41I.N. '\�ovll. thlit 1-w i7 Ptlhh.'311ev of"Phe Tillws
of"gonol"d cil-clihition pl-ilit-od :,,,(I tll(, F:Ijgji.sh Lmni:-igc In the city
Noblo,Villo in ;ta,e mid C01.111ty zlfoy.(-Said. :Illd th;lt the pl int.ed III, -,I, nt1twh(A hei -to
IS :1 ti'Lic, (.mpY, which \V;as duly poldis'lle,,j in :cAicj thc, &ice(�i) of
ptlhhc:ltloll hc!ill"' ;I.,
2/20/207.1
Fohvwit-v 20. 2011
mid sw,wn to lwforo III(., thi!�Thti,
NW;wY Pllhfi,
Mv 05/28/2020
Louise NLI\
of''Nint,ion County
JENNIFER LOUISE=1MAY
0 a
4 Notary Public.Seal
State of Indiana
M�jy
y Commission Expires May 28,2020
77, .1771
Carmel Civil City,Hamilton County,Indiana
Cash&Investments Combined Statement-2013
Local Local Fund Beg Cash End Cash
Fund Name &Inv Bal &Inv Bal
Number Jan 1,2013 Receipts Disbursements Dec 31,2013
Governmental 0 CreRegions Account $3,954,179.93 $1,416.11 $3,955,596.04 $0.00
Activities 0 Carmel Citv Court $628,505.00 $1922,390.71 $2,384,735.48 $166,160.23
0 Payroll Fund $277,146.38 $44,637,420.98 $44,709,101.31 $205,466.05
1 General $2,454,931.88 $73,229,636.52 $71,979,960.75 $3,704,607.65
102 Ambulance Fund $700,563.07 $1,122,658.50 51,034,206.29 $789,015.28
103 Parks Capital $689,265.08 $731.49 $230,14753 $459,849.04
106 Park Impact Fee Fund $1,905,206.45 $816,715.64 $843,897.32 $1,878,024.77
107 Hazardous Material $7,536.05 $761.75 $0.00 $8,297,80
Response Fund
108 Parks Program Fund $1,173,985.54 $3,607,772.87 $3,028,294.40 $1,753,464.01
109 Parks Motion Fund $1,509,330.94 $4,852,955.92 S4,537,948.46 $1,824,338.40
201 Motor Vehicle Highway $2,705,139.74 $10,149,079.75 $9,920,583.42 $2,933,636.07
202 Local Road And Street $2,057,349.59 $1,132,69520 $2,527,735.00 $662,309.79
203 Cumulative Capital
Improvement $727,093.29 $213,279.35 $553,971.15 $386,401.49
206 Cumulative Capital Sewer $912348.84 $720.13 $385,310.61 $527,758.36
209 Deferral Fund $559,717.63 $76,690.38 $60,222.29 $576,185.72
210 User Fee Fund $125,905.23 $117,621.31 $110,841.86 $132,684.68
211 Cumulative Capital $3,015,643.56 $1,725,408.72 $3,765,896.18 $975,156.10
Development
212 Illinois St $700,177.79 $3,183,695.81 561,400.68 $3,822,472.92
Construction Fund
220 Burrett Law Fund $567 $0.00 $0.00 $5 67
221 Ban ett Law Surplus $165,445.05 $250.30 $0.00 $165,695.35
301 Health Insurance Fund $3,377,674.77 $11,985,566.67 $12,091,018.42 $3,272,223.02
302 Workers Comp Fund $36,16957 $270,969.85 $307,139.42 $0.00
402 Civic Square Construction Fund $595.41 $0,22 $0.00 $595.63
403 Lease Rental Fund $3,833.98 $5.79 $0.00 $3,839.77
450 Old Town/126Th Street $457.61 $0.68 $0.00 5458.29
501 Dir-Mee City $50,223.19 S306.50 $26.46 $50,503.23
502 Clerk's Record Perpetuation $95,213.22 $19,510.06 $9,570.46 $105,152.82
503 Court Interperter Fund $3,422 14 $0.76 $3,400.00 $29.90
504 Support For The Alts $119,855.62 $740,036.62 $842,756.00 $17,136.24
505 Public Defenders Fund $1,028.60 $452.10 $0.00 $1,480.70
506 JUDICIAL SALARYFEES $90,394.78 $44,065.09 $14,278.84 $120,181.03
S01 Police Pension Fund $2,384,605.10 $514,967.62 $2,089,493.42 $810,079.30
802 Fire Pension Fund $2,728,575.86 $574,793.65 $2,734,727.83 $568,641.68
851 Fire Gift Fund $5,726.48 $19,097.52 $16,680.84 $8,143.16
852 Police Gift $38,799.66 $12,171.23 $20,491.30 $30,479.59
853 Parks Gift Fund $49,714.66 $3,259.77 $4,930.95 $48,043.48
854 Community Relations $19,346.92 $84,061.80 $41,127.76 $62,280.96
Gift Fund
900 Grant Fund $574,496.24 $50,521.67 $153,014.55 $472,003.36
902 Redevelopment Commission $14,353.15 $26,948,107.17 $19,002,871.99 $7,959,588.33
903 Economic Fund $38,351.26 $10,059.82 $0.00 S48,411.08
904 Housing Authority $58,589.79 $88.65 $0.00 $58,678.44
911 Drug Task Force $588416.31 S143,520.14 $169,643.49 $562,292.96
912 Rainy Day $8,963,321,12 $13,561.12 $0.00 $8,976,882.24
919 Throughfare Fund $483,775.81 $417,005.67 $639,463.28 $261,318.20
920 Keystone Ave Fund $2,903,739.27 $3,294.43 $2,665,092.46 $241,941.24
WASTE%VATER 0 Wastewater Bond& $2.450,63552 $1,763,976.85 $1,414,238.18 $2,800,374.19
Interest At Bony
2012 Sewage Works $8,103,357.35 $51,081.81 $4,339,128.60 $3,815,310.56
Revenue Bonds
651 Sewer Operating $65,158.54 $9,235,931.34 S9,280,701.90 $20,387.98
652 Sewer Depreciating 51.91 $229,454.48 $229,456.36 $0.03
659 Sewer Connection Fund $5,734.98 $410,849.10 $234,393.00 $182,191.08
660 Sewer Availability Fund $5,364.85 $118,682.03 $3,156.36 $120,890.52
WA'iY.R 601 "later Operating $222,297.95 $25,138,840,00 $25,341,880.11 $19,257.84
602 Hydrant Meter Deposit Fund $36,965.00 $2,725.00 $500.00 $39,190.00
604 Water Depreciation $1.92 $225.994.26 $225,996.02 $0.16
605 Water Bond&Interest $1,146,139.50 $80,574.00 $0.00 $1,226,713.50
606 Water Sinking Fund $922,465.56 $4,265,709,20 $4,860,418.96 $327,755.80
609 Water Connection $16,608.98 $2,111,162.37 $2,127,681.38 $89.97
610 Water Availability $0.00 $3,027,193.77 $3,027,181.04 $12.73
Total All Funds $59,874,896.29 $235,309,500.25 5241,980308.15$53,204,088.39
This is to certify that the data contained in this report is accurate to the best of my knowledge and belief.
Diana L.Corchay.Cleik-Treasurer,City of Carmel,Indiana
714774 2120 /r hspr 1p
r
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.207(Rev.1995)
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.
TN:7� mb
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note aftacheq invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ILI, ALLOWED 20
I IN SUM OF $
�JOI�C�si l� 461D
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
-FLrLM- ,0 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
20
Slgnatur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund