233257 06/04/14 f CITY OF CARMEL, INDIANA VENDOR: 355490
i1 ONE CIVIC SQUARE I U P P S CHECK AMOUNT: $*****1,523.70*
CARMEL, INDIANA 46032 DEPT 78745 CHECK NUMBER: 233257
PO BOX 78000 CHECK DATE: 06/04/14
DETROIT MI 48278-0745
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 46216 1,523.70 OTHER CONT SERVICES
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CARMEL STREET DEPARTMENT Invoice Number: 46216
BONNIE CALLAHAN Invoice Date: 5/29/14
3400 W 131ST ST
CARMEL,IN 46074 Customer No: ID2001
Payment Terms:Net Due in 30 days
MONTHLY
-- -- -- -- -- - --(APRIL 1---30,-2014)—
Description
--30,-2014)—Description Total Tickets Amount
Monthly Per Ticket Fee (@$0.90/ticket) 1,693 1,523.70
Please remit payment to: IUPPS
Dept.78745
P.O.Box 78000
Detroit, MI 48278-0745
Please refer to the Invoice No. on your check
Please address questions to: Karen Braun
1-317-893-1405
Invoice Total 1,523.70
PO Box 219-Greenwood IN 46142.877.230.0495-FAX: 877 230.0496•www.Indiana 811.org
VOUCHER NO. WARRANT NO.
IUPPS ALLOWED 20
�-f- -7 IN SUM OF $
P. O. Box 668e8—
Indjanapelms, IN 46266-6898----
$1,523.70 '
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 46216 I 43-509.001 $1,523.70 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
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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))
05/29/14 46216 $1,523.70
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