237880 10/08/14 •4�a
J%u CITY OF CARMEL, INDIANA VENDOR: 366702
ONE CIVIC SQUARE INVOICE CLOUD INC CHECK AMOUNT: $*******570.20*
a CARMEL, INDIANA 46032 35 BRAINTREE HILL OFFICE PARK CHECK NUMBER: 237880
STE 100 CHECK DATE: 10/08/14
BRAINTREE MA 02184
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 414-2014-9 570.20 OTHER EXPENSES
1 1 loud'
Bill To: City of Carmel Utilities Invoice*: 414-2014_9
30 W Main St Date: 10/3/2014
Cannel,IN 46032
Product ID Description Quantity Price Total
5 Biller Portal Access Fee 1 $50.00 $50.00
59 Invoice Presentment For Paperless Customers 2601 $0.20 $520.20
Total Amount $570.20
Due Date: 10/3/2014
Balance Due: $570.20
For Service Period of 9/01/2014 through 9/30/2014
-_-_ - - InvoiceCloud
35 Braintree Hill Office Park,Suite 100
Braintree,MA 02184
(877)CLO-UD30
InvoiceCloud
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. icer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ANOT.
CARMEL, INDIANA
� Favor Of
Total Amount of Voucher $
Deductions
YlY�v
0/- ?360.07 a
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325