Loading...
HomeMy WebLinkAbout238973 11/05/14 +pr_CAq� �/ CITY OF CARMEL, INDIANA VENDOR: 367202 = I ONE CIVIC SQUARE CARMEL DRIVE SELF-STORAGE CHECK AMOUNT: $********95.00* r. =4 CARMEL, INDIANA 46032 550 W CARMEL DRIVE CHECK NUMBER: 238973 9�'IPON'�. CARMEL IN 46032 CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4341999 14602 95.00 RENT-DEC 2014 MAKE CHECK PAYABLE TO INVOICE Carmel Drive Self-Storage 550.W.Carmel Dr Carmel,IN 46032 Unit J201 317-574-1700 Tenant 52903 Invoice 14602 Invoice Date November 05,2014 Due Date December 01,2014 Amount Due 95.00 CITY OF CARMEL c/o:DIANA L CORDRAY �_� Please check box if address is incorrect ONE CIVIC SQUARE and indicate change.Signature is required CARMEL IN 46032 to authorize address changes. Signature _- AMOUNT ENCLOSED ---------------------------------------------------------------------------------------- DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT UNIT DATE ITEM/SERVICE AMOUNT TAX DUE J201 12/1/2014 Rent 12/1-12/31 95.00 0.00 95.00 Subtotal 95.00 Taxes 0.00 Balance Due 95.00 Please remit the total due amount of 9s.oo to the above address. REFERRALS PAY OFF11111 Send your friends and collect your bonus. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199q 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 NA'aa l� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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. ALLOWED 20 l IN SUM OF $ w w �► ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# ,, b I hereby certify that the attached invoice(s), �� ` O" ( ( 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 i t 20 Signatur Cost distribution ledger classification if � Title claim paid motor vehicle highway fund