241314 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 162800
ONE CIVIC SQUARE INFORMATION SERVICES AGENCY CHECK AMOUNT: $*******175.00*
CARMEL, INDIANA 46032 200 E WASHINGTON CHECK NUMBER: 241314
SUITE 1942 CHECK DATE: 01/22/15
INDIANAPOLIS IN 46204
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 175.00 EQUIPMENT MAINT CONTR
INFORMATION SERVICES AGENCY
OF INDIANAPOLIS AND MARION COUNTY
200 East Washington Street
Suite 1942 .
Indianapolis,Indiana 46204-3327
Chargeback Account Invoice/Statement
Statement Date: 12/31/2014
Bill To- Pay To
Account X800938
Carmel Police Department Information Services Agency
3 Civic Square 200 E.Washington
Suite 1960
Carmel, IN 46032 Indianapolis, IN 46204
Attn: Accounts Payable
-Rale Description Units Amount- - YTD Units- YTD Amount-_ ----
Base Billing Information
Base Rate 0.00 $150.00 0.00 $1,800.00
Monthly Access Fee 0.00 $25.00 0.00 $300.00
SubTotal.Base Billing Information 0.00 $175.00 0.00 $2,100.00.
Total For: Current Month 0.00 $175.00 0.00 $2,100.00
Past Due Billing Information
Previous Months Balance 0.00 $175.00 0.00 $0.00
SubTotal:.XPast Due Billing Information 0.00 $175.00 0.00 $0.00
Total For: Past Due 0.00 $175.00 0.00 $0.00
Total For: Carmel Police Department $350.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Information Services Agency
IN SUM OF$
200 E. Washington, Suite 1942 1
Indianapolis, IN 46204
�i
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#,rrITLE AMOUNT Board Members
1110 I I 43-515.01 I $175.00 1 hereby certify that the attached invoice(s), or
bills is are true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, January 15, 2015
Chief of Police
Title
I
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))
01/15/15 monthly payment $175.00
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
, 20
Clerk-Treasurer
i