246301 06/17/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 368003
ONE CIVIC SQUARE G R M INFORMATION MGT SVS OF IND(LILECK AMOUNT: S'•"""""209.92"
CARMEL, INDIANA 46032 PO SOX 28404 CHECK NUMBER: 246301
NEW YORK NY 10087-8404 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 0105088 209.92 OTHER PROFESSIONAL FE
2002 South East Street• Indianapolis, IN 46225
Tel: 317.686.5754• Fax: 317.686.5759
www.grmdocumentmanagement.com
R M 9 2015 p + Remit Payment to:
�i GRM Information Management Services of Indiana, LLC
I PO Box 28404• New York, NY 10087-8404
J F -LLT .
CITY OF CARMEL, CITY COURT Invoice No. 0105088 Page: 1
DIANE APPLEGET' Date: 6/1/2015
ONE CIVIC SQUARE Acct: 12012039
SECOND FLOOR Account PO#:
CARMEL, IN 46032 From: 5/1/2015 to 5/31/2015
RATE QTY TOTAL
STORAGE: 6/1/2015 through 6/30/2015
Media Storage - Small Transfer C (2. 5000/30 days) 2.5000 1 .00 2.50
CONTAINER STORAGE-1.2 - (0.2400/30 days) 0.2400 1 .00 0.24
CONTAINER STORAGE-CHECK (0.2000/30 days) 0.2000 211 .00 42.20
CONTAINER STORAGE-2. 4 (0. 4800/30 days) 0.4800 135.00 64 . 80
CONTAINER STORAGE-2 . 6 (0.5200/30 days) 0.5200 4 .00 2.08
----------- -----------
352 .00 111.82
SERVICES
Inventory/Indexing 0.2200 30 6. 60
RETURN FILE 3.0000 5 15.00
Fuel Surcharge WO #00559543 5/21/2015 2. 5000 35 2.50
NF INV-RETRIEVAL WO #00559543 5/21/2015 2.0000 1 2.00
NF INV-RETRIEVAL WO 400559543 5/21/2015 2.0000 1 2.00
NF INV-RETRIEVAL WO #00559543 5/21/2015 2.0000 1 2.00
Manual WO Processing Fee WO #00559543 5/21/2015 5.0000 1 5.00
35.10
PRIORITY SERVICES
RETRIEVE FILE-STANDARD WO #00559543 5/21/2015 2 .0000 7 14 .00
Standard Transportation WO #00559543 5/21/2015 14 .0000 35 14 .00
STANDARD-TRANSPORTATION WO #00559543 5/21/2015 1 .0000 35 35.00
63.00
Total Amount Due 209. 92
GRM Document Management
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(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.
�� Payee
Atr0 /"l/-
' aK Purchase Order No.
r
8ov c?,_� 0 �/ Terms
UJ y0/e-X C'" l \( y ( � O /- Date Due
Invoice Invoice Description Amount
a Number (or note attached invoice(s) or bill(s))
r 0 (DSQ� c X25:1-rle✓A( r--6E5 c;20 y ��
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
17
IN SUM OF $
cv
Ne aj
D-
ON
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
o/D 51"O&q /9 % 0 lql�-- 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund