246688 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 367839
• ONE CIVIC SQUARE APP ORDER LLC CHECK AMOUNT: $*******288.00*
9�d_.4�A
?� CARMEL, INDIANA 46032 1094 E SAHARA AVE CHECK NUMBER: 246688
M«oN ca, LAS VEGAS NV 89104 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4350900 32193 288.00 CODE ENFORCEMENT
TM Invoice
Ord er Date Invoice#
r
6/9/2015 1100-0515
7 A 9 F �
b
t~ ��
Bill To £
rf
City of Carmel REM'°' m
Attn:Lisa StewartJUN
6 �
One Civic Square
Carmel,IN 46032 DOGS
`L
GJ
P.O. No. Terms Due Date
Net 30 7/9/2015
Description Rate Amount
Monthly License Fee May 2015 288.00 288.00
Please Remit to:App-Order,LLC
1094 E.Sahara Ave. Total $288.00
Las Vegas,NV 89104
Payments/Credits $0.00
Balance Due $288.00
1
,I
VOUCHER NO. WARRANT NO.
r
APP-Order, LLC I ALLOWED 20
IN SUM OF$
1094 E.Sahara Avenue
k'
Las Vegas, NV 89104
$288.00
1
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS '
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I I hereby certify that the attached invoice(s), or
32193 I 1100-0515 I 43-509.00 I $288.00 i
!' 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
i
Monday, June 29, 2015
I
d.
1
Director
Title
I
Cost distribution ledger classification if `
claim paid motor vehicle highway fund I
''f
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))
06/09/15 1100-0515 $288.00
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
120
Clerk-Treasurer