247426 07/1 5/1 5 (9,
CITY OF CARMEL, INDIANA VENDOR: 368888
ONE CIVIC SQUARE OMNISITE CHECK AMOUNT: $*******251.80*
CARMEL, INDIANA 46032 494 S EMERSON AVE STE 3 CHECK NUMBER: 247426
GREENWOOD IN 46143 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 45909 251.80 OTHER EXPENSES
• 494 S.Emerson Ave. Ste E
Invoice
Greenwood,IN 46143
4n�tni Site Phone:317-885-6330 Ext.5 {'
E-Mail:accounting@omnisite.com
DATE INVOICE*"'
7/1/2015 45909
BILL TO SHIP�TO :
Carmel WWT
Attn:Accounts Payabe
9609 Hazel Dell Parkway
Indianapolis,IN 46280
iP O NO DUE DATE` TERMS r ACTIVATIqRepordinng,
Duane 7/31/2015 Net30
DESCRIPTIONAM US-WS-CX-STD1 27325 Plum Creek Standard 1 Year Wireless Service with 24h 129.30
Service Dates 7-14-2015- 12-31-2015
S-WS-CX-STD1 27389 106th Street Standard I Year Wireless Service with 24h 122.50
Service Dates 7-23-2015-12-31-2015
Prorated
This unit will now be added to annual billing.Next
invoice date is 1-1-2016
Sales Tax 0.00
BILLING CYCLE;=Thru 12/31/15
Total(USD). $251:80'
` t
Balance Due
$251.80'�
VOUCHER # 155856 WARRANT # ALLOWED
368888 IN SUM OF $
OMNISITE
494 S. EMERSON AVE.
SUITE E
GREENWOOD, IN 46143
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1
45909 01-7360-04 $129.30
45909 01-7363-05 $122.50
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Voucher Total $251.80 j
Cost distribution ledger classification if
claim paid under vehicle highway fund j
I
1
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
368888
OMNISITE Purchase Order No.
494 S. EMERSON AVE. ' Terms
SUITE E Due Date 7/7/2015
GREENWOOD, IN 46143
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2015 45909 $251.80
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
Date Officer