249693 09/23/15 o
CITY OF CARMEL, INDIANA VENDOR: 368003
ONE CIVIC SQUARE G R M INFORMATION MGT SVS OF INDRILIECK AMOUNT: $*******136.54*
CARMEL, INDIANA 46032 PO 13Ox 28404 CHECK NUMBER: 249693
NEW YORK NY 10087-8404 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 0111767 136.54 OTHER PROFESSIONAL FE
2002 South East Street• Indianapolis, IN 46225
Tel: 317.686.5754•Fax: 317.686.5759
ff
11 www.grmdocumentmanagement.com
(61=03` RM Remit Payment to:
GRM Information Management Services of Indiana, LLC
PO Box 28404•New York, NY 10087-8404
INVOICE
CITY OF CARMEL, CITY COURT Invoice No. 0111767 Page: 1
DIANE APPLEGET' Date: 9/1/2015
ONE CIVIC SQUARE Acct: 12012039
SECOND FLOOR Account PO#:
CARMEL, IN 46032 From: 8/1/2015 to 8/31/2015
RATE QTY TOTAL
STORAGE: 9/1/2015 through 9/30/2015
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 1 0.22
Fuel Surcharge WO #00567000 8/24/2015 2 .5000 1 2 .50
Manual WO Processing Fee WO #00567000 8/24/2015 5.0000 1 5.00
7.72
PRIORITY SERVICES
RETRIEVE FILE-STANDARD WO #00567000 8/24/2015 2.0000 1 2.00
Standard Transportation WO #00567000 8/24/2015 14 .0000 1 14 .00
STANDARD-TRANSPORTATION WO #00567000 8/24/2015 1.0000 1 1.00
17 .00
Total Amount Due 136.54
GRM Document Management
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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 �p
FP Purchase Order No.
too P
L/ Terms
�rJ "�' I /6-0 �o—" ' V Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)
Total 3�P•S
1 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.
LLOWED 20
ti
-:G4-_N FO � �l`l� • S�
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
PwtTZkA-1-7W,J rttkl:�
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
50a� lq3q(� •�1 ,5 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
2 20 1
Sig atur
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund