250240 10/07/15 +ur.CAA e
a;;' CITY OF CARMEL, INDIANA VENDOR: 367260
® it ONE CIVIC SQUARE GREATAMERICA FINANCIAL SERVICES CHECK AMOUNT: $... 8,146.67"
CARMEL, INDIANA 46032 PO BOX 660831 CHECK NUMBER: 250240
*,roN_�: DALLAS TX 75266-0831 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4344000 17631921 5,580.48 TELEPHONE LINE CHARGE
209 4344000 17631921 162.93 TELEPHONE LINE CHARGE
601 5023990 17631921 1,751.43 OTHER EXPENSES
651 5023990 17631921 488.90 OTHER EXPENSES
911 4344000 17631921 162.93 TELEPHONE LINE CHARGE
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv# 17631921
Name 9/29/2015
Total Bill
8146.67
Deferral Fund - LAW $162.93
DTF $162.93
Water $1,751.43
Sewer $488.90
Communications Center $5,580.48
$8,146.67
Remit to:
GreatAmerica Financial Svcs
P.O. Box 660831
Dallas, TX 75266-0831
310
10�- G reatAm eri ca~ GreatAmerica Financial Svcs. Remittance Section
® 'WFINANCIAL SERVICES PO Box 660831
Dallas, Tx 75266-0831 Agreement Number: 016-0831145-000
HARD WORK • INTEGRITY • EXCELLENCE Invoice Number: 17631921
Invoice Print Date: 09/29/2015
Invoice Due Date: 10/24/2015
Return Service Requested Total Current Due: 8,146.67
Total Past Due: 0.00
F] Check here for change of address(see reverse for details) Total Due: $8,146.67
Use enclosed envelope and make check payable to:
0750002061 PRESORT 2061 1 MB 0.436 P1C12<B>
""IIIIII'IIIIIIIIIII'lll'III�I'lll�ll'll�l'�11�� GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO Box 660831
FliC. CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
�i CARMEL\IN 46032-1715 I�Illl��l �llll���lll�,ll�t""111.11'lll'llll��l��ll�l�llll1l
000016083114500000000001763192100000000008146670
Keep lower portion for your records-Please return upper portion with your payment
Agreement Number: 016-0831145-000
GreatAmerica' GreatAmerica Financial Svcs. Invoice Number: 17631921
—® FINANCIAL SERVICES PO Box 660831 Invoice Print Date: 09/29/2015
HARD WORK • INTEGRITY • EXCELLENCE Dallas, TX 75266-0831 Invoice Due Date: 10/24/2015
Total Due: $8,146.67
Important Messages
We appreciate your business!
We are glad you chose GreatAmerica Financial Services Corporation. Please
.. ,;-
remove the remittance portion of this invoice and include it with your payment. �.I� c .......
W�..
y.
Dishonored Checks, Drafts Or Orders Shall Be Subject To A Surcharge Of$30
For questions about these charges,please call 866-803-2653 or visit www.AccountServicing.com.(Para Espanol,pida la extension 2344.)
Agreement Due
Number Description Date Charge Description Amount Tax I Total
1 016-0831145-000 Mitel MCD 3300 telephone system with voicemail and phones
2 10/24/2015 Standard Payment 8,146.67 8,146.67
Subtotal __ -.'i14.-;67----_
Total Due $8,146.67
page 1 of 2
Updated Contact Information
Please complete all information below to ensure our system is fully updated.
Effective Date: Completed By:
Contact Name: Contact Phone:
Contact Email: Contact Fax:
New Invoice Address: New Equipment Location:
ADDITIONAL INFORMATION
e Please allow 7-10 days for your payment to be received by our office.
e Include the Remittance Section slip and payment referencing your agreement number and account name;failure to do so may result in a processing delay.
Agreement Number:016-0831145-000 Invoice Code:GA001
I
I
I I
page 2 of 2
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
�r
n'Ct Fl-.,n �,Iz, Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I
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
f IN SUM OF $
S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEP # I hereby certify that the attached invoice(s),
11((,M2J O 162 q3 or bill(s) is (are) true and correct and that
0 2� L'L�D t(�i2.g3 the materials or services itemized thereon
C)) '7(r 3( Z q, 2 p MJ1. -3 for which charge is made were ordered and
;5 Zd q73(p0 received except
2-1
d
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund