250678 10/21/15 y....,',F CITY OF CARMEL, INDIANA VENDOR: 368003
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ONE CIVIC SQUARE G R M INFORMATION MGT SVS OF INDQILECK AMOUNT: $.... *111.82`
,. =4 CARMEL, INDIANA 46032 PO Box 28404 CHECK NUMBER: 250678
NEW YORK NY 10087-8404 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 113441 111.82 OTHER PROFESSIONAL FE
2002 South East Street• Indianapolis, IN 46225
Tel: 317.686.5754•Fax: 317.686.5759
=11 GRM www.grmdocumentmanagement.com
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. 0113441 Page: 1
DIANE APPLEGET' Date: 10/1/2015
ONE CIVIC SQUARE Acct: 120120.39
SECOND FLOOR Account PO#:
CARMEL, IN 46032 From: 9/1/2015 to 9/30/2015
RATE QTY TOTAL
STORAGE: . 10/1/2015 through 10/31/2015
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
Total Amount Due 111.82
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
Gqri ,�\\ /
�� �V M G� � � V, Purchase Order No.
j___W q 0 `T Terms
�/<f / \f '/'� /- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 1 '
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
IN SUM OF $
Po Ex
LAJ YOk)--' K 9
$ /11 . � 2J
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
y5y j g, 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
Si a
It e
Cost distribution ledger classification if
claim paid motor vehicle highway fund