250765 10/21/15 a�r_C�q�
CITY OF CARMEL, INDIANA VENDOR: 367039
® I ONE CIVIC SQUARE MEASURE CONSUMER PERSPECTIVES CHECK AMOUNT: $......**85.00*
,. ,_ CARMEL, INDIANA 46032 10200 FOREST GREEN BLVD,#112 CHECK NUMBER: 250765
?yi TON, , LOUISVILLE KY 40223 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4350900 16986IN 85.00 OTHER CONT SERVICES
m e a s u r e
DATE: 9/30/2015
TN TT:j�D
10200 Forest Green Blvd#112
Louisville KY 40223OCT� 092015 INVOICE NUMBER: 0016986-IN
i
Phone: 502-749-6100 ! TERMS: Net 30
Tax ID: 26-1696858
DUE DATE: 10/30/2015
TOTAL DUE USD: 85.00
Carmel Clay Park & Recreation
CUSTOMER NUMBER: 0001195
PO NUMBER:
Item Code Description Quantity 'Price f.Amoun .
I
SIMPLE SIMPLE 1 85.00 85.00
i
Please remit to: Wire Instructions: TOTAL USD: 85.00
Measure Consumer Perspectives Bank: Republic Bank&Trust Cc
10200 Forest Green Blvd#112 Louisville, Kentucky USA
Louisville KY 40223 BIC/SWIFT Code: WFBIUS6S
ABA Routing: 083001314
502.749-6100 Beneficiary: Measure Consumer Perspectives
vwvw.measurecp.com Account#: 57062846
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
367039 Measure Consumer Perspectives Terms
10200 Forest Green Blvd., # 112
Louisville, KY 40223
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/30/15 169861N Secret shopper Evaluation 37564 $ 85.00
Total $ 85.00
1 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
Voucher No. Warrant No.
367039 Measure Consumer Perspectives Allowed 20
10200 Forest Green Blvd.,# 112
Louisville, KY 40223
In Sum of$
$ 85.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Board Members
PO#or INVOICE NO. CCT#/TITL AMOUNT
Dept#
1091 169861N 4350900 $ 85.00 1 hereby certify that the attached invoice(s), 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
October 12, 2015
Signature
$ 85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund