250985 11/04/15 ov�r'"44
CITY OF CARMEL, INDIANA VENDOR: 367839
r ® ONE CIVIC SQUARE APP ORDER LLC CHECK AMOUNT: $ .....288.00`
.o ..?4 CARMEL, INDIANA 46032 1094 E SAHARA AVE CHECK NUMBER: 250985
li. LAS VEGAS NV 89104 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 11000915 288.00 OTHER CONT SERVICES
TM Invoice
0 '0 COM/ Date Invoice#
'A �U 160 8910
U. 10/12/2015 1100-0915
Bill To '19 X015
City of Carmel
Attn:Lisa StewartCZ)
One Civic Square
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 11111/2015
Description Rate Amount
Monthly License Fee September 2015 288.00 288.00
Please Remit to:App-Order,LLC
1094 E.Sahara Ave. Total $288.00
Las Vegas,NV 89104
Payments/Credits $0.00
Balance Due $288.00
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/12/15 1100-0915 1 $288.00
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
120-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
APP-Order, LLC
IN SUM OF $
1094 E.Sahara Avenue
Las Vegas, NV 89104
$288.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 1100-0915 I 43-509.00 I $288.00 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
Friday, October 30, 2015
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund