251544 11/18/15 Q
CITY OF CARMEL, INDIANA VENDOR: 368003
ONE CIVIC SQUARE G R M INFORMATION MGT SVS OF IND(LILECK AMOUNT: S"'""""125.70'
CARMEL, INDIANA 46032 PO BOX 28404 CHECK NUMBER: 251544
NEW YORK NY 10082-8404 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 114804 125.70 OTHER PROFESSIONAL FE
Remit Payment to:
GRM - GRM Information Management Services of Indiana, LLC
PO Box 28404• New York, NY 10087-8404
2002 South East Street- Indianapolis, IN 46225
Tel: 317.686.5754- Fax: 317.686.5759 Please include your invoice number with all payments or
www.grrndocumentmanagement.com email your remittance advice to ar@grmdocument.com
INVOICE
CITY OF CARMEL, CITY COURT Invoice No. 0114804 Page: 1
DIANE APPLEGET' Date: 11/2/2015
ONE CIVIC SQUARE Acct: 12012039
SECOND FLOOR Account PO#:
CARMEL, IN 4.6032 From: 10/1/2015 to 10/31/2015
RATE QTY TOTAL
STORAGE: 11/1/2015 through 11/30/2015
Media 'Storage - Smail Transfer C (2.5000/30 days) 2.5000 1.00
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 4 0.88
NF INV-RETRIEVAL WO #00570625 10/8/2015 2 .0000 1 2.00
NF INV-RETRIEVAL WO 400570625 10/8/2015 2 . 0000 1 2.00
NF INV-RETRIEVAL WO #00570706 10/9/2015 2 .0000 1 2.00
NF INV-RETRIEVAL WO #00570706 10/9/2015 2 .0000 1 2.00
Manual WO Processing Fee WO #00570706 10/9/2015 5.0000 1 5.00
13.88
Total Amount Due 125.70
GRM Document Management
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.207(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
Fo ���0-r
Purchase Order No.
Terms
14eVJ DRI< t ��`� g
Date Due
Invoice Invoice Description Amount
D to Number (or note aftaphed invoice(s) or bill(s))
Total °� 110
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 $
$ M6-,,
ON ACCOUNT OF APPROPRIATION FOR
j r--w�D
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
S ature
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund