252006 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 355628
ONE CIVIC SQUARE HOOSIER HERITAGE PORT AUTHORITY CHECK AMOUNT: $....***795.00*
x. ,= CARMEL, INDIANA 46032 33 N 9TH ST SUITE 215 CHECK NUMBER: 252006
NOBLESVILLE IN 46060 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4344200 377 795.00 INTERNET LINE CHARGES
Invoice Page I of 1
Invoice
HIIPA-Technology Oversight Board
33 North 9th Street DATE INVOICE #
Suite 215 11/10/2015 377
Noblesille,IN 46060
BILL TO SIHP TO
City Of Carmel
Attn: Terry Crockett
Three Civic Square
Carmel,IN 46032
DUE DATE P.O.NUMBER
12/10/2015
ITEM DESCRIPTION QTY RATE AMOUNT
Bandwidth Service @ Expedient- Oct 2015 1.0 255.0 255.00
Bandwidth Service @ LB -Oct 2015 1.0 540.0 540.00
Subtotal 795.00
Thank you for your business! Phone 317-776-8268 0%Tax 0.00
Total 795.00
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
11/10/15 I 377 I I $795.00
1202 101
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
HOOSIER HERITAGE PORT AUTHORITY
33 N 9TH ST SUITE 215 IN SUM OF $
NOBLESVILLE, IN 46060
$795.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
377 43-442.00 $795.00 1 hereby certify that the attached invoice(s), or
1202 I I 101
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
Mon y, Nov ` ber 23, 2015
V
Cost distribution ledger classification if
claim paid motor vehicle highway fund