252312 12/08/15 CITY OF CARMEL, INDIANA VENDOR: 369098 %%k *y
® ONE CIVIC SQUARE HERTZ CHECK AMOUNT: $ 775.00'
_� CARMEL, INDIANA 46032 582 S RANGELINE ROAD CHECK NUMBER: 252312
aM� ON�� CARMEL IN 46032 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4352600 M80408974 775.00 AUTOMOBILE LEASE
�C-I e M('rV,
Hera NVUCE
582 S. Rangeline Road DATE: December 2, 2015
Carmel, IN 46032 INVOICE# M80408974
Phone 317.844.3700 Fax 317.844.3979 FOR: Ford Fusion lease
Bill To:
Jim Brainard
City of Carmel
1 Civic Square
Carmel, IN 46032
317.571.2401
DESCRIPTION AMOUNT
Monthly Ford Fusion Lease- December 1, 2015 through December 31, 2015 $ 775.00
TOTAL $ 775.00
Make all checks payable to Hertz.
If you have any questions concerning this invoice, contact Lucas Gilliam, 317.844.3700.
lucas.ailliam ccbdtag.com
THANK YOU FOR YOUR BUSINESS!
i
Y.
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))
12/02/15 M80408974 $775.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hertz
IN SUM OF $
582 S. Range Line Road
Carmel, IN 46032
$775.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 M80408974 43-526.00 $775.00 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
Monday, December 07, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund