252624 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 368003
/® ONE CIVIC SQUARE G R M INFORMATION MGT SVS OF INDQMECK AMOUNT: $•••a r..111.82*
CARMEL, INDIANA 46032 PO Box 28404 CHECK NUMBER: 252624
NEW YORK NY 10087-8404 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 0116173 111.82 OTHER PROFESSIONAL FE
Remit Payment to:
RM GRM Information Management Services of Indiana, LLC
PO Box 28404•New York;NY 10087-8404
2002 South East Street.Indianapolis, IN 46225
Tal:317.686.5754• Fax:317.686.5759 Please include your invoice number with all payments or
v%.,vwv.grmdocumentmanagement.com email your remittance advice to ar@grmdocument.com
INVOICE
CITY OF CARMEL, CITY COURT Invoice No. 0116173 Page: 1
DIANE APPLEGET' Date: 12/3/2015
ONE CIVIC SQUARE Acct: 12012039
SECOND FLOOR Account PO#:
CARMEL, IN 46032 From: 11/1/2015 to 11/30/2015
RATE QTY TOTAL
STORAGE: 12/1/2015 through 12/31/2015
Media Storage - Small Transfer C (2.5000/30 days) 2.5000 1.00 2.50
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 ST6RAGE-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
Total Amount Due 111.82
I - -
GRM Document Management
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199!�
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.
v► S J I Terms
��/J-4* Date Due
Invoice Invoisce Description Amount
Datp Number (or note attached invoice(s) or bill(s))
1 C) 3 S EFees ll
Total
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 $
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
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DEPT. INVOICE NO. ACCT#/TITLE AMOUNT
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
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Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund