257157 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 366989
® "31 ONE CIVIC SQUARE GRM MGMT SERVICES OF IN CHECK AMOUNT: $•"""`271 19`
CARMEL„INDIANA 46032 PO Box 28404 CHECK NUMBER: 257157
9MTDN�` NEW YORK NY 10087 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
502 4341999 0121130 271.19 OTHER PROFESSIONAL FE
" RM , Remit Payment to:
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.grmdocumentmanagement.com email your remittance advice to ar@grmdocument.com
INVOICE
CITY OF CARMEL, CITY COURT Invoice No. 0121130 Page: 1
DIANE APPLEGET' Date: 3/3/2016
ONE CIVIC SQUARE Acct: 12012039
SECOND FLOOR Account PO#:
CARMEL, IN 46032 From: 2/1/2016 to 2/29/2016
RATE QTY TOTAL
STORAGE: 3/1/2016 through 3/31/2016
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_.OQ. 0.24
New Storage: CONTAINER STORAGE-C (0.2000/30 days) 0.2000 6.41 1.28
CONTAINER STORAGE-CHECK (0.2000/30 days) 0.2000 242.00 48.40
New Storage: CONTAINER STORAGE-� (0.4800/30 days) 0.4800 1.86 0.89
CONTAINER STORAGE-2.4 (0.4800/30 days) 0.4800 118.00 56.64.
CONTAINER STORAGE-2. 6 (0.5200/30 days) 0.5200 4.00 2.08
----------- -----------
374.28 112.03
SERVICES
RECEIVING-NEW BOXES 1.2000 40 48.00
Inventory/Indexing 0.2200 3 0. 66
RETURN BOX 2.0000 1 2.00
RETURN FILE 3.0000 2 6.00
Fuel Surcharge WO #00581281 2/23/2016 2.5000 3 2.50
Fuel Surcharge WO #00581283 2/24/2016 2.5000 40 2.50
Fuel Surcharge WO #00581597 2/26/2016 2.5000 4 2.50
64 .16
PRIORITY SERVICES
RETRIEVE Container-STANDARD WO #00581597 2/26/2016 2.0000 1 2.00
RETRIEVE FILE-STANDARD WO #00581281 2/23/2016 2.0000 2 4.00
Standard Transportation WO #00581281 2/23/2016 14.0000 3 14.00
Standard Transportation WO #00581597 2/26/20.16 14 .0000 4 14 .00
Standard Transportation WO #0.0581283 2/24/2016 14.0000 40 14.00
Per Item Transporation WO #00581281 2/23/2016 1.0000 3 3.00
Per Item Transporation WO #00581597 2/26/2016 1.0000 4 4.00
Per Item Transportation WO #00581283 2/24/2016 1.0000 40 40.00
! -----------
95.00
Total Amount Due 271.19 .
GRM Document Management
Prescribed by State Board of AccountsACCOUNTS PAYABLE VOUCHER City Form Na.201(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
J l�r• ° ( �' ( I . �10- i Purchase Order No.
�� �► a l o Terms
Date Due
Invoice Invoice Description Amount
,Datq Number (or note a ched invoice(s) or bill(s))
Total
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 $
P� C -
��;u/
ON ACCOUNT OF APPROPRIATION FOR
Board Members
INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.
# I hereby certify that the attached invoice(s),
50la 1150 q5415 ,qj a2 I-I 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
Si re
Cost distribution ledger classification if Itl
claim paid motor vehicle highway fund