258896 05/31/16 J`i",�4q\F( CITY OF CARMEL, INDIANA VENDOR: 367260
® I ONE CIVIC SQUARE GREATAMERICA FINANCIAL SERVICES CHECK AMOUNT: $"""""2,566.19"
:9 ,_� CARMEL, INDIANA 46032 PO BOX 660831 CHECK NUMBER: 258896
'TJ,�TO...�� DALLAS TX 75266-0831 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4344000 18682817 162.93 TELEPHONE LINE CHARGE
601 5023990 18682817 1,751.43 OTHER EXPENSES
651 5023990 18682817 488.90 OTHER EXPENSES
911 4344000 18682817 162.93 TELEPHONE LINE CHARGE
VOUCHER NO. WARRANT NO.
ALLOWED 20
GREATAMERICA FINANCIAL SERVICES
PO BOX 660831
IN SUM OF$
DALLAS, TX 75266-0831
$162.93
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
18682817 I 43-440.00 I $162.93 1 hereby certify that the attached invoice(s), or
209 209
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
Tuesday, May 10, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/10/16 I 18682817 I I $162.93
209 209
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
120-
Clerk-Treasurer
20Clerk-Treasurer
Great America Phone Bill,
;
Phone Equipment
Account Number-=00370831145-000•
Department Inv#18682817
Nome 4/29/2016 ,
' Total Bilf:>
8146.62 '
cefe�rai�Fund
$1b2.93
DTF. $162:93,
Water $1,751AT
'Sewer
Communications Center,,... $5,580:48
$81,46.67,
RemKioi
GreatAinerkc Ri ancldl Svcs'
P.OAOx.660831
Ddllos,TX 75266-0831
a 310
'�. Gii6 t,i�m6'riCa' GreaMmeriraFr�„cais 'Remittance`Sectiora
a VWNANcrwL ss:Rvrczs PO Box 660831
Dallas,7X 75266.0831 Agreement Number: 01 6-0.8,.3114r'000
H11RDwo11K. INTEGIWY: IXCtalENce Invoice Number. 18682817
Invoice Print Dater 04!2912016
involce Due Date: 05/24/2016
Return Service Requested Total Current Due: 8;146.67
Total Past Due: 21566.19
Check here for change o1 address(see reverse for details) Total Due. S10,712.86
Use enclosed envelope and make che_a payable to:
096'1002005 PRBWRT20051Ma0.416P1C11cB> -
nt"h�llPflll'thtddhltlihllll'1'ltlrlotiv'h'I1N1"r GreatAmerica Financial SVCS.
_ATTN:TERRY CROCKETr PO Box 660831:
CITY OF CARMEL,HAMILTON_COUNTY,INDIANA Dallas,TX 75266-Ml
31 ST AVE NW
CARMELN46032-1715 1111Pt'I'`'1'hd'i�lhlitil"1lhrW�itll'll'tllillattltllia
000016083114500000000D01868281700000000010712861
._ Keep lowor portion for yourrecords-Pwa o mtum upper portion wim yourpa)ment-
-
• Agreement Number. 016-D83'1145-000
G rea to m e d ca" Greatlonenca Financial Svcs. invoice Number. 18682817
w r e s N C 1 A 1 *s IE v 1'c u s PO Box 660831 Invoice Print Date:: 04129!2016
NARD WORK• WEMRM •lac amalcta Dallas,TX 75266.0831 Invoice Due Date: 05!24!2016
Total Duo: $10,712.86
lmportatit Messages
Your payment is past due. Please remit the total due.
If you wish to complete a check-by-phone payment,please call the customer support number on this,invoice.This option
is provided to you for a nominal tee.
Dishonored Checks,Drafts Or Orders Shall Be Subject To A Surcharge Of$30
For questions about these char es.I please call 866.803-2653 or visit www.AccouniServicing.com.(Para Espanol ida la extansi6n 2344: -
Agreement Due
Number Description Dato Charge Description Amount. Tax Total
1 016-=1145-000 - Mite1 MCD 3300 telephone system with votcemall and phones
2 04)24M16 Standard Payment 2,566.19 2,566.19
3 0512412016 Standard Payment 8;146.67 - 6,146.67
_Subtotal 10,712.86
Total Duo 510,712.86
page 1 o12
VOUCHER NO. WARRANT NO.
ALLOWED 20
GREATAMERICA FINANCIAL SERVICES
PO BOX 660831
IN SUM OF$
DALLAS, TX 75266-0831
$162.93
ON ACCOUNT OF APPROPRIATION FOR
HCDTF
Project#2016-911 and Task'2016-2
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
911 I
18682817 43-440.00 $162.93 1 hereby certify that the attached invoice(s), or
I I 911
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received exce
G
Tuesday, May 10, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
ivhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due.
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/29/16 I 18682817 I I $162.93
911 911
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
Department Inv#18682817
Nome 4/29/2016
Total Bill
8146.67
Deferral Fund- LAW $162.93
DTF $162.93
Water $1,751.43
Sewer $488.90
Communications Center $5,580.48
$8,146.67
Remit to:
GreatAmerica Financial Svcs
P.O. Box 660831
Dallas, TX 75266-0831
Department Inv# 18682817
Name 4/29/2016
Total Bill
8146.67
Deferral Fund- LAW $162.93
DTF $162.93
Water $1,751.43
Sewer $488.90
Communications Center $5,580.48
$8,146.67
Remit to:
GreatAmerica Financial Svcs
P.O. Box 660831
Dallas, TX 75266-0831
Use enclosed envelope and make check payable to:
096100DOO5 RRESART 2005 1 Ma 0.416 PIC11<11-
ilirrilililiilll�liliiillli41111111i'1'lilloliili'I'll'lllll"1' GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO Box 660831
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
31 1ST AVE NW
CARMEL IN 46032.1715 ��alAlr��l��1��rI�I�IIifINh,�ll�u�lffflll�lhff�)ffhflnyfl
000016083114500000000001868281700000000010712861
Keep Power portion for your records-Please return upper portion with your payment
Agreement Number: 016-0831145-000
`-G re a to gra a rl C a~ GreaLfterica Financial Svcs. Invoice Number: 18682817
ZaP 1 N A N C I A L SERVICES PO Box 660831 Invoice Print Date: 04/29/2016
BARD WORK • IWTSt;At1Y • I-XCF1I EHCE Dallas, 7X 75266-0831 Invoice Due Date: 05/24/2016
Total Due: $10,712.86
Important Messages
Your payment is past due. Please remit the total due.
If you wish to complete a check-by-phone payment, please call the customer support number on this invoice.This option
is provided to you for a nominal fee.
Dishonored Checks, Drafts Or Orders Shall Be Subject To A Surcharge Of$30
For questions about these char es,please call 866-803-2653 or visit www.AccountServicing.com. Para Espanol, ida la extension 2344.
Agreement Due
Number Description Date Charge Description Amount Tax Total
1 016.0831145-000 Mitel MCD 3300 telephone system with voicemail and phones
2 04/24/2016 Standard Payment 2,566.19 2.566.19
3 05/24/2016 Standard Payment 8,146.67 8,146.67
Subtotal 10,712.86
Total Due 510,712.86
page 1 of 2
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
2fR� �/vtSA.tc�s i rr�lu,e�n�—
Total Amount of Voucher $
Deductions
3
Amount of Warrant $ �7 Sf 43
Month of
/ V Vey Y9
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS-SYSTEMS 1-800-382-8702 325
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
NO.
CARMEL, INDIANA
/�^
�mAI t3m th IC&
Favor Of
��1 d�J�
Total Amount of Voucher $
Deductions
f l�nh Ddu°5 g®
Amount of Warrant $(-/u('
(� g
Month of
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
r
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#18682817
Nome 4/29/2016
Total Bill
8146.67
Deferral Fund-LAW $162.93
DTF $162.93
Water $1,751.43
Sewer $488.90
Communications Center $5,580.48
$8,146.67
Remit to:
GreatAmerica Financial Svcs
P.O.Box 660831
Dallas,TX 75266-0831