HomeMy WebLinkAbout259054 05/31/16 ♦y p�C�q�f
CITY OF CARMEL, INDIANA VENDOR: 361251
`� `l. CHECK AMOUNT: $"""""68.00`
r' � � : ONE CIVIC SQUARE IN.GOV
s ?� CARMEL, INDIANA 46032 PO BOX 6047 CHECK NUMBER: 259054
9°'�1PoN�°� INDIANAPOLIS IN 46206-6047 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 2187626 68.00 TESTING FEES
VOUCHER NO. WARRANT NO.
� T
--A ALLOWED 20
IN.GOV ✓
PO BOX 6047
IN SUM OF$
INDIANAPOLIS, IN 46206-6047
$68.00
ON ACCOUNT OF APPROPRIATION FOR
Human Resources
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
2187626 I 43-588.00 I $68.00 1 hereby certify that the attached invoice(s), or
1201 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
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))
04/30/16 2187626 $68.00
1201 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
DESCRIPTION QUANTITY BILLABLE
152074 billing user-IN:gov Annual Fee 1 $95:00
ciofca03-Drivers License Req 5 $4.00
CURRENT ACTIVITY 6 $99.00
Account Statement: Payment Terms: Net 25
Total At Due �0-30 Days 31=60 Days 61-90 Days 91-120 Days Over 120 Days
$68.00 $99.00 $0.00 $0.00 $0.00 $(31.00)
Please contact Customer Service at 317-233-2010 if you have any:questions regarding past due or other
invoice amounts.Accounts greater than 60 days past due are subject to suspension.Thank you.
Payments should be received.by the 25th to be reflected on the following invoice.
SS"u
MAY .1 0 2016
Clerk Treasurer