HomeMy WebLinkAbout300129 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 361251
CHECK AMOUNT: $********15.00*
., I'b , ONE CIVIC SQUARE IN.G�V
- CARMEL, INDIANA 46032 INDIA X 604.ls IN aszos-soap CHECK NUMBER: 300129
,TON CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUN BER AMOUNT DESCRIPTION
1201 4358800 2285270 15.00 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
IN.GOV ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6047 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46206-6047 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$15.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Human Resources Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2285270 43-588.00 $15.00 1 hereby certify that the attached invoice(s),or 6/30/16 2285270 $15.00
1201 101 1201 101
bills)is(are)true and correct and that the
materials or services itemized thereon for
hich-charge-is- e-were-ordered-a��d
received except
Tuesday,July 12,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
• • 1 DATE INVOICE NUMBER CUSTOMER ACCOUNT
06/30/2016 2285270 152074
Previous Balance $83.00
• - - ••• Current Charges $15.00
Payments/Credits/Debits ($83.00)
•
Pay This Arno $15.f0:0
Invoice
Total Amount Paid $_
Please detach stub and mail with payment
Barbara Lamb Remit Payments ONLY to:
City of Carmel IN.GOV
Barbara Lamb PO Box 6047
One Civic Square INDIANAPOLIS, IN 46206-6047
Carmel, IN 46032
USA
152074002285270000001500
DESCRIPTION QUANTITY BILLABLE .:.
152074_billing_user-Subscriber Minimum 1 $13.00
ciofca03- Drivers License Req 2 $2.00
CURRENT ACTIVITY 3 $15.00
Account Statement: Pay ent Terms: Net 25
Total Amount Due 0-30 Days 31-60ays 61-90 Days 91-120 Days Over 120 Days
$15.00 $15.00 $0.0 $0.00 $0.00 $0.00
Please contact Customer Service at 317-233-20 0 if you have any questions regarding past due or other
invoice amounts.Accounts greater than 60 ays past due are subject to suspension.Thank you.
Payments should be received by th 25th to be reflected on the following invoice.
Submitted To
JUL 11 2016
Clerk Treasurer