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HomeMy WebLinkAbout300985 07/25/16 u!_Q�gy ;� CITY OF CARMEL, INDIANA VENDOR: 369066 i; ® ONE CIVIC SQUARE FOUNDATION BUSINESS SYSTEMS LLCCHECK AMOUNT: $********50.00* r _� CARMEL, INDIANA 46032 431 FIRST AVE NORTH SUITE 410 CHECK NUMBER: 300985 pM�i6N moo• MINNEAPOLIS IA 55401 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 R4350900 32935 150771 50.00 STORMWATER INSPECTION VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) FOUNDATION BUSINESS SYSTEMS LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 431 FIRST AVE NORTH SUITE 410 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service MINNEAPOLIS, IA 55401 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $50.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering 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 32935 150771 43-509.00 $50.00 1 hereby certify that the attached invoice(s),or 7/5/16 150771 Quarterly Service Fee $50.00 2200 6ncunibered 201 2200 201 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,July 12,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Remit To: Foundation Business Systems, LLC Invoice 431 First Avenue North Suite 410 Minneapolis, MN 55401 Invoice#: 150771 Invoice Date: 7/5/2016 Due Date: 8/4/2016 Bill To: Project: PermiTrackESC Kate Lustig P.O. dumber: City of Carmel Engineering Department One Civic Sq Carmel IN 46032 Date Description Rate_ quantity Amount_ _ 6/30/2016 Quarterly Service Fee based on New Project 50.00 1 50.00 Starts - Residential -during the invoice period Documentation Included Z50- 12-y35 C ©� Thank you for your business. Total $50.00 Payments/Credits $0.00 Customer Service Contact: becky.blue@mypermitrack.com Balance Due $50.00 (612)284-9411 Foundation Business Systems is an equal opportunity employer I www.inypennitrack.com End Point Ext.Access Client Create Date Status Project Name Project Type Type SWMP? Months Project Fee _City of Carmel,IN ESC 06/07/2016: Active, Meadows Section 4 and Ridge Section 6 Residential OCC Permit ` No 12 $ 50.00 $ 50.00 i ,i :—i-962� �B w O iU