HomeMy WebLinkAbout302755 09/08/16 CITY OF CARMEL, INDIANA VENDOR: 367260
ONE CIVIC SQUARE GREATAMERICA FINANCIAL SERVICES CHECK AMOUNT: $...*10,712.86*
CARMEL, INDIANA 46032 PO BOX 660831 CHECK NUMBER: 302755
DALLAS TX 75266-0831 CHECK DATE: 09/08/16
iON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4344000 19150238 162.93 TELEPHONE LINE CHARGE
651 5023990 19150238 977.80 OTHER EXPENSES
911 4344000 19150238 162.93 0030831145000
1115 4344000 19304257 5,580.48 0160831145000
209 4344000 19304257 162.93 TELEPHONE LINE CHARGE
601 5023990 19304257 3,502.86 OTHER EXPENSES
911 4344000 19304257 162.93 TELEPHONE LINE CHARGE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
GREATAMERICA FINANCIAL SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER-
PO BOX 660831 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DALLAS, TX 75266-0831 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$162.93 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
HCDTF Terms
Project#2016-911 and Task 2016-2 Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
19304257 43-440.00 $162.93 1 hereby certify that the attached invoice(s),or 8/30/16 19304257 $162.93
911 911 911 911
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, September 06, 2016
Aaron Dietz
Major
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
Department Inv#f 19304257
Name 8/30/2016
Total Bill
8146.67
Defgrra Fuad- VU M $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
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 charges,please call 866-803-2653 or visit www.AccountServicin2.com.(Para Espanol,pida la extension 2344.)
Agreement Due
Number Description I Date Char a Description I Amount Tax I Total
1 016.0831145-000 Met MCD 3300 telephone system with volcemall and phones
2 08/24/2016 Standard Payment 2,729.12 2,729.12
3 09/24/2016 Standard Payment 8,146.67, 8.146.67
Subtotal 10,875.79
Total Due $10,875.79
page 1 of 2
vepartment Inv# 19304257
Name 8/30/2016
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:
4602002013 PRESORT 2013 1 MB 0.416 P1C11<8>
VIII'III'I'I'II III IIIIII111I'111111111111111111111111111111 GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO BOX 660831
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
CARMEL31 1 E NW
IN 6032-1715 II'1'11111111�1��III�II�III��I�LI�I�I�I�I�IJ111�11�111"11"I"
000016083114500000000001930425700000000010875796
Keep lower portion for your records-Please return upper portion with your payment
Agreement Number: 016-0831145-000
j
GreatAmerica' GreatAmerica Financial Svcs. Invoice Number: 19304257
Z;FINANCIAL SERVICES PO Box 660831 Invoice Print Date: 08/30/2016
HARD WORK - INTEGRITY • EXCELLENCE Dallas, TX 75266-0831 Invoice Due Date: 09/24/2016
Total Due: $10,875.79
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 charges,please call 866-803-2653 or visit www.AccountServicing.com. (Para Espanol,pida la extension 2344.)
Agreement Due
Number Description I Date Charge Description I Amount I Tax Total
1 016-0831145-000 Mitel MCD 3300 telephone system with volcemall and phones
2 08/24/2016 Standard Payment 2,729.12 - 2,729.12
3 09/24/2016 Standard Payment 8,146.67 8,146.67
Subtotal 10,875.79
Total Due $10,875.79
page 1 of 2
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
GREATAMERICA FINANCIAL SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 660831 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DALLAS, TX 75266-0831 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$325.86 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law 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
19150238 43-440.00 $162.93 1 hereby certify that the attached invoice(s),or 8/1/16 19150238 $162.93
1180 Im 1180 209
bill(s)is(are)true and correct and that the
19304257 43-440.00 $162.93 8/30/16 19304257 $162.93
1180 11M I materials or services itemized thereon for 1180 1 209
VOW—
which charge is made were ordered and
received except
Tuesday, September 06,2016
�zrpara-A;on Conssel
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
Keep lower portion for your records-Please return upper portion with your payment
Agreement Number: 016-0831145-000r - Gtoia FiInvoice Number: 19150238
AaFINANCIAL
s E R v I C K S PO Box 660831 Invoice Print Date: 08/01/2016
otal $ ,412016
Due: 58,
HARD WORK • IN=RnY • EXC LLME Dallas,TX 75266-0831 TInvoice Due Date: 08
Total 472.53
Important Messages
We appreciate your business!
We are glad you chose GreatAmerica Financial Services Corporation. Please
remove the remittance portion of this invoice and include it with your payment.
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.AccountServicin .com. Para Espanol. ida la extension 2344.)
Agreement I Due
Number Descri tion Date Char a Description Amount Tax Total
1 016.0831145-000 Mite]MCD 3300 telephone system with voicemall and phones
2 0724/2016 Standard Payment 325.86 325.86
3- — - — 08/24/2016 Standardf°ayment - .8.146.67 - 8,446.67 --
Subtotal 8,472.53
Total Due $8,472.53
page 1 of 2
urease complete all information below to ensure our system is fully updated.
Effective Date: Completed By:
Contact Name: Contact Phone:
Contact Email: Contact Fax:
New Invoice Address: New Equipment Location:
ADDITIONAL INFORMATION
•Please allow 7-10 days for your payment to be received by our office.
•Include the Remittance Section slip and payment referencing your agreement number and account name;failure to do so may result in a processing delay.
Agreement Number:016-0831145-000 Invoice Code:GA001
page 2 of 2
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#19150238
Name 8/1/2016
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
r
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department._ Inv#19304257
Name 8%30/2016
Total Bill
8146.67
Deferral Fund-CAW $162.93
DTF $162.93.
Water $1,751.43
Sewer. $488.90.
Communications Center $5;580.48.
$8,146.67
Remit to:
GreatAmerico Financial Svcs
P.O.Box 650831
Dallas,TX 75266-0831
310
ca" GreatAmerica Financial Svcs. Remittance Section'
G re a to m e ri
Z"FINANCIAL .MENylees PO Bar 660831
Dallas,7X 75266-0831 Agreement Number: 016-0831145-000
HARD waRK.• INTEGRITY • EXCELLENCE Invoice Number. 19304257
Invoice Print Date: 08/30/2016
Invoice Due Date: 09/24/2016
Return Service Requested Total Current Due: 8146.67
Total Past Due: 2,729.12
Check here for change of address(see reverse for details) Total Due: $10,875.79
Use enclosed envelope and make check payable to:
4802002033 PRESORT 20131 Me 0.416 P1 C11 aBa
II"Phrnl'I'I'1111"Ildlhul'1111P'1'u'Ih'Ih"'llllllll GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT _ PO.Bax 66OB31
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas;TX 75266-0831
31 1 STAVE NW
CARMEL N46032-1715 11'I'9111111'I"Ilt'll'111'll'Id911'1I111dI1i111Jllulluln
00001608311450000000D0019304257000000000108757.96
Keep lowerportlon for your records-Please return uppar ponlon wtlh yourpayment -
Agreement Number: 016-0831145.000
Greateca Financial Svs.Greatomer�ea
Invoice Number; 19304257
7111W F 1 N A N C t A L s e R v r c e s PO Box 6608$1 Invoice Print Date: 06!30/2016 -
HARDMRIHK• LWMRITY • EXCELLENCE Dallas,TX 75266.0831 Invoice Due Date: 09124/2016
Total Due: $10,875.79
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 charges.please call 865-803-2653 or visit www.AccounlServicln .com.(Para Espanol.pida la extensi6n 2344.)
Agreement Due .
Number Description I Date Charge Descrlption I Amount Tax -Total
1 016-0831145-OW Wet MCD 3300 telephone system with volcemell and phones
2 08242016 Standard Payment 2.729.12 2 729.12
3 09242016 Standard Payment 8,146.67 8.146.67
Subtotal 10,875.79
Total Due $10,875.79
page 1 o12
Mbit P I N A N C r A L d B Ry I C 0 tr Dallas,TX 75266-0831 Agreement NumL1�r: wow-- • _ --- ---
HMD WORK o 1Wna81Ty • ExCEUEWE Invoice Number: 19150238
Invoice Print Date: 08/01/2016
Invoice Due Date: . 08/2412016
Return Service Requested Total Current Due: 8,146.67
Total Past Due: 325.86
❑ Check here for change of address(see reverse for details) Total Due: $8,472.53
Use enclosed envelope and make check payable to:
7447005592 PRESORT 65821 AB 0.396 P1C36 4B>
Illl-41111.1"'I'-I'1�1�'l' -III-SII"l°Il'1llijll'�Ill��ll'�° GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO BOX 660831
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
'al AST E NW
CARMEAVN 8032.1715 - 'w111�'I�ll�l�ll'QI'll�llll°II-�"I�IId-'°�I11-I�Illnll.11
0000160831145000000000019150238000000000084?2536
Keep lower portion for your records-Please return upper portion with your payment
Agreement Number: 016-0831145-000
Gre a to m er1 ca Greammerica Financia!Svcs. Invoice Number: 19150238
FINANCIAL s E Ry i C t s PO Box 660831 Invoice Print Date: 08/01/2016
HMD worm . lWWffl Y • EKCELUNCE Dallas,TX 75266-0831 Invoice Due Date: 08/24/2016
Total Due: $8,472.53
Important Messages
We appreciate your businessl
We are glad you chose GreatAmerica Financial Services Corporation. Please
remove the remittance portion of this invoice and include it with your payment.
Dishonored Checks,Drafts Or Orders Shall Be Subject To A Surcharge Of$30
For questions about these charges,please call 866.803-2653 or visit www.AccountServicing.com. Para Espanol, ida la extensidn 2344.)
Agreement Due
Number Oestri tion I Date Char a Description Amount Tax Total
1 016-0831145.000 Mitel MCD 3300 telephone system with voicemall and phones
2 07/24/2016 Standard Payment 325.66 325.86
_, �.— 08/24/2016-Standard-Payment 8.146.67 -- 8;446.67 –
Subtotal 8,472.53
Total Due $8,472.53
page 1 of 2
urease complete all Intormation below to ensure our system is fully updated.
Effective Date: Completed By:
Contact Name: Contact Phone:
Contact Email: Contact Fax:
New Invoice Address. New Equipment Location:
ADDITIONAL INFORMATION
•Please allow 7-1 0 days for your payment to be received by our office.
•Include the Remittance Section slip and payment referencing your agreement number and account name;failure to do so may result in a processing delay.
Agreement Number:016-0831145.000 Invoice Code:GA001
paqe 2 of 2
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#19150238
Name 8/1/2016
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:
Great,4merica Financial Svcs
P.O. Box 660831
Dallas, TX 75266-0831
r
Great America Phone Bill
Phone Equipment
Account Number-003-08311415-000
Department InvP 19304257
Name 8/30/2016
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
310 -
G re atA m ai ri c ry GreatAmerlca Financial Svcs, Remittance Section
Z"FIN.ANCIAL ®eav/ces PO Box 660831
Dallas.TX 75266-0831 Agee.meat Number. 01G•OS$9145 U09
HARD WORK a taitrstatrr• exClat.r MC Invoice Number: 99304257
Invoice Print Date: 08130/2016
Invoice Due;Date: W24/2016
Return Service Requested Total Current Due: 8,146.67
Tote:Past Due: 2,729.12
Check Here for change of address(see reverse for details) Total Due: $10+,675.79
Use enclosad envelope end make check payable to:
48020D2013 PAESOiiT2013 I MB 0.416 PIC I<B>
II••@tilt4rri�ht•0110•1Ihrlhrrl•ltull.r.u• •t4•••11111111 GreatAmerica Financial Svcs.
ATTN:'rERRY CROCKETT PO Box 660831
CITY OF CARIAEL,MAIAIL'fON COUNTY,INDIANA Dallas,TK 75266.0831
CAR Ei w46D32-1715
ti•a•tl+@Iltl.t..@@t.g:�aq•@t.tsy@I^@It8@.1418@tt�e�.fe.tt.al..
000016083114500000000001930425700000000010875796
Keep lower portion for your records-Please return upper pomon with your payment
�® A Agreement Number: 016.0831145.000
"�G reatAme ri e� GrearAmorlca Financial SYcs. Invoice Number: 19304257
F I N A N C I A L a s e®1 6 am s PO Box 660831 Invoice Print Dale: 08/30/2016
HARDWORK • W=RR7 • EXCOIJENCE Dallas,TX 75266.0831 Invoice Due Date; 09124!2016
Total Due: ^x10,875.79
Important Messages
Your payment Is past clue. 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 vnvw.AccountServicin .com.(Para Espanol,Aida to extensiBn 2344.)
Agreement Due
Number Description Date Chergo De6crlption _ ___ _ _ __Amount Tax Total
1 016-0631145.003 Millet MCD 3300 telephone symem with volcemt411 and phones
2 O6r2412016 Standard Payment 9_729,12 2,729.12
3 0912412016 Standard Payment 8,146.67 8.146,61
Subtotal 10,875.79
Total Due $10,875,79
pago 1 012 -
��!!' Keep lowerpordon for your records-Please refum upper portion with your payment
F_tit reatAm eri Ca Agreement Number: 0116-0831145-000
!" GreatAmerica Financial Svcs. Invoice Number: 19150238
F I N A N C I A L i E R V I 0!S PO Box 660831 Invoice Print Date: 08/01/2016
HARD WOO • INTERNM • EXCaUM=c Dallas,TX 75266-0831 Invoice Due Date: 08/24/2016
Total Due: $8,472.53
Important Messages
We appreciate your business!
We are glad you chose GreatAmerica Fnancial Services Corporation. Please
remove the remittance portion of this invoice and include it with your payment.
Dishonored Checks, Drafts Or Orders Shall Be Subject To A Surcharge Of$30
For questions about these charges,please call 866-803.2653 or visit www.AccountServicing.com. Para Es anol,Aida la extensi6n 2344.
Agreement Due
Number Desai tion I Date JCharge Description I Amount Tax Total
1 016-0831145-000 Mitel MCD 3300 telephone system with volcomali and phones
2 07/24/2016 Standard Payment 325.86 325.86
g.. 08J24/2016-Standard-Payment ------ —. •8,146.67 — . .8,446.63 ._
Subtotal 8,472.53
Total Due $8,472.53
page 1 of 2
Please complete all information below to ensure our system is fully updated.
Effective Date: Completed By:
Contact Name: Contact Phone:
Contact Email: Contact Fax:
New Invoice Address: New Equipment Location:
ADDITIONAL INFORMATION
•Please allow 7-10 days for your payment to be received by our office.
•include the Remittance Section slip and payment referencing your agreement number and account name;failure to do so may result in a processing delay.
Agreement Number:016-0831145-000 Invoice Code:GA001
page 2 of 2
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED owED 20 ACCOUNTS PAYABLE VOUCHER
GREATAMERICA FINANCIAL SERVICES
PO BOX 660831 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DALLAS, TX 75266-0831 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit;etc.
$162.93 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
HCDTF. Terms
Prosect#2016-911 and Task 20.161-2 Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
19150238 43-440.00 $162.93 1 hereby certify that the attached invoice(s),or 8/1/16 19150238 $162.93
911 911 911 911
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, September 01,2016
Aaron Dietz
Major
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#19150238
Name 8/1/2016
Total Bill
8146.67
Deferral Fund-LAW $162.93V_�__
PTF _ fi16293
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
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT
CARMEL, INDIANA
-Favor Of '361a Loi
A'vx',,Vc-v l—IA.)r-V s�
�F 0 (5,-" Q(A U 8,51
Total Amount of Voucher $
Deductions
Cl b 5 170
Amount of Warrant $�'/�� 80
Month of �lp1 110
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
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#19150238
Name 8/1/2016
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
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. "rcioT.
CARMEL, INDIANA
(92fA QMut�c�,.��t.Fi ;P,aof 3C,'13`D
(0 0 a sl
Total Amount of Voucher $
Deductions
uta 1 ?5-1 143
Amount of Warrant $
Month of
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•SYSTE
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
' 19
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordan
with IC 5-11-10-1.6.
19
Officer Title
Great America Phone Bill
Phone Equipment
Account Number-'003-0832145-600
Department Inv#19304257
Name 8/30/2016
Total Bill
8146.67
Deferral Fund-LAW '$162.93
DTF $162.93
Water $1,751.43
Sewer $488,90
Communications Center $5,580.48
$8,146.67
Remit to:
Great.4merica Financial Svcs
P.O.Box 660831
Dallas,TX 75266-0831'
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
GREATAMERICA FINANCIAL SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 660831 IN SUM OF.$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DALLAS, TX 75266-0831 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$5,580.48 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Communications 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.
19304257 43-440.00 $5,580.48 1 hereby certify that the attached invoice(s),or 8/30/16 19304257 $5,580.48
1115 '. 101 1115 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, September 06, 2016
Terry.Crockett
Director
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
neep tower portion Tor your recoras-rtease return upper portion wirn your payment
TM Agreement Number: 016-0831145-000
G re atA m e ri ca GreatAmerica Financial Svcs. Invoice Number: 19304257
� FINANCIAL aERvlces POBox660831 08/30/2016�
Dallas, TX 75266-0831 Invoice Due Date: 09/24/2016
HARD WORK • INTEGRITY • EXCELLENCE Total Due: $10,875.79
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 charges,please call 866-803-2653 or visit www.AccountServicing.com.(Para Espanol,pida 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 08/24/2016 Standard Payment 2,729.12 2,729.12
3 09/24/2016 Standard Payment 8,146.67 8,146.67
Subtotal 10,875.79
Total Due $10,875.79
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv# 19304257
Name 8/30/2016
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