HomeMy WebLinkAbout303030 09/12/16 CITY OF CARMEL, INDIANA VENDOR: 367124
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ONE CIVIC SQUARE TRAVEL IN CHECK AMOUNT: $*******668.00`
CARMEL, INDIANA 46032 333 SECOND ST CHECK NUMBER: 303030
9MiTON,�o COLUMBUS IN 47201 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359037 MT7005792016 668.00 USCM ANNUAL MEETING 2
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
TRAVEL IN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
333 SECOND ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
COLUMBUS, IN 47201 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$668.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations 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
MT700679-201607 43-590.37 $668.00 1 hereby certify that the attached invoice(s),or 7/31/16 MT700579- $668.00
1203 —854---_3 201607
bill(s)is(are)true and correct and that the 1203 854
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,September 07,2016
J�
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
m,_� BILLING PERIOD/-0IVISION �� L ADVERTISER/CLIENT'NAME °�
(`( 201607 10-00-1118 CITY OF CARMEL _ — l
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TOTAL AMOUNT DUE- •UNAPPLIED AMOUNT TERMS OFPAYMENT
'®—_._,.tea»,.<__-•._
668.00 25th of month –�
CURRENT NET AMOUNT DUE I 30 DAYS - v ;60 DAYS `OVER 90 DAYS
668 00 0.0 _._J._ 0 00_ ' 0.00
ADVERTISING INVOICE �` vote@ ��� Y C
PAGES BI[CING DATE ® .:...,.,.._ _ `,.4 BILLED_ACCOUNT NAME AND.ADDRESS`—" ` � > '.REMITTANCEADDRESS
BILLED ACCOUNT NUMBER
— a CITY OF CARMEL �` traveliN
MT700579 ONE CIVIC SQUARE v�
� v I CARMEL IN 46032 JUL L016 ; 333 SECOND ST
DICENV6ER N COLUMBUS IN 47201
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' MT�700579 20.1.6.QT
ERMS: Due by 25th of month following month of publica�liqn
1 1/2%per month(18%per annum)added if payment no{ iiyg1
30th of month.$20 Fee charged on returned checks. VV��J��
_-- PLEASE DETACH AND RETURN UPPER PORTION WITH YOUR REMITTANCE 1.J.�_ �O_
DATE NEWSPAPER - DESCRIPTION ® SAU SIZE TIMES R N 'GROSS NET T
REFERENCE OTHER COMMENTS/CHARGES- BILLED RATEy—�— AMOUNT__
07/31/16 ) Ord:31903848 JULY 2016 ISSUE y 1 668.00
1 x 0.0 668: If/`1`
traveliN Magazine,Display,Other Display I 668.00
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AGING OF PAST DUE AMOUNTS
CURRENT NET AMOUNT-DUE 30 DAYS - _ 60 DAYS_ OVER 90 DAYS-x 'UNAPPLIED DUE TOTALAMOUNT DUE
668.00 _ 0 40 r €c x ��O OOO r` = i'* t _ 1_
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668 00 � _meq
X14. PLEASE NOTE REMITTANCE ADDRESS: (812)372-7811 Toll free: (800)876-7811
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EC IN 47201
3777"'174e'.... 'UNAPPLIED AMOUNTS ARE INCLUDED IN TOTAL AMOUNT DUE
ADVERTISER INFORMATION
BIWNG PERIOD BILLEDIACCOUNT NUMBER ADVERTISER/CLIENT NUMBER' - ADVERTISER/CLIENT NAME -e,
_..-.... I .....-
201607 -�� MT700579 1111111111 CITY OF CARMEL
CUSTOMER COPY