HomeMy WebLinkAbout303796 10/06/16 `+ C4q''° CITY OF CARMEL, INDIANA VENDOR: 367260
�` �� ONE CIVIC SQUARE GREATAMERICA FINANCIAL SERVICES CHECK AMOUNT: $*****7,983.74*
?� CARMEL, INDIANA 46032 PO BOX 660831 CHECK NUMBER: 303796
pM�i9tiri-��� DALLASTX 75266-0831 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4344000 19461137 5,580.48 0030831145000
601 5023990 19461137 1,751.43 0030831145000
651 5023990 19461137 488.90 0030831145000
911 4344000 19461137 162.93 TELEPHONE LINE CHARGE
VOUCHER N. O. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GREATAMERICA FINANCIAL SERVICES
IN SUM OF$
PO BOX 660831 ,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. .
Payee
$5,580.48..
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
99461137 : 43-440:00 $5,580.48 I hereby certify that the attached invoice(s),or 9/29/16 19461137 $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
Wednesday, October 05,2016
-N
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
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#19461137
Name 9/29/2016
Total Bill
8146.67
Deferral Fund - LAW $162.93
DTF $162.93
Water $1,751.43
Sewer $488.90
Communications Center $5,580.48
$8,146.67
Remit to:
GreatAmerica Financial Svcs
P.O. Box 660831
Dallas, TX 75266-0831
310
EG re atA m e ri ca- GreatAmerica Financial Svcs. Remittance Section DIV
` FINANCIAL SERVICES PO Box 660831
Dallas, TX 75266-0831 Agreement Number: 016-0831145-000 LE
HARD WORK • INTEGRITY • EXCELLENCE Invoice Number: 19461137
Invoice Print Date: 09/29/2016
Invoice Due Date: 10/24/2016
Return Service Requested Total Current Due: 8,146.67
Total Past Due: 162.93
F] Check here for change of address(see reverse for details) Total Due: J$ams:w
Use enclosed envelope and make check payable to:
0760001994 PRESORT 1994 1 MB 0.416 M11<B>
I"'I�'lll�'III'I�II�IIIiiI'illli1111111i1i'1�1'il'I'llllliillill GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO Box 660831
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
31 1 STAVE NW
CARMEL IN 46032-1715 I"Ii11'Ilili""Ii""'lil'i'Illllliliilill"i11'11'1111'li'Ii'�
000016083114500000000001946113700000000008309603
Keep lower porflon for your records-Please return upper portion with your payment
Agreement Number: 016-0831145-000
"11 - GreatAmerica' GreatAmerica Financial Svcs. Invoice Number: 19461137
Cm F I N A N C I A L SERVICES PO Box 660831 Invoice Print Date: 09/29/2016
HARD WORK • INTEGRITY • EXCELLENCE Dallas, TX 75266-0831 Invoice Due Date: 10/24/2016
Total Due: $8,309.60
Important Messages
We appreciate your business! i7l -I '
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,pida la extension 2344.)
Agreement Due
Number Description Date I Charge Description I Amount Tax I Total
1 016-0831145-000 Mitel MCD 3300 telephone system with voicemail and phones
2 09/24/2016 Standard Payment 162.93 162.93
3 10/24/2016 Standard Payment --- 8,146.67- — - —8,146.67—
Subtotal 8,309.60
Total Due $8,309.60
Updated Contact Information
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
VOUCHER NO. WARRANT NO.
______
ALLOWED �-- ����/�Mm��� PAYABLE VOUCHER
��RE/A7\K8EF||[�`F|NAN<�|AL��ERV|(�E8 ^ ^^~~"^�^�^` ^ ^= ^ " , " " ^`�°—~�
|NSUM Vr ��Y��^ ��;� �����K���|
P(� B{����O831 - CITY ~~^ ~= ^^ ~`"^`—^—
Aninvoice orbill toboproperly itemized must show:kind ofservice,where performed,dates service
DALLAS, TX7626G-O831 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$162.93 ' —`--
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
HCQTF 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
19461137 43-440.00 $162.93 | hereby certify that the attached inxu|oe(s).ur 929 /6 19461137 $162.93
911 911
—� 911 911
bm$0in(ore)true and correct and that the
materials orservices itemized thereon for
which charge|omade were ordered and
received except
Wednesday, October D5.2U1O
Aaron Dietz
Major
/ |hereby certify thatthe attached invoice(s),or bill(s),is(are)true and correcand|have
/
audited same inaccordance with|C541-1O4.§
'
. 20____
`w�me,mosmmn
veuionuoimpa�mnuorvohin|eh�hwavh/nu
<^ ' Clerk-Treasurer
Keep lower po r recti -meaSe Mum upper p0 on wiInyuurpdjaFieni
Agreement Number: 016-0831145-000
G re atA m e ri ea GreatAmed.Financial Svcs. Invoice Number: 19461137
2"F t N A N C t A L a E p v t C E a PO Box 660831 Invoice Print Date: 09/29/2016
RM WORK •1N MRFTY• E%CMMCE Dallas,TX 75266-0831 Invoice Due Date: 1012412016
Total Due: $8,309.60
Important Messages
We appreciate your business!
We are glad you chose GreatAmerica Financial Services Corporation. Please I
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.AocountServicing.com.(Para Espanol.pida la extensi6n 2344.)
Agreement Due
Number Description I Date Charge Description Amount I Tax7 Total
1 016.0831145-000 Mitel MCD 3300 telephone system wllh volcemall and phones
2 09/24/2016 Standard Payment 162.93 162.93
_ .3--- - - -10/2412016-standard Payment —6,146.67--- 8:146.87--
Subtotal 8,309.60
Total Due S8,309.60
page 1 of 2
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#19461137
Name 9/29/2016
Total Bill
8146.67
Deferral Fund-LAW $162.93
.daPRQ!Wab $1162593
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
Z",GreatAmerica GreatAmericannancials-- Remittance Section
RINANCIAL llVIVICll PO Box 660831
Dallas,TX 75266.0831 Agreement Number: 016-0831145-000
HARD WORK • INTEGRITY • EXCELLENCE Invoice Number: 19461137
Invoice Print Date: 09/29/2016
Invoice Due Date: 10/24/2016
Return Service Requested Total Current Due: 8,146.67
Total Past Due: 162.93
Check here for change of address(see reverse for details) Total Due: S8,309.60
Use enclosed envelope and make check payable to:
0160001994 PRESORT 1994 1 MB 0.419 P1CII aB>
I"'11'1111'III'IIIIIIIIIII'lllllllllllllll'lll.11rlrllllllllllll GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO Box 660831
CITY or CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
31 1 ST AVE NW
CARMEL N46032-1715 I"1111'llllliill""'III'I'IIIIIIIIIIIIII"III�IIr1I11'll'll'I
000016083114500000000001946113700000000008309603
Keep ower portion for your records-Please return upper portion with yeur payment
Agreement Number: 016.0831145-000
' G reatAm a ri ea GreatAmerica Financial Svcs. Invoice Number. 19461137
Z�FINANCIAL SERVICES PO Box 660831 Invoice Print Date: 09/29/2016
HARD WORK • INTEGRITY• EXCELLENCE Dallas,TX 75266-0831 Invoice Due Date: 10/24/2016
Total Due: $8,309.60
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.
ri
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.AccouniServicing.com.(Para Espanol,pida la extensi6n 2344.)
Agreement Due
Number Description I Date_ChargeDescription I Amount Tax I Total
1 016.0831145-000 M1181 MCD 3300 telephone system with volcemall and phones
2 09/24/2016 Standard Payment 162.93 162.93
3-- 10124/2016Standard Payment--- --6;`146.67--- 8;14897---- -
Subtotal 8,309.60
Total Due $8,309.60
page 1 o12
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#19461137
Name 9/29/2016
Total Bill
8146.67
Deferral Fund-LAW $162.93
VDTENO 'q$7:52�9A
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 NO.
Favor Of
'L ILA. {"lN/YJC 04"L-
Total Amount of Voucher $
Deductions
0
Amount of Warrant I) rL�
Month of VDIV
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment&Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
ROYCE 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
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
Favor Of
Total Amount of Voucher $
Deductions
Amount of Warrant $ 7�'1 `43
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•SYSTEMS 1-800-382-8702 325
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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 accordance
with IC 5-11-10-1.6.
' 19
Officer Title
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Deportment Inv#19461137
Nome 9/29/2016
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:
GreatAmerico Rnancial•Svcs
P.O..Box 660831
Dallas,TX 75266-0831