HomeMy WebLinkAbout304473 10/31/16 1 ur..Q.�gy
�/ �• CITY OF CARMEL, INDIANA VENDOR: 367839
ONE CIVIC SQUARE APP ORDER LLC CHECK AMOUNT: $*******288.00*
?� CARMEL, INDIANA 46032 1094 E SAHARA AVE CHECK NUMBER: 304473
LAS VEGAS NV 89104 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 1100-0916 288.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
APP ORDER LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1094 E SAHARA AVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
LAS VEGAS, NV 89104 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$288.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
1100-0916 43-509.00 $288.00 1 hereby certify that the attached invoice(s),or 10/17/16 1100-0916 Monthly license fee September 2016 $288.00
1192 101 1192 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, October 18,2016
Mike Hollibaugh
Director
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
TM
Invoice-
/A
- - ,�
� o Ord er
.c M.
Date Invoice# .
1.0/1.1/2016 . -1100-0916 .
Bill To
City of Carmel
Attn:Lisa Stewart
One Civic Square
Carmel,.IN 46032
P:O..No. Terms Due-Date
Net 30 . 11/10/2016 =
Description Rate Amount
Monthly License Fee September 2016 288.00 288.00
Please Remit to:App-Order,LLC
1094 E.Sahara Ave. Total $288.00
_ Las Vegas,NV 89104
Payments/Credits .$0.00
Balance Due $288.00
1094 E. Sahara Ave. • Las Vegas, NV 89104 • 'Phone (800) 884=7820 • Fax (800) 536-0963