304342 10/26/16 t CAq
CITY OF CARMEL, INDIANA VENDOR: 367260
j B it ONE CIVIC SQUARE GREATAMERICA FINANCIAL SERVICES CHECK AMOUNT: $•►►►"►162.93►
CARMEL, INDIANA 46032 PO BOX 660831 CHECK NUMBER: 304342
DALLAS TX 75266-0831 CHECK DATE: 10/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4344000 18833730 162.93 0160831145000
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
GREATAMERICA FINANCIAL SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 660831 IN SUM OF$ 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
18833730 43-440.00 $162.93 1 hereby certify that the attached invoice(s),or 5/30/16 18833730 $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
Friday,October 21,2016
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
Keep lower portion for your records-Please retum upper portion with your payment
Agreement Number: 016-0831145-000
UGreatAmerica-
GreatAmerica Financial Svcs. Invoice Number. 18833730
FINANCIAL itdRVICisi PO Box 660831 Invoice Print Date: 05/30/2016
HMD WOW * rNTEMM * EME11ENCE Dallas, TX 75266-0831 Invoice Due Date: 06/24!2086
Total Due: $10,712.86
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 auestions about these char es,olease call 866-803-2653 or visit www.AccountServicinq.com. Para Espanol, ida la extensidn 2344.
Agreement Due
Number Descri tion Date Charge Description Amount Tax Total
1 016-0831145-000 Mitel MCD 3300 telephone system with voicemall and phones
2 05/24/2016 Standard Payment 2,566.19 2,566.19
3 06/24/2016 Standard Payment 8,146.67 _ 6,146.67
Subtotal 10,712.86
Total Due $10,712.66
page 1 of 2
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#18833730
Name 5/30/2016
Total Bill
8146.67
Deferral Fund-LAW $162.93
�1�2y93�
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
Great America Phone Bill
Phone Equipment
Account Number-003-0831145-000
Department Inv#18833730
Name 5/30/2016
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
iiiIIIIIIINSFINANCIAL SERVICES r-"&vwvwvoi
Dallas, TX 75266.0831 Agreement Number: 016-0831145-000
HUD WOW . INTEGRITY • ERCEUENCE Invoice Number. 18833730
Invoice Print Date: 05/30/2016
Invoice Due Date: 06/24/2016
Return Service Requested Total Current Due: 8,146,67
Total Past Due: 2,566.19
Check here for change of address(see reverse for details) Total Due: $10,712.86
6183006533 PRESORT 85331A80.398PiC47<Sa Use enclosed envelope and make check payable to:
11111111"1'lII'I'lllllll'III.11'1'1'11111"11"II'lllil'II'lll'I GreatAmerica Financial Svcs.
ATTN:TERRY CROCKETT PO BOX 660831
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
31 IST AVE NW
CARMEL IN 46032-1716 11111'11...,11.111"III'•'III'111111111111'1'III'1111111'1111't11
000016083114500000000001883373000000000010712864
. .........
Keep lower portion for your records-Please retum upper portion with your payment
Agreement Number: 016-0831145-000
CGreatAmericg' Greammetica Financial Svcs. Invoice Number. 18833730
FINANCIAL SERVICES PO Box 660831 Invoice Print Date: 05/30/2016
HARD WORK • INTEGRITY • EKCEU NCE Dallas, TX 75266-0831 Invoice Due Date: 06/24/2016
Total Due: $10,712.86
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.AccountServicin .com_ Para Es anol,pida la extensl6n 2344.
AgreementFD07
Number Description harge Description Amount Tax Total
1 016-0831145-000 Mite[MCD 3300 telephone system with voicemail and phones
2 05/24/2016 Standard Payment 2,566.19 2,566.19
3 06/24/2016 Standard Payment 8,146.67 8,146.67
Subtotal 10,712.86
Total Due $10,712.66
a
page 1 of 2