HomeMy WebLinkAbout305183 11/14/16 �y�.�eq,,f CITY OF CARMEL, INDIANA VENDOR: 361251
�( 1 CHECK AMOUNT: $********15.00*
.� ® y•: ONE CIVIC SQUARE IN.GOV
?� CARMEL, INDIANA 46032 PO BOX 6047 CHECK NUMBER: 305183
M�iPoN��� INDIANAPOLIS IN 46206.6047 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 2545258 15.00 TESTING FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
IN.GOV ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6047 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46206-6047 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$15.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Human Resources 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
2545258 43-588.00 $15.00 1 hereby certify that the attached invoice(s),or 10/31/16 2545258 $15.00
1201 101 1201 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, November 08,2016
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
• ' /� DATE I INVOICE NUMBER CUSTOMER ACCOUNT
1 10/31/2016 L 2545258 152074
Previous Balance $15.00
Current Charges $15.00
• • Payments/Credits/Debits ($15.00)
Pav This Amount
0nv®uc�c� 15.00
Total Amount Paid $ Cr
Please detach stub and mail with payment
Barbara Lamb Remit Payments ONLY to:
City of Carmel IN.GOV
Barbara Lamb PO Box 6047
One Civic Square INDIANAPOLIS, IN 46206-6047
Carmel, IN 46032
USA
152074002545258000001500
DESCRIPTION QUANTITY BILLABLE
152074_billing_user-Subscriber Minimum 1 $12.00
ciofca03-Drivers License Req 3 $3.00
CURRENT ACTIVITY 4 $15.00
Account Statement: Payment Terms: Net 25
Total Amount Due 0-30 Days 31-60 Days 61-90 Days 91-120 Days Over 120 Days
$15.00 $15.00 $0.00 $0.00 $0.00 $0.00
Please contact Customer Service at 317-233-2010 if you have any questions regarding past due or other
invoice amounts. Accounts greater than 60 days past due are subject to suspension.Thank you.
Payments should be received by the 25th to be reflected on the following invoice.
NOV 0 8 2016
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