HomeMy WebLinkAbout305488 11/28/16 ��J F4N,yf!
CITY OF CARMEL, INDIANA VENDOR: 367839
`'' \ CHECK AMOUNT: $*******288.00*
.I ® �• ONE CIVIC SQUARE APP ORDER LLC
s. ;� CARMEL, INDIANA 46032 1094 E SAHARA AVE CHECK NUMBER: 305488
9M�*oN�. LAS VEGAS NV 89104 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 1100-1067 288.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT. NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
APP ORDER LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1094 E SAHARA AVE IN SUM OF$ 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
1100-1067 43-509.00 $288.00 1 hereby certify that the attached invoice(s),or 11/14/16 1100-1067 Monthly license fee $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, November 15,2016
Mike Hollibaugh
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
- TM
Invoice
Date Invoice#
11/7/2016 1100-1067
Bill To
City of Carmel
Attn:Lisa Stewart
One Civic Square
-Carmel,-IN 46032
l
P.O. No. Terms Due Date
Net 30 12/7/2016
Description Rate Amount
Monthly License Fee October 2016 288:00 288.00
Please Remit to:App-Order;LLC
1094 E.Sahara Ave. Total $288.00
-Las Vegas-,NV 89104
Payments/Credits
Balance Due $288.00
1094 E. Sahara Ave. • Las Vegas; NV 89104 Phone (800) 884-7820 • Fax (800) 536-0963