316594 9/26/2017 CITY OF CARMEL, INDIANA VENDOR: 00352795
O ONE CIVIC SQUARE AVIS RENT A CAR SYSTEMS INC CHECK AMOUNT: S""""356.98'
:? r CARMEL, INDIANA 46032 7876 COLLECTIONS CENTER DRIVE CHECK NUMBER: 316594
1�iroH g ACCT AV67677-00-0000-5 CHECK DATE: 09/26/17
CHICAGO IL 60693
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 U688359626 356.98 OTHER EXPENSES
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AV/S AVIS AVIS AVIS AVIS AVIS
CENTRAL BILLING STATEMENT REMITTANCE ADVICE PAGE 0001
STATEMENT DATE: 31AU017 ;STATEMENT DATE: 31AUG17 INOURIES.PLEASE CALL:
ACCOUNTNUMSER AV67677-00-0000-5 1-800-959-3300 OR WRITE To:
BELOW IS A SUMMARY OF ALL UNPAID IWOCES
TY OF
206.54 356.981 — AICCOUNT R:MEL AVIS AV67677-00-0000-5 P.O. BOX CENTRAL BILLING C/8
17 VIRGINIA BEACH, VA 23462
TOTAL DUE USD 563.52 PLEASE DIRECT ALL REMITTANCES TO:
PREVIOUS BALANCE 361.58 CITY OF CARMEL AVIS RENT A CAR SYSTEM, INC
OUIIENTCMARGES 206.54 CINDY SHEERS 7876 COLLECTIONS CENTER DRIVE
CURRENTADJUSTMENTS ONE CIVIC SQUARE AMOUNT CHICAGO, IL 60693
PAYMENTS RECENED CARMEL IN 46032 ENCLOSED
TIN 31AR017 4,60m PLEASE RETURN TNIS PORTION OF THE STATEMENT WITH YOUR PAYMENT AND
TOTALAMOUNT DIE 563.52 DIFFERENCES IN C OREDDINVOIES.NOTE Y04JRA�NUMBER ONALLCR
DV CARD# RENTAL NUMBER NAME/REFERENCE RENTAL LOCATION DATE RENTAL NUMBER AMOUNTUSD PYMT/ADJ/COMMENTS NET AMT DUE USD
03 99985 0961304886 EDWARDS,STEVEN L VANCOUVER APO IIAUG17 0961304886 206.54 206.54
—*******SUBTOTAL DIVISION 03 *******206.54
********** NEW CHARGES 31AUG17 *******206.54
11 99988 II688359626 RIGDON,PAT E SAN DIEGO APO 14JUL17 II688359626 356.98 356.98
**********SUBTOTAL DIVISION 11 *******356.98
**********TOTAL IINPAID 31JUL17 *******356.98
03 99985 U642521972 ARIENS,TALIA L NEWARK AIRPORT 12MAY17 0642521972 461.73
24MAY17 ADJG97 28.95
04JUN17 ADJG97 4.60
24JUL17 22848PMT 490.68-
11AUG17 23165PMT 4.60- .00
**********SUBTOTAL DIVISION 03 **********.00
********** OTAL IINPAID 31MAY17
**********TOTAL AMOUNT DUE USD$ *******563.52
•*w*x* wxwwwwwwxwxx *xx*x**x***xxxxwww wwxxxxxwxww DJUSTMENT SUMMARY
*WE PR VIDE MORE TI ELY AND ACCURATE I qFORMATION * G97 - TOLL USAGE
*TO THE BUSINESS COWKUNITY BY SHARING UR
*ACCOUNTS RECEIVABLE INFORMATION WITH UN AND
*BRADS REET.******x *****************• ***********
S/AV S/AV S/AV S/AV S/AV S/AV
PLEASE WRITE THE RENTAL AGREEMENT NUMBER ON
ALL CORRESPONDENCE AND NOTE ANY COMMENTS
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Avis Invoice
ON TO AVIS RENT A CAR SYSTEMS, INC
�
REMIT TO 7876 COLLNCTIONS CENTER DRIVB
CHICAGO, IL 60693
RENTAL AGREEMENT NUIMBER: 0961304886
FoRSIwNGINDUIRIEs: 1-800-959-3300
RENTED: 07AUG17/14:38 AT:VANCOUVER APO VEHICLE DATES GP MILES OUT MILES IN DRIVEN
RETURNED: 11AUG17/05:19 AT:VANCOUVER APO BLR CHEV CRZE FWD C 13393 13433 40
DUEIN: 11AUG17/05:00 AT:VANCOUVER APO WA BDE3540
RENTED BY: RENTAL DETAILS
CHARGES
EDWARDS,STEVEN L
CARMEL FIRE DEPT 120
12843 GLENGARY DR 4 DAYS GP C CAR W 46.00 PER DAY 184.00
FISHERS IN 46038 NET TIME AND MILEAGE 184.00
ERF FEE CHARGES 3.92 *
PVT FEE CHARGES 6.32
GOODS AND SERVICE TAX ® 5.00 % 11.09
AIRPORT CONCESSION FEE ® 18.05% 33.92 *
WIZ#: TAXES Q 7.00% ON 221.84 15.53
ACCOUNT# AVXXXXX-XX-X998-5
CREDITID# AVXXXXX-XX-X998-5 TOTAL CHARGES CAD 254.78
AV": LXXXXXXI
COST CONTROL#:
VOUCHER#:
RES#; 33186421US2
RATE: ES
ARC# 15879323
LOCAL PHONE#: 3178469619
FRED.TRVL#.
DRIVER LICENSE
TAXABLE ITEMS
RENTAL AGREEMENT NUMBER
0961304886
PAYMENT DUE UPON RECEIPT. USD 206.54