319443 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 367260
.;; ® _'• ONE CIVIC SQUARE GREATAMERICA FINANCIAL SERVICES CHECK AMOUNT: $....***162.9
CARMEL, INDIANA 46032 PO BOX 660831 CHECK NUMBER: 319443
DALLAS TX 75266-0831 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4344000 21726616 162.93 TELEPHONE LINE CHARGE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) '
Vendor# 367260 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GREATAMERICA FINANCIAL SERVICES IN SUM OF$ CITY OF CARMEL
PO BOX 660831 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
DALLAS, TX 75266-0831 .
Payee
$162.93
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Department of Law 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
21726616 43-440.00 $162.93 1 hereby certify that the attached invoice(s),or 11/29/17 21726616 $162.93
1180 209 1180 209
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
Thursday, December 07,2017
n �vy n Se- -
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk=Treasurer
F � Remittance Section
ao
EoGreatAmeriea GelAmrtee Ff.nadl5— Invoice Number: 21726616
P0 ax 600931 Agreement Number0160831145-000
TX 1!29/2017P® 1AL BanVICBD DrInvoice Print Date: 12124/2017
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a HARD WORK•INTECIIITY•EKCELLME Due Data:
$8,146.17
Current Charges:
Past Due Amount. $2.566'19
$10,712.86
nature Service Requested Total Due: ��t1yyYYyy
Check here for change of address(see reverse for details) use Orltloeed—dW.eOd mxe rhlll Payable lo:
MDG2015 00001131 1 MB 0.42 GreatAmeriea Financial SVCS.
ATTN:TERRY CROCKETT PO Box 660831
CITY OF CARMEL,HAMILTON COUNTY,INDIANA Dallas,TX 75266-0831
31 1ST AVE NVV
CARMEL IN 46032.1715
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000016083114500000DODOD2172661600000000010712869
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�t Invoice Number. 2172661G
C�GreatAmeraea" o—,Amodca Flnarmiat Svcs. Due Dale; 1212412017
Total Due: $10,712.86
��PINANCIAL Ben VlCae Dam T%703W660611
HARD VIOME•mTEWM•EXCELLENCE
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 lee.
Invoice Detail
Amount Tax Totol
A eoment 016-0031145-000:MBoIMCD 333OTttclep em Petwith volcemallan
ymsnld hones ' 014687 000 8,146.67
146.07
Subtotal of Current Charges 50.146.67
Summa of Post Due Char s0J - 2b69.19
Im'dW 472-M--117 66.10
Subtotal 01 Pest Duo Charges $2,5
For 4u9suorflaboul Moab charges.
please eta 1 x of VNI
$10,712.86
Total Due
-_ ' Di howred Ctleda,D.J"')'O'd.. DeeS�lad TOAsurcherpe 01530