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Home My WebLink About320288 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 369043 ONE CIVIC SQUARE SIIVIPLIFILE, CHECK AMOUNT: $*******705.00* x ? CARMEL, INDIANA 46032 4844 NORTH 300 WEST,SUITE 300 CHECK NUMBER: 320288 PROVO UT 54604 CHECK DATE: 01/04/18 DEPARTMENT ACCOUNT, PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4340600 101099 INTGRY 705.00 LIENS RELEASES OF LIE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 369043 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SIMPLIFILE IN SUM OF$ CITY OF CARMEL 4844 NORTH 300 WEST, SUITE 300 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. PROVO, UT 84604 Payee $705.00 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 101099 INTGRY 43-406.00 $705.00 1 hereby certify that the attached invoice(s),or 1/3/18 INTGRY Liens from 12-01-17 to 12-31-17 $705.00 1192 Eircumbered 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 Wednesday,January 03,2018 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 wish IC 5-11-10-1.6 120 Cost distribution.__�_r classification if claim paid motor vehicle highway fund. Clerk-Treasurer Simplifile Invoice Billed to: City of Carmel Included Organization: City of Carmel For the period: 12/01/2017 through 12/31/2017 Account number: INTRGY Report generated: 12/31/2017 09:07 PM MST Charges NAME TYPE PG ENTRY RECORD DATE AMT SF TOTAL Hamilton County, IN Dec 1,2017 120117 9855 Bucklebury Ln 4YA/t/ER 2 E 201"7059198 _ 12/01/2017 16:16 AM EST 25.00 A 3.00 A za oo 13044 Moorland Ln __2E 2017059199 T 1210_1/2017 10:16 AM EST_ 25.00 A 3.00 A 2800- 711 1st Ave NW . WA/l/ER 2 , E 2017059200 12/01/2017 10:16 AM EST i 25.00 A, 3.0_0 A28_00 344 Bailey Cir Y WA/l/ER 2 E 201705920112/01/2017 10:16 AM EST _ 25.00 Al . 3.00 A _ MM13762 Pinto Dr , v r__ _ WA/t/ER 2 E 2017059202 12/01/2017 10:16 AM EST 25.00A _ 3.00 A, J2s_oo 10425 Fergus Ave - WA/t/ER 2_ E 2017059203 _ 12/01/2017 10:16 AM EST 25._OOAf 3.00A__zaoo_ 11347 Oldfield Dr WA/VEB �2 _E 2017059204 12/01/2017 10:16 AM EST. j 2_5.00 A 3:00 A 28_00 13772 Laredo Dr WA/t/ER-� T.2 E 2017059205 �'12/01/2017 10:16 AM EST - ^� .'25.00A 3.00A 28_00 8Rolling Springs Ct 'WA/l/ER - 2 E 2017059206 12/01/2017 10:16 AM EST :' 25.06A 3.00 A zsoo 14116 Larson Dr _ - -WA/l/ER 72 E 2017059207 12/01/2017 10:16 AM EST j 25.00A� 3.00A 2&00 13320 Broad St _ WA/t/ER 2 E 2017059208 12/01/2017 10:16 AM EST 25.00 3.00 A ---Z&00 5459 S Grandin HaII Cir WA/VE 5 E2017059209 12/01/2017 10:16 AM EST 25.00 A X3.00 A 28_00 Dec 11,2017 121117I` 0 Michigan Rd L/EN -1 E 2017060654 12/11/2017 1.1:51 AM EST I 25.00 B I 3.00 B 28_00 Dec 15,2017 ��^ 121517 4208 Centennial Ct WA/l/ER 2 E 2017061628 _ 12/15/2017 02:12 PM EST 25.00 C 3.00.C 2800 _ 13136 Turquoise Cir WA ]VER 2 2017061629 12/15/201_7_0_2:12 PM EST 25.00 C .3.00.0 28_00 "13299 Lorenzo Blvd WA/VER 2- E 2017061630_ 12/15/2017 02:12 PM EST 25:00 C_ 3.00 C 28_00 1741 Beaufain St~ WA/VER �- '3 E 2017061631 12/15/2017 02:12 PM EST 25.00 C I 3.00 C -2s�oo 6901 John Dickinson Dr _ _ WA%VER. 2_ E 2017061632, _12/15/2017 02:12 PM EST -_� 25.00 C} 3.00 C_ 7237 Broadacre_Ct WA/VER " 2 E 2017061633 12/15/2017 02:12 PM ESTtn _ 25.00 C _ 3.00 C 28_0_0_ 10823 Putnam _ WA/VER• 2 E 201_7061634 12/15/2017 02:12 PM EST _ _ __ ^. _ _ j 25.00 C .00 C zs.00 11906 Eden Glen Dr a I�VA/VER 2_ E 2017061635-- 12/15/2017 02:12 PM EST 25.00 C 3.00 C 2s_oo 3645 East 106th St WA/VER 2 E 2017061636 ' 12/15/2017 02:12 PM EST _ 25.00 C 3.00 C_ 2s_oo 311 Spring Mill Ct� _ v " WA/VER2 E 2017061637` 12/15/2017 02:12 PM EST 25.00 C 3.00 C 28_00 665 3rd Ave NE WA/VER 2 !E 2017061638 12/15/2017 02:12 PM EST _ 25.00 C 3.00 C 2a.00 Dec 21,2017 Jumper Lane Dedication of Public Right of Way-10596 Jumper Lane R/GHTOFWAY 16 E 2047062679 12/21/2017 02:06 PM.EST 30.00 D 3.00 D 33.00 Totals for Hamilton County,IN 630.00 1 75.00 705.00 Total of All Charges 630.00 75.00 705.00 Invoice Summary INVOICE PERIOD INVOICE NUMBER DUE DATE AMOUNT DUE 12/01/2017 through 12/31/2017 INTRGY=12312017, Upon Receipt $705.00 Please remit payment to: Simplifile 5072 North 300 West Provo, UT 84604 800.460.5657, option 3 c�