HomeMy WebLinkAbout322408 03/01/2018 ;, :• - CITY OF CARMEL, INDIANA VENDOR: 303100 �
= ONE CIVIC SQUARE BLR CHECK AMOUNT: $*******998.00*
CARMEL, INDIANA 46032 PO BOX 5094 CHECK NUMBER: 322408
BRENTWOOD TN 37024-5094 CHECK DATE: 03/01118
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER: AMOUNT DESCRIPTION
1201 4469000 6398319 998.00 LIBRARY REF MATERIALS
Prescribed by State Board of Accounts City Forth No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
B W'I�
Purchase Order No.
TC) 60Y 50 9Li Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
31505/ f o Torr/ Soo c/ -SAY1t
Frnu�
Total "�
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
IBLR
PO Box 5094,Brentwood,TN 37024-5094
Please Direct Inquiries To:
DIRECTOR OF HUMAN RESOURCES Melanie Wilson,Account Representative
CITY OF CARMEL 800-274-6774 ext.8356,mwilson@blr.com
1 CIVIC SQ
CARMEL IN 46032
Invoice Date: TERMS: Upon Receipt
2/5/2018
Order# Customer#6398319 Amount Due: $998.00
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1 12 months TPTIME—Family and Medical Leave $499.00
1 12 months TPFAIR—Fair Labor Standards for Public Employers 499.00
Term: 3/1/18—3/1/19
Sales Tax
Shipping
Total Due $998.00
Please select your payment option:
CHECK: remit payment to BLR PO Box 5094, Brentwood,TN 37024-5094 ,
CREDIT CARD: CALL Melanie Wilson 800-274-6774 ext 8356
Card type: Visa _MasterCard _American Express
Name on Card:
Card #
Expiration date
Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
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$ 9 9 2, 06
ON ACCOUNT OF APPROPRIATION FOR
lbolko qe-&Do
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
.:20 / bg'U7- p �� or 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund