333987 01/04/19 .�q�E� CITY OF CARMEL, INDIANA VENDOR: 367839
ONE CIVIC SQUARE APP ORDER LLC CHECK AMOUNT: $*******288.00*
:9� ,��, CARMEL, INDIANA 46032 1094 E LAS VEGAS ARA AVE CHECK NUMBER: 333987
�:oN NV CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4350900 102343 1100-1118 288.00 MONTHLY LICENSE FEES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367839 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
APP ORDER LLC IN SUM OF$ CITY OF CARMEL
1094 E SAHARA AVE 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.
LAS VEGAS, NV 89104
Payee
$288.00
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
102343 1100-1118 43-509.00 $288.00 1 hereby certify that the attached invoice(s),or 12/12/18 1100-1118 Monthly License Fee Dec 2018 $288.00
1192 Encumbered 101 Prior Year 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 02, 2019
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
�4 Ordercom
Date Invoice#
12/12/2018= 1100-1118
Bill To
City of Carmel. p ice, k
Attn: Lisa Motz
One Civic Square OEC 1.8 2018 3.
Carmel, IN 46032 - -.
P.O. No. Terms Due Date
Net 30 1/11/2019
Description Rate Amount
Monthly License Fee December 2018 288.00 288.00
Please Remit to:App-Order,LLC
1094 E. Sahara Ave. Total $288.00
Las Vegas, NV 89104
Payments/Credits $0.00 _
Balance Due $288.00 -
1094 E:.Sahara Ave. Las Vegas, NV 89104 • Phone (800) 884-7820 • Fax (800) 536-0963