181028 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 358404 Page 1 of 1
1 I; ONE CIVIC SQUARE WELLS FARGO BANK CHECK AMOUNT: $42.74
CARMEL, INDIANA 46032 WF 8113
PO BOX 1450 CHECK NUMBER: 181028
MINNEAPOLIS MN 55485 -8113
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 625206 42.74 OTHER CONT SERVICES
Fee Invoice LLS
Corporate Trust Services
F
Invoice Number Billing Date Due Date ;Amount Due.
c F
625206 12/16/2009 1/I5i2010 $42 74 k•
P/ease mail or re paytnent to
I City o Carmel, Indiana Mailing Address:
Y Wells Fargo Bank
Attn: Ms. Diana Cordray, Clerk Treasurer WF 8113
One Civic Square P.O. Box 1450
Minneapolis, MN 55485 -8113
Wire Instructions:
I Carmel, IN 46032 ABA 121000248
DDA 1000031565
Reference: Invoice Accnt Name, Attn Name
ACH Instructions:
ABA 091000019
DDA 1000031565
Please return this portion of the statement with your payment in the envelope provided: Memo: Invoice Account Name, Attn Name
Please retain this portion for your records
Account Number: CARMGOL,F1206
Carmel Red Dist Golf Course BAN 2006
Administration Charges For the Period 12/22/2009 thru 2/1/2010
Final Paying Agent Fee (based on 2/01 /2010 $42.74
maturity)
Total Amount Due: $42.74
Billings past due are subject to an 18% annual finance charge of the balance due.
Please address questions to John Alexander Phone (317)977 -1160 Email John.D.Alexander®wellsfargo.com Page 1 (625206)
Prescribed by State Board of Accounts City Form 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
L I l o Purchase Order No.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
P{V1;1 ?Cs) -ces qa.i
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
\N (,11� `/8
IN SUM OF
?tic \La
\-b:1
ON ACCOUNT OF APPROPRIATION FOR
CALI b+ 4/
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s), DEPT. 1 hereb certi that the attached invoices or
C2-01 tOPC106 V1 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
014.4
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund