181109 01/13/2010 fl CITY OF CARMEL, INDIANA VEN DOR: 00352795 Page 1 of 1
ONE CIVIC SQUARE AVIS RENT A CAR SYSTEMS INC
CARMEL, INDIANA 46032 7876 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $109.46
ACCTAV67677 -00- 0000 -5 CHECK NUMBER: 181109
CHICAGO IL 60693
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 0131984543 109.46 TRAVEL LODGING
PLEASE
LI'f 'O T ON�THSDOCI'1MENTf i
vis =In
...'sk a AGREEMENT NUMBER
U13
5.43
s.
FOR, BIILING.lNQUIRIE 8
1
RENTED: 10DEC09/12:35 AT:WASH NAT'L APO DC VEHICLE DATES GP MILES OUT MILES IN DRIVEN
RETURNED: 11DECO9 /16:46 AT:WASH NAT'L APO DC TAN CHEV MALI 4DR E 906 1024 118
DUE IN: 11DEC09 /18:20 AT:WASH NAT'L APO DC OH DCD5078
RENTED BY: RENTAL DETAILS
CHARGES
GREEN,TIMOTHY,J
CARMEL FIRE DEPT 120
ONE CIVIC SQUARE 2 DAYS GP E CAR 43.99 PER DAY 87.98
CARMEL IN 46032 GROSS TIME AND MILEAGE 87.98
DISCOUNT 5.00% AWD L8640041 4.40
NET TIME AND MILEAGE 83.58
ENERGY RECOVERY FEE 0.47 PER DAY 0.94
WIZ SURCHARGE 5.60
foi ACCOUNT AV67677- 03- 9998 -5 AIRPORT CONCESSION FEE 11.11% 9.39
CREDIT ID# TAXES 10.00% ON 99.51 9.95
AWD L8640041
COSTCONTROL TOTAL CHARGES USD 109.46
VOUCHER
RES 45603540US3
RATE: H1
ARC 15879323
LOCAL PHONE 3177168549
FRED. TRVL
DRIVER LICENSE
TAXABLE ITEMS
Li RENTAL AGREEMENT NUMBER
U131984543
Q
PAYMENT -:DUE 'UPON RECE IPT.. USD 109 "r 46
AVIS. AVIS AVIS AVIS AVIS AVIS
':C ENTRAL BILLING STATEMENT r REMITTANCE ADVICE PAGE
0
STATEMENTDATE:, 31DEC09 z :x 31D'EC09 INQUIRIES, .PLEASECALL o
ACCOUNTNUMBER: AV6-7 0;0, 0000 =5
BELOW ISA SUMMARY OFALLUNPAIDINVOICE .,y
STATEMENT DATE
_...;7. ;1,-i .t: _,a ;1..`,
s:> CITY :OF u s.
10 9. 46 P1 I' IzI CARMEL 67 p A I G C
3,1DEC09.:.,;, ACGOUNrNUMBER A 6 DO 000 5 P V O S CENTRAL B BOX T 6280:0
L
a x,'y VIRGINIA BEACHt, VA 2 346 2'
LI PLEASE DIRECT ALL REMITTANCES TO
TOTAL DUE USD
109.46
PREVIOUSBA 349 •78.- CITY OF CARMEL AVIS RENT A CAR SYSTEM, INC
:CURRENT CHARGES 109 46 CINDY SHEEKS t 7876 COLLECTIONS CENTER DRIVE
R
CURENTADJUSTMENTS ONE CIVIC SQUARE t
AMOUNT
OF 7HESTATEMENT WIT
yPAYMENTSR E CARMEL IN 46032
,ENCLOSED', CHICAGO, IL 60693
THRU i';.4-;:-,i. 31DEC 349 THI S PORTION
78 t PLEASE�RETURN'TNPORTION H:YOUR PAYMENT AND ,.,1,.
'TOTAL AMOUNT DUE 10 9 46 INDICATETHE DIFFERENCES IN THE COMMENTS' SECTION OR ON THE:ENCLOSEO
r "t .vr =`a� „.r3. ,as.,, s .i INVOICES NOTE,YOUR ACCOUNT N UMBER ON A CO s
,DV .CARD# <RENTAL`NUMBER $NAME' /;REFERENCE F'm e.- R DATE 4?, .y t: RENTAL.NUMBER
AMOU T PYMT I ADJ I C N ET MT A DUE USD
C
U
03 99985 U131984543 GREEN,TIMOTHY,J WASH NAT'L APO 11DECO9 U131984543 109.46 109.46
*SUBTOTAL DIVISION 03 109.46
NEW CHARGES 31DECO9 *109.46
03 99985 U437612162 EDWARDS,STEVE LOS ANGELES AP 12NOV09 U437612162 349.78
22DEC09 59761PMT 349.78- .00
*6UBTOTAL DIVISION 03 *.00
*TOTAL UNPAID 3 0NOV09 *.00
TOTAL AMOUNT DUE USD$ *109.46
*WE PROVIDE MORE TIMELY AND ACCURATE INFORMATION
*TO THE BUSINESS COMMUNITY BY SHARING DUR
*ACCOUNTS RECEIVABLE INFORMATION WITH 7UN AND
*BRADSTREET.
SIAV SIAV SIAV DIAV SIAV SIAV
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
Avis Rent a Car System, Inc, Purchase Order No.
7876 Collections Center Drive Terms
Chicago, IL 60693 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/31/09 payment for car rental for Assistant Chief Tim Green 109.46
and. Major Randy Schalburg while attending the FRI
graduation of Lt. Joe Bickel
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
A is Rent a Car System, Inc. IN SUM OF
7876 Collections Center Drive
Chicago, IL 60693
109.46
ON ACCOUNT OF APPROPRIATION FOR
policer'.general fund
Board Members
D r INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 430 -03 109 .46 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
January 6 20 10
b!,1) fo q4
Signature
Chief of Pn1irp
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund