181942 02/03/2010 c z, CITY OF CARMEL, INDIANA VENDOR: 355490 Page 1 of 1
l ONE CIVIC SQUARE I U P P S
a CARMEL, INDIANA 46032 P O BOX 66898 CHECK AMOUNT: $67.50
INDIANAPOLIS IN 46266 -6896 CHECK NUMBER: 181942
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4341999 24396 67.50 OTHER PROFESSIONAL FE
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CARMEL CLAY COMMUNICATIONS CENTER Invoice Number: 24396
JANET ARNONE Invoice Date: 1/28/10
31 1ST AVE NW Customer No: ID2401
CARMEL, IN 46032
Payment Terms: Net -due in 30 days
4TH QUARTER
(OCTOBER 1 DECEMBER 31, 2009)
Description Total Tickets Amount
Quarterly Per Ticket Fee $0.90 /ticket) 75 67.50
Please remit payment to: IUPPS
P. O. Box 66898
Indianapolis, IN 46266 -6898
Please refer to either your Customer No. or the Invoice No. on your check
Please address questions to: Karen Braun
1 -317 -893 -1405
Invoice Total 67.50
PO Box 219•Greenwood IN 46142-877.230.0495 -FAX: 877 230.0496 www.Indiana 811.org
VOUCHER NO. WARRANT NO.
ALLOWED 20
IUPPB
IN SUM OF
P.O. Box 66898
Indianapolis, IN. 46266
$67.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 24396 43419.99 $67.50 I hereby certify that the attached invoice(s), 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
Monday, February 01, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/28/10 24396 I 1 $67.50
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