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182102 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 360689 Page 1 of 1 ONE CIVIC SQUARE SURVEYMONKEY.COM CARMEL, INDIANA 46032 C/O BANK OF AMERICA LOCKBOX CHECK AMOUNT: $200.00 c 15765 COLLECTIONS CENTER DRIVE CHECK NUMBER: 182102 +`o CHICAGO IL 60693 CHECK DATE: 2/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4341991 16954984 200.00 MARKETING PROMOTION SurveyMonkey My Account: Billing: Invoices I 0)3 page 1 of 1 Al 93yqQ7 C bit ling r( surveymonkey.com 1 I r6 SurveyMonkey.com e,dQjvtsifjontact: Tax ID (EIN): 37- 1581003 because knowledge is everything ninvoice: #:-16954984_- Payment Made On: ATTENTION: We have made updates to our payment information! Please verify and update your records and payment processes to ensure continuation of your service. Thank you. Billing Invoice (Jarruar 15- 120 -f0 =)January 15, 2011) (Payment due by February 15, 2010) To: Payment Details: Carmel Clay Parks and Recreation Schneider, Kate kschneider @carmelclayparks.com 1 1235 Central Park Drive East J AN 1 8 2010 Carmel, IN 46032 US f �l BY: Description (t'y Price Amount Annual Subscription 1 $200.00 $200.00 Total (USD) C$200.00 Printed Check: Direct Bank Deposit: Up dated Information r Updated Information cSurveyMonkey.com, LLC Account Name: SurveyMonkey.com .c/o:8ank.of.America Lockbox- Services Swift Code BOFAUS3N x.45765 :Collections Center'Drive 4:ChicagoIL' -60693 ACH transfer Routing /ABA 323070380 Please note invoice #16954984 on check. Account 485005765897 wire transfer Routing /ABA 026009593 Account#: 485005765897 Please note invoice #16954984 in comments. https://www.surveymonkey.com/MyAccount B i I ling_ Invoice .aspx ?sm= mmOi_2bliofLY3... 1/18/2010 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 360689 SurveyMonkey.com, LLC Terms c/o :Bank of America Lockbox Services 15765 Collections Center Drive Chicago, IL 46932° GJO 9 3 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/15/10 16954984 Annual Subscription 200.00 Total 200.00 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. 360689 SurveyMonkey.com, LLC Allowed 20 c/o Bank of America Lockbox Services 15765 C011ectlons Center 17rlve f hrcago (0033 In Sum of NEW ADDRESS 200.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 16954984 4341991 200.00 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 28 -Jan 2010 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund