186633 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 353561 Page 1 of 1
ONE CIVIC SQUARE BRIGHT HOUSE NETWORK
CHECK AMOUNT: $2,766.60
CARMEL, INDIANA 46032 Po sox 7256
INDIANAPOLIS IN 46207 -7256 CHECK NUMBER: 186633
CHECK DATE: 6/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 64.95 401476101
1115 4350900 64.95 401612001
1120 4344000 64.95 402528601
1120 4344000 937.95 403817601
601 5023990 64.95 400256001
601 5023990 1,368.90 401398901
902 4344200 199.95 401302401
bright
h ouse Account Billing Period Due Date Amount Due
NETWORKS 401398901 06/19 -07/18 06/27/10 $1,368.90
Service Address: Customer Code: 3711
3450 W 131st St This statement reflects payments received through June 2, 2010.
Westfield IN 46074
We are proud to offer great Previous Activity
entertainment choices for you Previous Balance $1,368.90
and your family. If you have any
questions or would like to try Payments Received $1,368.90 CR
additional services, please Previous Remaining Balance $0.00
contact one of our Custom
Care Specialists.
Current Charges
High Speed Internet services $1,350.00
Taxes and Fees $18.90
Total Balance Due $1,368.90
Thank you for your business.
You are a valued Bright House Networks customer.
EASYPay We are committed to bringing you the best in home entertainment and information.
Never miss a payment again.
Sign -up for EASYPay automated In order to avoid a late fee of $4.50, your Total Balance Due must be received in our
payment today! Pay your bill office no later than the Due Date on your billing statement.
automatically each month with a
credit card or checking account. Thank You
Call our office to enroll or sign -up
online at:
www.indiana.brighthouse.com r
f r, �1
bright Customer Account 401398901 Detail r^1 h ouse
NETWORKS J Monthly Charges for 06/19 -07/18
Payment History
High-Speed Internet 05/26 Payment Thank you! $1,368.90 CR
For the fastest, easiest way to High Speed Internet services
the Internet, get High Speed 06/19 -07/18 Point to Point Connectivity $1,350.00
Internet from Bright House
Networks. It's up to 4 times as Taxes and Fees
fast as DSL Express and up to Indiana Utility Receipts Tax $18.90
125 times faster than dial -up.
No contract to sign, no busy Monthly Charges $1,368.90
signals and no phone line Previous Remaining Balance $0.00
required. For more information Total Balance Due $1,368.90
visit:
indiana.brighthouse.com
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7:30am to 7:OOpm
Saturday 8:30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please all questions and concerns to: customersupport.indiana @mybrighthouse.com
'L Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268.
VOUCHER 101824 WARRANT ALLOWED
353561 IN SUM OF
BRIGHT HOUSE NETWORK
PO BOX 72-66
F Zt�2-
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
401398901 01- 6360 -06 $1,368.90
Voucher Total $1,368.90
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353561
BRIGHT HOUSE NETWORK Purchase Order No.
PO BOX 7256 Terms
Indianapolis, IN 46207 -7256 Due Date 6/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/8/2010 401398901 $1,368.90
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
611111, AA-,
Date Officer
bright
h ouse Account Billing Period Due Date Amount Due
NETWORKS X400256001 06/23 -07/22 07/03/10 $73.70
Service Address: Customer Code: 5136
4425 E 126th St This statement reflects payments received through June 8, 2010.
Carmel IN 46033
.rE
We are proud to offer great Previous Activity
entertainment choices for you Previous Balance $73.70
and your family. If you have any
questions or would like to try Payments Received $64.95 CR
additional services, please Previous Remaining Balance $8.75
contact one of our Customer
Care Specialists.
Current Charges
High Speed Internet services $64.95
Total Balance Due $73.70
Thank you for your business.
You are a valued Bright House Networks customer.
We are committed to bringing you the best in home entertainment and information.
EASYPay
Never miss a payment again. In order to avoid a late fee of $4.50, your Total Balance Due must be received in our
Sign -up for EASYPay automated office no later than the Due Date on your billing statement.
payment today! Pay your bill
automatically each month with a Thank You
credit card or checking account.
Call our office to enroll or sign -up
online at:
www.indiana.brighthouse.com
is W
i,
t
b right N FMonthmly ccount 400256001 Detail
h ouse Ta
NETWORKS Charges for 06/23 -07/22
Payment History
High -Speed Internet 05/26 Payment Thank you! $64.95 CR
For the fastest, easiest way to High Speed Internet services
the Internet, get High Speed 06/23 -07/22 Business Solutions Service $64.95
Internet from Bright House
Networks. It's up to 4 times as Monthly Charges $64.95
fast as DSL Express and up to
125 times faster than dial -up. Previous Remaining Balance $8.75
No contract to sign, no busy Total Balance Due $73.70
signals and no phone line
required. For more information
visit:
indiana.brighthouse.com
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7:30am to 7:00pm
Saturday 8:30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please email all questions and concernsto: customersupport.Indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268.
VOUCHER 101828 WARRANT ALLOWED
353561�°�, IN SUM OF
BRIGHT HOUSE NETWORK
PO BOX 30262
Cn
TAMPA, FL 33630 -3262 ;1 e
RA
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
400256001 01- 6360 -03 $64.95
Voucher Total $64.95
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353561
BRIGHT HOUSE NETWORK Purchase Order No.
PO BOX 30262 Terms
TAMPA, FL 33630 -3262 Due Date 6/14/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/14/2010 400256001 $64.95
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
C
-,'f rte.._ v �.t.��.._-
�f
Date Officer
s
bright
house Account Billing Period Due Date Amount Due
NETWORKS 401612001 06/24 -07/23 07/03/10 $64.95
Service Address: Customer Code: .3268
459 3rd Ave SW This statement reflects payments received through June 8, 2010.
Carmel IN 46032
We are proud to offer great Previous Activity
entertainment choices for you previous Balance
and your family. If you have any 64.95
Payments Received $64.95 CR
questions or would like to try
additional services, please Previous Remaining Balance $0.00
contact one of our Customer
Care
Current Charges
High Speed Internet services $64.95
Total Balance Due $64.95
Thank you for your business.
You are a valued Bright House Networks customer.
We are committed to bringing you the best in home entertainment and information.
EASYPay
Never miss a payment again. In order to avoid a late fee! of $4.50, your Total Balance Due must be received in our
Sign -up for EASYPay automated office no later, than the Due Date on your billing statement.
payment today) Pay your bill
automatically each month with a Thank You
credit card or checking account.
Cali our office to enroll or sign -up
online at:
www.indiana.brighthouse.com
right
FMonthmiyeCharges Account 401612001 Detail
house for 06/24-07/23
NETWORKS TM
Payment History
High -Speed Internet 05/26 Payment Thank you! $64.95 CR
For the fastest, easiest way to High Speed Internet services
I Internet, get High Speed
Internet from Bright House 06/24-07/23 Business Solutions Static IP Address $5.00
Networks. It's up to 4 times as 06/24 -07/23 Business Solutions Service $59.95
fast as DSL Express and up to
125 times faster than dial -up. Monthly Charges $64.95
No contract to sign, no busy Previous Remaining Balance $0.00
signals and no phone line Total Balance Due $64.95
required. For more information
visit:
indiana.brighthouse.com
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7:30am to 7 :00pm
Saturday 8:30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please email all questions and concerns to: customersupport .indiana@mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1 -800- 851 -4268.
Yniir FCC". Cnmmimity ilnit In niimhpr is wnOR7
V NO. WARRANT NO.
ALLOWED 20
Brighthouse
IN SUM OF
P. O_ Box 7256
Indianapolis, IN 46207
$64.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 43- 509.00 $64.95 1 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
Wednesday, June 16, 2010
w ,e.---
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))
06/24/10 $64.95
1 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
t .�a
bright
h ouse Account Billing Period Due Date Amount. Due
aerwoane 401476101 06/29- 07/28. 07/08/10 $69.45
Service Address: Customer Code: 5328
31 1st Ave NW This statement reflects payments received through June 12, 2010.
Carmel IN 46032
We are proud to offer great Previous Activity
entertainment choices for you previous Balance
$69.45
and your family. if you have any
questions or would like to try Payments Received $64.95 CR
additional services, please Previous Remaining Balance $4.50
contact one of our Customer
Care Specialists.
Current Charges
High Speed Internet services $64.95
i
Total Balance Due $69.45
Thank you for your business.
You are a valued Bright House Networks customer.
We are committed to bringing you the best in home entertainment and information.
EASYPay
Never miss a payment again. In order to avoid a late fee of $4.50, your Total Balance Due must be received in our
Sign -up for EASYPay automated office no later than the Due Date on your billing statement.
payment today! Pay your bill
automatically each month with a Thank You
credit card or checking account.
Call our office to enroll or sign -up
online at:
www.indiana.brighthouse.com
right
Customer Account 401476101 Detail
house Monthly Charges for 06/29 -07/28
NETWORKS TTM
Payment History
High -Speed Internet 05/26 Payment Thank you! $64.95 CR
For the fastest, easiest way to High Speed Internet services
the Internet, get High Speed 06/29 -07/28 Business Solutions Static IP Address $5.00
Internet from Bright House
Networks. It's up to 4 times as 06/29-07/28 Business Solutions Service $59.95
fast as DSL Express and up to
125 times faster than dial -up. Monthly Charges $64.95
iNo contract to sign, no busy Previous Remaining Balance $4.50
signals and no phone line Total Balance Due $69.45
required. For more information
visit:
indiana.bri hthouse.com
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7:30am to 7.00pm
Saturday 8:30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please email all questions and concerns to: customersupport indiana@mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 -851 -4268.
Yniir FrY: r.nmmsmity Ilnit Ir) numhe-r is INnOR7
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brighthouse
IN SUM OF
P. O. Box 7256
Indianapolis, IN 46207
$69.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 43- 509.00 $69.45 1 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
Friday, June 18, 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))
06/29/10 I I I $69A5
1 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
bright
house Account Billing Period Due Date Amount Due
nerwoens 401302401 06/20 -07/19 .07/01/10 $226.95
Service Address: Customer Code: 4467
111 w Main St Ste 140 This statement reflects payments received through June 5, 2010.
Carmel IN 46032
We are proud to offer great Previous Activity
entertainment choices for you Previous, Balance.
and your family. If you have any $226.95
questions or would like to try Payments Received $199.95 CR
additional services, please Previous Remaining Balance $27.00
contact one of our Customer
Care Specialists.
Current Charges
Cable Television services $0.00
High Speed Internet services $199.95
Total Balance Due
$226.95
Thank you for your business.
You are a valued Bright House Networks customer.
EASYPay We are committed to bringing you the best in home entertainment and information.
Never miss a payment again.
Sign -up for EASYPay automated In order to avoid a late fee of $4.50, your Total Balance Due must be received in our
payment today! Pay your bill office no later than the Due Date .on your billing statement.
automatically each month with a
credit card or checking account. Thank You
Call our office to enroll or sign -up
online at:
www.indiana.brighthouse.com
house bright FMonthly Account 401302401 Detail
arges for 06/20-07/19
NE7VPORRS rM
Payment History
High -Speed Internet 05/26 Payment Thank you! $199.95 CR
For the fastest, easiest way to Cable Television services
the Internet, get High Speed Cable Television Service Includes:
Internet from Bright House
Networks. It's up to 4 times as 06/20-07/19 Basic Cable $0.00
fast as DSL Express and up to 06/20 -07/19 Cable Networks Tier $0.00
125 times faster than dial -up. Total Cable Television Services $0.00
No contract to sign, no busy
signals and no phone line High Speed Internet services
required. For more information 06/20 -07/19 Business Solutions Service $199.95
visit:
Monthly Charges $199.95
indiana.brighthouse.com Previous Remaining Balance $27.00
Total Balance Due $226.95
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7 :30am to 7:00pm
Saturday 8:30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please email all questions and concernsto: customersupport.indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 204 (Rev. 1995)
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
t r I
IJ, r f? ��ICU Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I 4 F i►�'��rntt IS
Total S
1 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
}J k
�j P' "I y JlC��� e1rV1 S IN SUM OF
PO R '30
T �m p FL r)� 2 6 2
r
g5
ON ACCOUNT OF APPROPRIATION FOR
Pay from Cash
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
WL q 110/5 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 /Q
Signature
�jrortnr of Radevelooment
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
bright
house Account Billing (Period Due Date Amount Due
NEYWORK6 402528601 06/24 -07/23 07/03/10 $64.95
Service Address: Customer Code: 2455
10701 N College Ave Ste A This statement reflects payments received through June 8, 2010.
Indianapolis IN 46280
We are proud to offer great Previous Activity
entertainment choices for you Previous Balance
and your family. If you have any $64.95
d
i
R
Payments eceve.
questions or would like to try $64.95 CR
additional services please Previous Remaining Balance $0.00
contact one of our Customer
Care Specialists.
Current Charges
High Speed Internet services $64.95
Total Balance Due $64.95
Thank you for your business.
You are a valued Bright House Networks customer.
We are committed to bringing you the best in home entertainment and information.
EASYPay
Never miss a payment again. In order to avoid a late fee: of $4.50, your Total Balance Due must be received in our
Sign -up for EASYPay automated office no later than the Due Date on your billing statement.
payment today! Pay your bill
automatically each month with a Thank You
credit card or checking account.
Call our office to enroll or sign -up
online at:
www.indiana.brighthouse.com
right r1j (9-..) Customer Account 402528601 Detail
house Monthly Charges for 06/24 -07/23
NETWORKS TN 7
Payment History
High -Speed Internet 05/26 Payment Thank you! $64.95 CR
For the fastest, easiest way to High Speed Internet services
the Internet, get High Speed 06/24 -07/23 Business Solutions Service $64.95
Internet from Bright House
Networks. It's up to 4 times as
fast as DSL Express and up to Monthly Charges $64.95
125 times faster than dial -up. Previous Remaining Balance $0.00
No contract to sign, no busy Total Balance Due $64.95
signals and no phone line
required. For more information
visit:
india na.brighthouse.com
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7:30am to 7:00pm
Saturday 8 :30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please email all questions and concernsto: customersupport .indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1 -800- 851 -4268.
bright
house Account Billing Period Due Date Amount Due
NETWORKS 403917601 06/13 -07/12 06/24/10 $937.95
Service Address: Customer Code: 1772
5032 E 131st St This statement reflects payments received through May 31, 2010,
Carmel IN 46033
We are proud to offer great Previous Activity
entertainment choices for you Previous Balance $937.95
and your family. if you have any d i
Receve
questions or would like to try Payments $937.95 CR
additional services, please Previous Remaining Balance $0.00
contact one of our Customer
Care, Specialists.
Current Charges
High Speed Internet services $925.00
Taxes Fees $12.95
Total Balance Due $937.95
Thank you for your business.
You are a valued Bright House Networks customer.
EASYPay We are committed to You the best in home entertainment and information.
Never miss a payment again. bringin g
Sign -up for EASYPay automated In order to avoid a late fee of $4.50, your Total Balance Due must be received in our
payment today! Pay your bill office no later than the Due Date on your billing statement.
automatically each month with a
credit card or checking account. Thank You
Call our office to enroll or sign -up
online at:
www.indiana.brighthouse.com
bright
house
Customer Account 403917601 Detail
Monthly Charges for 06/13 -07/12
NETWORKS TM
Payment History
Highspeed Internet 05/12 Payment Thank you! $937.95 CR
For the fastest, easiest way to High Speed Internet services
the Internet, get High Speed 06/13 -07/12 Point to Point Connectivity $925.00
Internet from Bright House
Networks. It's up to 4 times as Taxes and Fees
fast as DSL Express and up to Indiana Utility Receipts Tax $12.95
125 times faster than dial -up.
No contract to sign, no busy Monthly Charges $937.95
signals and no phone line Previous Remaining Balance 0.00
required. For more information Total Balance Due
$937.95
visit:
ind iana.brighthouse.com
Payment Location
3030 Roosevelt Ave
Indianapolis, IN 46218
Mon Thur 7:30am to 6:30pm
Friday 7:30am to 7:00pm
Saturday 8:30am to 4:00pm
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:30am to 5:30pm
Questions call 972 -9700
Please note our remit to
address has changed to P.O.
Box 30262, Tampa, FL
33630 -3262
Please email all questions and concernsto: customersupport.indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington
St., Suite 1500 E., Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 4268.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brighthouse
IN SUM OF
P. O. Box 7256
Indianapolis, IN 46207
$1,002.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE N0. ACCT #!TITLE AMOUNT Board Members
1120 403817601 43- 440.00 $937.95 I hereby certify that the attached invoice(s), or
1120 402528601 43- 440.00 $64.95
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
UN 2 9 20!0
Fire Chief
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))
403817601 $937.95
402528601 $64.95
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
2D
Clerk- Treasurer