187631 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364409 Page 1 of 1
ONE CIVIC SQUARE A T T NATIONAL COMPLIANCE CENT
0 HECK AMOUNT: $175.00
CARMEL, INDIANA 46032 PO BOX 24679
WEST PALM BEACH FL 33416 -4679 CHECK NUMBER: 187631
CHECK DATE: 7/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4344000 49221 175.00 TELEPHONE LINE CHARGE
ZeILYA 410-� 7-F -004P
Invoice Date: April 23, 2010 a
Invoice Number: C2LI21
Bill To: National Compliance Center
Phone: 1 800 635 6840
CARMEL�46032
Fax: 1 938 -4715
31 1 ST AVE NW PO BOX 24679
CARMEL.IN 46032 WEST PALM BEACH, FL
33416 -4679
r,
EFT (Electronic Fund Transfer) Cage Code
Tax ID Number 91- 1.379052 Cage Code 3L6E3
D &B Number 130598238 SUPO D &B Number 130598238 SUPO
Bank Name Bank Of America
Bank Routing Number I 11000012
Bank Account Number 3751.632054
Invoice
File Codc
737869.001 Court Issued Number:
LEA Tracking Number:
Target
Component Number Description/Duration Units /Days Price Amount
Location Daily Fee 2224 4/19/10- 4/21/10 3.0 $25.00 $75.00
Location Activation Fee 2224 4/19/10 4/21/10 1.0 $100.00 $100.00
Subtotal $175.00
Payments Received -$0.00
Total Due $175.00
RF
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
A T Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
hh Date Number (or note attached invoice(s) or bill /(s)) /ry rjy
Total `rs
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
,4T- IN SUM OF
`7 �5
ON ACCOUNT OF APPROPRIATION FOR
,t. (I v7o t D 9 as 1) O�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
WEPT. I hereby certify that the attached invoice(s), or
9// V DD 75 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
-711s.. 20 o
Signature
MAJOIC,
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund