192477 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 162800 Page 1 of 1
1J ONE CIVIC SQUARE INFORMATION SERVICES AGEN. CHECK AMOUNT: $175.00
CARMEL, INDIANA 46032 200 E WASHINGTON
a� SUITE 1942CITY COUNTY BD CHECK NUMBER: 192477
+;r
INDIANAPOLIS IN 46204
CHECK DATE: 12/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 175.00 OTHER CONT SERVICES
INFORMATION SERVICES AGENCY
OF INDIANAPOLIS AND MARION COUNTY
200 East Washington Street
Suite 3942
Indianapolis, Indiana 46204 -3327
Chargeback Account Invoice /Statement
Statement Date: 1013112010
Bill To Pap To
Account X800830
Carmel Clay Communication Ctr Information Services Agency
31 First Avenue Northwest 200 E. Washington
Suite 1960
Carmel, IN 46032 Indianapolis, IN 46204
ATTN: Janet Amone
Rate Description Units Aniount YID Units YTD Anmount
Base Billing Information
Base Rate 0.00 $150.00 0.00 $1,500.00
Monthly Access Fee 0.00 $25.00 0.00 $250.00
SubTotal: Base Billing Information 0.00 $175.00 0.00 $1,750.00
Total For: Current Month 0.00 $175.00 0.00 $1,750.00
Total For: Carmel Clay Communication Ct $175.00
PLEASE RETURN THIS PORTION WITH YOUR PA YMENT
Carmel Clay Communication Ctr Account: X800830
AMOUNT PAID:
*For detailed information or questions please call ISA at 327- 3100
VOUCHER NO. WARRANT NO.
ALLOWED 20
Information Services Agency
IN SUM OF
200 E. Washington Street, Ste.1942
Indianapolis, IN 46204
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# 1 Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
1115 I I 43- 509.00 I $175.00
L 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
Wednesday, December 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))
10/31/10 I I $175.00
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