192897 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 254452 Page 1 of 1
ONE CIVIC SQUARE PURDUE UNIVERSITY CHECK AMOUNT: $180.00
s �,r CARMEL, INDIANA 46032 UNIV COLLECTIONS OFFICE
24025 NETWORK PLACE CHECK NUMBER: 192897
CHICAGO IL 60673 -1240
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4357004 3008711 180.00 EXTERNAL INSTRUCT FEE
PURDUE Mail checks or certified funds to: Personall make pay ments at: Contact us at:
Purdue University Bursar's Office TEL 765 494 -9459
U N I V E R S I T Y University Collections Office Hovde Hall FAX 765 494 -9154
24025 Network Place Monday through Friday ar @purdue.edu
INVOICE Chicago, IL 60673 -1240 8:30am -noon or 1- 4:30pm www.purdue.edu /uco
*AUTO` *ALL FOR AADC 462 T11 P1 Page 1/2
Carmel Street Department Invoice Date: 12/01/10
3400 W 131 st St Amount Due: 180.00
Westfield IN 46074 -8267 Business Partner: 3008711
Posting Document No. Description of Invoice Due Date Amount
Date
11/30/2010 1000041928 7956 -Eric Russell- Pavement Wrkshp- 12/25/2010 $60.00
PO #21456
11/30/2010 1000041927 7956 -Jim Hobbs Pavement Wrkshp- 12/25/2010 $60.00
PO #21456
11/30/2010 1000041926 7956 -James Bentley- Pavement 12/25/2010 $60.00
Wrkshp -PO #21456
Total $180.00
Please see reverse side of this notice for important information.
Detach and return lower portion with payment.
Page 2/2
%F% IMPORTANT INFORMATION REGARDING YOUR ACCOUNT
To better serve you, if you have a specific question regarding a charge from one of the areas listed below, please
contact their direct number for information.
Student Health Center Charge (765) 494 -1677 Other Current Charges (765) 494 -9459
Conference /Continuing Education Charge (765) 494 -7209 Past Due Charges (765) 496 -6599
Veterinary Teaching Hospital Charge (765) 496 -6093 Ag. County Extension Ofc. (765) 494 -8514
Library Charge (765) 494 -0369
NOTICE T STUDENT CUSTOMERS: STU DENT ACADEMIC REC WILL BE AUTOMATICALLY ENCUMBERED IF CHARGE
ARE NOT PAID BY TH ORIGINAL DUE DAT
Please be sure to include your Bus Partn number in the memo section of the wire transfer for proper credit.
Credit Ca P ay men ts: Contact (765) 494 -9459 or reference the following for payment instructions.
http: /mw purdue. edu /uco /Accts_Rec /payment_optipi s .htm>
Retu Checks, D or Orders: All returned checks, drafts, or orders are subject to the maximum service charge allowed by law.
No Pa and Coll ection Costs: In the event of non payment of this invoice, the University shall be entitled to all additional costs refer-
enced in Indiana Code 21- 14 -2 -11, which states; "Notwithstanding any other law, a state educational institution (as defined in IC 21- 14 -2 -1), in
collecting amounts owed it, may, in the event of default and referral to an attorney or collection agency, add to the amount collected the follow-
ing: 1) The amount of attorney's fees incurred in the collection of the debt. 2) The amount of collection agency fees incurred in the collection of
the debt. 3) The amount of court costs incurred in the collection of the debt." Any judgment entered shall be without relief from valuation and
appraisement laws. The parties agree that the exclusive venue for any dispute resolution brought under this Invoice shall be the courts of Tip-
pecanoe County, Indiana.
In Case of Errors o r Questions Abo Your Ac count_ If you need additional information about a transaction or invoice on your statement,
please contact us at 765 494 -9459 or ar @purd <m @purdue.edu If you think your statement is wrong, you must write to us on a
separate sheet of paper and send to Purdue University, Accounts Receivable, Schleman Hall of Student Services, Room 350, 475 Stadium Mall
Drive, West Lafayette, IN. 47907 -2050. We must hear from you no later than 60 days after we've sent the first statement on which the error or
problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter please provide us with the following
information:
Your name, Business Partner number and telephone number
The dollar amount of the suspected error.
Describe the error or invoice and explain why you believe it is an error. If you need more information, describe the item in question.
Please sign and date the correspondence.
You do not have to pay any amount in dispute while we are investigating your question, but you are still obligated to pay the parts of your state-
ment that are not in question. While we investigate your question, we cannot report you as delinquent on the disputed item or take any action
to collect the amount in dispute. We must acknowledge your letter within thirty (30) days unless we have corrected the error by then. Within
ninety (90) days, we must either correct the error or explain why we believe the charge is correct.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Purdue University
CEC Business Office
IN SUM OF
Stewart Center, Room 110, 128 Memorial Mall
West Lafayette, IN 47907 1586
$180.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT #lTiTLE AMOUNT
Board Members
21456 3008711 43- 570.04 $180.00 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
/Frida December 10, 2010
Street CommissioArr'
greet -gym r� ss�oner
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))
12/01/10 3008711 $180.00
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