166569 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360611 Page 1 of 1
ONE CIVIC SQUARE BANK OF NEW YORK MELLON
CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 FINANCIAL CONTROL BILLING DEPT
PO Box 19445 CHECK NUMBER: 166569
NEWARK NJ 07195 -0445
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION
1150 4354003 1356073 400.00 2002 STREET /FLEET BON
't
DDR 129 Page 1 of 1
A
TFTE BANK OF NEW YORK MELLON INVOICE
I Bank of Nev, York Mellon
Trust Cornp_;ny. N.A.
000129 XBFSD201
CARMEL CITY INDIANA p
ATTN DIANA CORDRAY O
r CLERK TREASURER O
CITY HALL 1 CIVIC SQUARE
CARMEL, IN 46032 N Invoice Date
J
25- Nov -08
FiRRe Account: Invoice Number 1356073
CITY OF CARMEL INDIANA COUNTY OPTION Account Number: CARMEL02
INCOME TAX REVENUE BONDS SERIES 2002 Invoice Date: 25- Nov -08
Billing Period: 01- Dec -07 to 30- Nov -08
Administrator: Sharon Karst
Center Name: Indianapolis
Phone Number 317- 637 -7774
Currency: usD
Quantity Rate Subtotal Total
Flat
Paying Agent Fee' 400.00
Subtotal: 400.00
Satisfied To Date: 0.00
1 0 Balance Due: 400.00
Terns Payable Up Re ceipt. Please reference the invoice and account number with your remittance.
Our Tax ID Number is 9�7_Y 55$� ease fax Taxpayer Certification requests to (315) 362- 1221.
Check Payment Instructions: Wire Payment Instructions:
The Bank Of New York Mellon The Bank Of New York Mellon
Financial Control Billing Department ABA #021000018
PO Box 19445A Account GLA 4111-565
Newark: NJ-07 -195- 0445 For further credit -T -AS 41016760
Please enclose the billin"ub. Please reference invoice and account numbers.
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.
1
Payee f
✓l�/ v v1u �I f i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�eS qC0
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
I
150 X03
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
6)Q f J 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund