HomeMy WebLinkAbout156383 02/11/2008 f CITY OF CARMEN. INDIANA VENDOR: 359957 Page 1 of 1
b ONE CIVIC SQUARE BLOCKOMS GOLF MANAGEMENT CO L> C�ECK AMOUNT: $996.86
CARMEL, INDIANA 46032 7033 SEA OATS LANE
INDIANAPOLIS IN 46250 CHECK NUMBER: 156383
CHECK DATE: 2/11/2008
DEPARTMENT ACCOUNT Pb NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4347500 470.00 GENERAL INSURANCE
905 4350900 526.86 PAYROLL FEES
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CLEVELAND OH 44131
I nvoice 345078
February 1, 2008 Page 1
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Accounts receivable number:
00034 740397
C008
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PAUL BLOCKOMS
Any questions? Call your ADP BLOCKOMS GOLF MANAGEMENT
service representative, 12120 BROOKSHIRE PARKWAY
Focus Team (800)537 -1237 CARMEL IN 46033 -3314
Current Charges Autopayr II Company code 63J
Processing Charges for period ending 01131,2008
6 Pays 61.10
Check Signing at no charge
Labor Distribution 9.75
Total Tax at no charge
YTD Download at no charge
CheckView Processing Fee at no charge
For Payroll Delivery Only 8.00
24 Hr. Service a t charg
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BLOCKOMS GOLF MANAGEMENT CO.
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Return Stub Accounts receivable number: 00034 740397
BLOCKOMS GOLF MANAGEMENT Product- Company code: 1063)
Mail payment to:
Invoice number: 345078
Invoice date: 0210112008
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ADP, INC. Total due this invoice: $178.85 e
P.0 BOX 78415 Payment due date: 02108/2008
PHOENIX AZ 85062 -6415 y
Amount enclosed: I s
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CLIENT# 0051 -5441 INVOICE# 20080131
9405 DELEGATES RON
INDIANAPOLIS, IN 46240 TOTAL AMOUNT DUE
$348.01
AMOUNT ENCLOSED
PLEASE PAY TOTAL AMOUNT DUE BY 02/11/08
TO ENSURE PROPER CREDIT. PLEASE WRITE YOUR CLIENT NUMBER
ADDRESS SERVICE REOUESTED ON YOUR CHECK AND RETURN THIS PORTION WITH YOUR PAYMENT.
0051 -5441 PAYCHEX, INC.
BLOCKOMS GOLF MANAGEMENT PO BOX 4482
COMPANY LLC CAROL STREAM, IL 60197 -4482
12120 BROOKSHIRE PARKWAY i
CARMEL IN 46033 �I��u��111er1��111ra11eu1y11n1 &11111111 Lill Ill 3almlr1leled
005 000000000000DO0504040l 200180131130 138000034801 5
IF YOU HAVE QUESTIONS ABOUT YOUR ACCOUNT, PLEASE CALL (317) 815 -9300 PAGE 1 OF 1
CLIENT 0051 -5441 BLOCKOMS GOLF MANAGEMENT INVOICE DATE 01/31108
BILLING PERIOD 12 TO 01/31/08 INVOICE 20080131
DATE I DESCRIPTION SERVICI S AMOUNT ACCOUNT SUMMARY
PREVIOUS BALANCE
12/27107 INVOICE 20071227 DUE: 01/10/08 113.74 TOTAL PREVIOUS BALANCE 113.74
I I PAYMENTS
01/14/08 RECEIVED THANK YOU -113.74 PAYMENTS 113.74
CHARGES 12128/07 TO 01131108
011121(}8 6 PAYROLL /TAXPAY 55.71 PAST DUE AMOUNT 0.00
01112/08 6 FLEXIBLE PAY PACKAGE 12.3
01/12108 SPECIAL OFFER -27.2
49 W -2 PROCESSINGIHANDLING 277.7 CURRENT CHARGES 348.01
1 DELIVERY 7
QUARTER END /YEAR END DELIVERY 21.9
TOTAL AMOUNT DUE 348 -01
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WALKER ASSOCIATr-S INSURANCE• Pebru,�� 2, 2008
PO BOX 19445 Page I
INDIANAPOLIS, IN 46219 -0445 SELECTNE QD
Insur=er
Phone No. 317 -353 -8000
BLOCKOMS GOLF MANAGEMENT CO LLC DBA BR
7033 SEA OATS LN
INDIANAPOLIS IN 46250 -4131
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ACCOUNT 8 93 -976 -3 SUMMARY
Save Time In Your Day,
Previous Amount Due S 916.0 0 Use ISelectP
Payment Received Thank You S 1,356.00
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BLOCKOMS GOLF MANAGEMENT CO.
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Name on Account Account Number Account Balance Minimum Amt. Due Due Date Amount Enclosed
BLOCKOMS GOLF MANA 893 -876 -356 2,272 -00 T 470.00 02/23/08
Make Check Payable To Seleedve Insurance Company of America Mail Payment to:
Selective Insurance Company of America
Box 371468
Pittsburgh PA 15250 7468
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Prescribed by Slate Board of Acc`dunts 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.
II �n/1 Payee
0 t Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
m I w S
s �vv
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
qq
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9 7.b bill(s) is (are) true and correct and that the
.�6 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund