HomeMy WebLinkAbout163029 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 359506 Page 1 of 1
0 ONE CIVIC SQUARE V G M FINANCIAL SERVICES CHECK AMOUNT: $790.71
4 CARMEL, INDIANA 46032 P 0 BOX 78523
MILWAUKEE WI 53278 -0523 CHECK NUMBER: 163029
CHECK DATE: 8120/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4353099 1196385 790.71 OTHER RENTAL LEASES
I
1111 West San Marnan Drive INVOICE
Waterloo, IA 50701
800- 643-4354(phone)
Financial Services 319 833 -4577 (fax)
IY'e'ty more than mono" Invoice No. Invoice Date Page No.
1196385 07/14/2008 1
0000038504 ..........AUTO"MIXED AADC 350 For customer service contact: 800 -643 -4354
111111, IL1111111111911111111111111111111111111111111111931111 Please call customer service with any address
Attn: PAUL BLOCKOMS changes or questions about your invoice.
BROOKSHIRE FIRST MORTGAGE LLC
12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 -3314
Customer Invoice Due,
Account Number Invoice Date Number Date
4009604 07/14/2008 1196385 5th of Month
Current Past Due Past Due Past Due Total
Contract No. Invoice Description Charges 1 -30,Days 31 -60 Days 61+ Days Due
004- 4009604 -001 KENNY- MULTIPRO1250
Payment Due 7 0.71 790.71 0.00 0.00 1,581.42
Late Charges 79.07 0.00 25.00 104.07
Total $790.71 $869.78 $0.00 $25.00 $1,685.49
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Prescribed by State Board of Accountg, 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,
6 M Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i l
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
To ��53
wouLL w 153P,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Cj(� grj `J3� 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
20
gt�4j,k- C:tVAA!P
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund