162090 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359506 Page 1 of 1
i 0 ONE CIVIC SQUARE V G M FINANCIAL SERVICES CHECK AMOUNT: $790.71
�o P 0 BOX 78523 CARMEL, INDIANA 46032
MILWAUKEE WI 53278 -0523 CHECK NUMBER: 162090
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
905 4463500' 1171583 790.71 GROUNDS MAINT EQUIPME
42336/001 1 1 165 619 0000018272
1111 West San Marnan Drive INVOICE
Waterloo, IA 50701
800- 643- 4354(phone)
Financial Services 319 833 -4577 (fax)
"We're more than money" Invoice.No >7Invoice'Date Page No.
1171583 06/13/2008 1
0000018272 AADC 350 For customer service contact: 800 643 -4354
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
s Customer r Invoice Due
Account Number °Invoice Date,. =Number Date
4009604 06/13/2008 1171583 5th of Month
.,Current :Past Due Past,Due� Past Due Total
Contract No:; :Invoice Description...: -Char es t =30 Da° s °31= 6f)`Da s 61 °Da s�_ i 'Due,
004 4009604 001 KENNY MULTIPRO1250
Payment Due 790.71 790.71 0.00 0.00 1,581.42
Late Charges 0.00 0.00 0.00 25.00 25.00
o
I
N
Vl
I
O
CD
O
W
N
W
Total Z $790.71 $790.71 $0.00 1 $25.00 $1,606.42
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,. where performed, dates service rendered, by
hom, 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))
/►3 /oti J�I�c
7 9 0, 7/
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
^yF_R NO. -WARRANT NO.
ALLOWED 20
y c ic IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
C 1 0S 3%� C
Board Members
PO# or INVOICE NO. ACCT #!TI LE AMOUNT
,DEPT. I hereby certify that the attached invoice(s), or
C j ICI �j bill(s) is (are) true and correct and that the
�'O, 71 materials or services itemized thereon for
which charge is made were ordered and
received except
of
Signature
r
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund