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162949 08/20/2008
CITY OF CARMEL, INDIANA VENDOR: 00352392 Page 1 of 1 0 it ONE CIVIC SQUARE RECALL TOTAL INFORMATION CHECK AMOUNT: $222.28 CARMEL, INDIANA 46032 PO BOX 101057 ATLANTA GA 30392 -1057 CHECK NUMBER: 162949 QOM CHECK DATE: 8/20/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 R4350900 16588 2070153742 222.28 OFF SITE TAPE STORAGE y INVOICE Page 1 Invoice Total $222.28 Invoice No. 2070153742 Invoice Date 06/25/2008 Customer No. 10007229 Bill To: DPS 0000123 07032008 City of Carmel Mr. Terry Crockett #j:3 Civic Square Carmel IN 46032 For Billing questions, please call 1 -866- 732 -2558 Terms Service Period PO No. Operational Cust No. 30 Days 05/26/2008 06/25/2008 0705.01.05 3994 Description Quanity Unit Price Total Data Entry Fee 1.00 $111.14 $111.14 Storage- DLT /LTO Cartridge 24.00 $0.25 $6.00 Minimum Storage Adjustment 1.00 $105.14 $105.14 Subtotal: $222.28 Invoice Total: $222.28 b o© 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 Recall Total Information Mgt Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) nR/gc;/np ?M1537.2 Dat2 Fntry Fee, Storage DLT4LTe Cartridge, $222.28 Minimum Stora 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 WARRANT NO. eca I otal Information Mgt ALLOWED 20 P.O. Box 101057 IN SUM OF Atlanta GA 30292 -1�Fi T vcrp $222.28 ON ACCOUNT OF APPROPRIATION FOR GENERALFUND 1202 Information Systems Board Members D PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or p artial 2070 28 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 3 ature Title Cost distribution ledger classification if claim paid motor vehicle highway fund