160547 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352392 Page 1 of 1
`s 0 ONE CIVIC SQUARE RECALL TOTAL INFORMATION CHECK AMOUNT: $222.28
CARMEL, INDIANA 46032 PO BOX 101057
ti�hoH ATLANTA GA 30392 -1057 CHECK NUMBER: 160547
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1202 R43SO900 16588 2070150425 222.28 OFF SITE TAPE STORAGE
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Inv oice Invoice Total $222.28
20701504
Inv oice 05/25/2008
Cust omer 10007229
Bill DPS 0000125 05312008
City of Carmel
Mr. Terry Crockett
#3 Civic Square
Carmel IN .1
For Billing questions, please call 1-866-732-2558
Terms Service PO No Operational Cust N•
1 Days 04/26/2008 05/25/2008 0705 3994
Descri ption Quanity Unit Price To
Data ee 1 $111.14 $111.14
age Cartridge 24 $0.25 $6.00
Minimum Storage Adjustment 1.00 $105.14 $105.14
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Inv oice To tal:
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Prescribe(y 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))
207016042-5 Data Entry Fee, Sturage DLT/LTO Cal Lr e,
Minimum Storage Adjustment
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 b@/ NO.
R e C alr Total Information Mgt ALLOWED 2 0
�o IN SUM OF
P.O. Box 101057
.A t.I n+ GA 3 992 1057
$222.28
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1202 Information Systems
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
part 070115 5-0-9- —422-2-.28
materials or services itemized thereon for
which charge is made were ordered and
received except
20
o
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund