166363 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 00352392. Page 1 of 1
ONE CIVIC SQUARE RECALL TOTAL INFORMATION CHECK AMOUNT: $222.28
CARMEL, INDIANA 46032 PO BOX 101057
ATLANTA GA 30392 -1057 CHECK NUMBER: 166363
CHECK DATE: 11124/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1202 R4350900 16588 2070166775 222.28 OFF SITE TAPE STORAGE
r,
INVOICE
Page 1
Invoice Total $222.28
Invoice No. 2070166775
Invoice Date 10/25/2008
Customer No. 10007229
Bill To: DPS 0000021 10312008
City of Carmel
Mr. Terry Crockett
#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 09/26/2008 10/25/2008 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
1
e�
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
a Recall Total Information Mgt Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 W2510EC 207016677 5 Data Entry Fee, Storage DL I YL 10 Cartridge, $222.28
Min-mum Storage Adjustment
Total
1 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 461 2 1/08 WARRANT NO.
Rtzpn ALLOWED 20
IN SUM OF
Atl anta, GA 30392 -1057
$222.28
ON ACCOL dLREf�4 l-UFnDON FOR
1202 Information Systems
Board Members
16°# INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
is 66775 509 $222.28 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
Lil�h
Sig
t rw
z Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund