HomeMy WebLinkAbout157323 03/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352011 Page 1 of 1
ONE CIVIC SQUARE RESERVE ACCOUNT
CARMEL, INDIANA 46032 CHECK AMOUNT: $300.00
PO BOX 856056
LOUISVILLE KY 40285 -6056 CHECK NUMBER: 157323
CHECK DATE: 3/1212008
r
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 COMM CENTER 300.00 19285477
FROM•:CARMEL CLAY COMMUNICATIONS ADM FAX NO. :3175712588 Mar. 12 2008 01:32PM P2
RESERVE ACCOUNT DEPOSIT COUPON
Please return this coupon and your next postage deposit in the postage paid envelope provided
Office Manager Reserve Account No
(city Of (:rarmcl /Carmcl Clay Communica Amount:
UpdatC the following information or Return a completed W9 Norm with your Reserve Deposit'
�7. Please indicate if your company is )ne or more of the following
TAX IDENTIFICAT109 NUMBER 0 Partnership of Proprietor El Corporation El Other
Bank ,99'tatc /Govt A9e1 tey C) Non Profit M Foreign
Certification. Under penalties of perjury, I certify that! (1) The num her shown above is m) correct taxpayer idontifieatlnn number (or I Rnl waiting
for a number to he issued to me); (2) I stnit not subject to backup withholding because (a) f am exempt from haelnlp withholding, or (b) l have not
been notified by the internal Revenue Service (IRS) that 1 am subject to backup withholds yA as a result of a failure to report all interest or dividends,
or (e) the MS has notified ale that I stn no longer subject to backup withholding; and (3) 1 am a U.S. person (including a U.S. Resident Alien), if you
have been notified by the IIL9 that you are subject to backup withholding, cross out item 2 above.
Sign rc of Principal
'118 TMOT Acs Overview
FA&Ml low i1ndnr file U8A PATRIOT Act requires us to obtain n Federal Taxpayer identiacarinn NottiWe (11 front eeeh n .etnnw npuglvg A Pltnoy Itnwns N114 AOR.1111t, This IF ynitr Employer
identificatlo8 Number (01N) If you are a Partnership, Corporation, Dank nr State of GaverntttEnt Agency, or Non-ProAt Or(, nir.Alluu, or your Noolel 8cuur[ty Number (NON) 1f yuu arc A Sole Prapricrnr.
VO NO. WARRANT NO.
ALLOWED 20
Pik ey Bowes Reserve Account
IN SUM OF
`4 ,,III
0. Box 856056
Louisville, KY 40285
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Dept. 1115
Carmel Clay Communications
PO# INVOICE NO. ACCT #/TITLE AMOUNT Board Members
43- 421.00 $300.00 1 hereby certify that the attached invoice(s), or
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
Tuesday, March 11, 2008
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/11/08 I I I $300.00
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