HomeMy WebLinkAbout199797 08/02/2011 CITY OF CARMEL, INDIANA VENDOR: 353561 Page 1 of 1
ONE CIVIC SQUARE BRIGHT HOUSE NETWORK
O PO BOX 30262 CHECK AMOUNT: $512.02
CARMEL, INDIANA 46032
TAMPA FL 33630 -3262 CHECK NUMBER: 199797
CHECK DATE: 8/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355400 79.95 204131301
1110 4355400 64.95 404277701
1115 4350900 64.95 401476101
1115 4350900 64.95 401612001
1160 4344200 64.95 204235901
1207 4349500 172.27 200203202
b r ight
h ouse Account Billing Period Due Date Amount Due
NETWORKS 204235901 08/01 -08/31 08/12/11 $64.95
Service Address: Customer Code: 4983
1 Civic Sq This statement reflects payments received through July 22, 2011.
Carmel IN 46032
Previous Activity
Previous Balance $64.95
Payments Received $64.95 CR
We are proud to offer great Previous Remaining Balance $0.00
entertainment choices for you and
your family. If you have any
i questions or would like to try Current Charges
additional servic plea contact T High_Spged._Internet- services_ $64.95
one of our Customer
Specialists. Total Balance Due $64.95
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of $4.50, your Total Balance Due must be
received in our office no later than the Due Date on your billing statement. Thank You
Important Information: Customer Code (Located below Your Account Number)
Your customer code is a unique identifer that we use to ensure the protection of your
personal' information. You may be asked to identify your customer code when
EASYpay: Sign -up todayl registering for online access to your account and billing information. You will have to
Never miss a payment again. Pay enter your Customer Code during the Home Phone registration process. If this
your bill automatically each month process is not completed you will not be able to view your Bright House Networks call
with a credit card, debit card, details online.
checking or savings account. You
can sign -up by filling out the For immediate closed captioning complaints, please call 1-800- 753 -2253. Written
EASYpay enrollment form included complaints may be mailed to M. Higginbotham, Closed Captioning Coordinator, at
on the back of this statement or Bright House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by fax
enroll online at brighthouse.com (317)713 -0043 or email to ClosedCaptioninP-IND @mybrighthouse.com
bright r &S)
FFMonthmly ccount 204235901 Detail
house
NETWORKS Charges for 08/01 -08/31
T�
Payment History
For your convenience, if you 07/13 Payment Thank you! $64.95 CR
provide a check as payment, you High Speed Internet services
authorize Bright House Networks
to use the information from your 08/01 -08/31 Business Solutions Static IP Address $0.00
check to make a one -time 08/01 -08/31 Business Solutions Service $64.95
electronic fund transfer from your
account. If you have any
questions, please call our Monthly Charges $64.95
Customer Care number. To assist Previous Remaining Balance $0.00
you in future payments, your bank Total Balance Due $64.95
or credit card information may be
electronically stored in our system
in a secure encrypted manner.
Sales Service Centers
3030 Roosevelt Ave
Indianapolis, IN 46218
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:00am to 6:00pm
Saturday 8:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1 (866) 713 -3278
or visit our website at Please email all t
d ti
uesons an concerns o: customersu pport.indiana@mybrighthouse.com 4 pport.indianaC�mybrighthouse.com
Fiber Customers, please call
1 (877) 424 -6249. Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington St., Suite 1500 E.,
Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268. Your FCC Community Unit ID number is IN0087.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bright House Networks
IN SUM OF
P. O. Box 7256
Indianapolis, IN 46207 -7256
$64.95
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 Statement 43- 442.00 $64.95 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
Friday, July 29, 2011
Mayor
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))
07/22/11 Statement $64.95
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
1 20
Clerk- Treasurer
bright
h ouse Account Billing Period Due Date Amount Due
NETWORKS
401476101 07/29 -08/28 08/07/11 $64.95
Service Address: Customer Code: 5328
31 1st Ave NW This statement reflects payments received through July 17, 2011.
Carmel IN 46032
Previous Activity
Previous Balance $64.95
Payments Received $64.95 CR
i We are proud to offer great
Previous Remaining Balance $0.00
entertainment choices for you and
your family. If you have any
questions or would like to try Current Charges
additional services, please contact High Speed Internet services $64.95
one of our Customer Care -Total Balance Due
$64.95
Specialists.
i Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of $4.50, your Total Balance Due must be
received in our office no later than the Due Date on your billing statement. Thank You
Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifer that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
EASYpay: Sign -up todayl registering for online access to your account and billing information. You will have to
Never miss a payment again. Pay enter your Customer Code during the Home Phone registration process. If this
your bill automatically each month process is not completed you will not be able to view your Bright House Networks call
with a credit card, debit card, details online.
checking or savings account. You
can sign -up by filling out the For immediate closed captioning complaints, please call 1-800- 753 -2253. Written
EASYpay enrollment form included complaints may be mailed to M. Higginbotham, Closed Captioning Coordinator, at
on the back enrollment
this statement a Bright House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by fax
enroll online at brighthouse.com (317)713 -0043 or email to ClosedCaptionin INg D @mybrighthouse.com
bright Customer Account 401476101 Detail
h ouse
NETWORKS Monthly Charges for 07/29 -08/28
T�
Payment History
For your convenience, if you 07/13 Payment Thank you! $64.95 CR
provide a check as payment, you High Speed Internet services
authorize Bright House Networks
to use the information from your 07/29 -08/28 Business Solutions Static IP Address $5.00
check to make a one -time 07/29 -08/28 Business Solutions Service $59.95
electronic fund transfer from your
account. If you have any
questions, please call our Monthly Charges $64.95
Customer Care number. To assist Previous Remaining Balance $0.00
you in future payments, your bank Total Balance Due $64.95
or credit card information may be
electronically stored in our system
in a secure encrypted manner.
Sales &Service Centers
3030 Roosevelt Ave
Indianapolis, IN 46218
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:00am to 6:00pm
Saturday 8:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866) 713 -3278
or visit our website at Please email all uestions and concerns to: customersu pport.indiana@mybrighthouse.com
4 pport.indiana @mybrighthouse.com
Fiber Customers, please call
1 (877) 424 -6249. Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington St., Suite 1500 E.,
Indianapolis, IN 46204,(317)232-2712 or toll free 1- 800 851 -4268. Your FCC Community Unit ID number is IN0087.
bright
®use Account Billing Period Due Date Amount Due
NETWORKS 401612001 07/24 -08/23 08/02/11 $129.90
Service Address: Customer Code: 3268
459 3rd Ave SW This statement reflects payments received through July 12, 2011.
Carmel IN 46032
Previous Activity
Previous Balance $129.90
Payments Received $64.95 CR
We are proud to offer great Previous Remaining Balance $64.95
entertainment choices for you and
your family. If you have any
questions or would like to try Current Charges
additional services, please contact High Speed Internet services $64.95
one of our Customer-Care
Specialists. Total Balance -Due
$129:90
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of $4.50, your Total Balance Due must be
received in our office no later than the Due Date on your billing statement. Thank You
Important Information: Customer Code (Located below Your Account Number)
Your customer code is a unique identifer that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
EASYpay: Sign -up todayl registering for online access to your account and billing information. You will have to
Never miss a payment again. Pay enter your Customer Code during the Home Phone registration process. If this
your bill automatically each month process is not completed you will not be able to view your Bright House Networks call
with a credit card, debit card, details online.
checking or savings account. You
n sign -up by filling out the For immediate closed captioning complaints, please call 1- 800 753 -2253. Written
ca
EASY n s enrollment form included complaints may be mailed to M. Higginbotham, Closed Captioning Coordinator, at
on the back of this statement or Bright House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by fax
enroll online at brighthouse.com (317)713 -0043 or email to ClosedCagtionin INg D @mybrighthouse.com
b ri g ht Customer Account 401612001 Detail
h ouse Wj Monthly NETWORRS Charges for 07/24
Payment History
Faputhorize onvenience, if you 07/13 Payment Thank you! $64.95 CR
ck as payment, you High Speed Internet services
ght House Networks
formation from your 07/24 -08/23 Busi ness Solutions Static IP Address $5.00
check to make a one -time 07/24 -08/23 Business Solutions Service $59.95
electronic fund transfer from your
account. If you have any
questions, please call our Monthly Charges $64.95
Customer Care number. To assist Previous Remaining Balance $64.95
you in future payments, your bank Total Balance Due
$129.90
or credit card information may be
electronically stored in our system
in a secure encrypted manner.
Sales &Service Centers
3030 Roosevelt Ave
Indianapolis, IN 46218
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:00am to 6:00pm
Saturday 8:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866) 713 -3278
or visit our website at Please email all t
t
d ti
uesons an concerns o: customersupport.indiana@mybrighthouse.com
4 pport.indiana @mybrighthouse.com
htt
p 1J
Fiber Customers, please call
1 (877) 424 -6249. Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington St., Suite 1500 E.,
Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268. Your FCC Community Unit ID number is IN0087.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brighthouse
IN SUM OF
P. O. Box 7256
Indianapolis, IN 46207
$129.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 43- 509.00 $64.95 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1115 43- 509.00 $64.95
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, July 26, 2011
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))
07/18/11 $64.95
07/25/11 $64.95
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
bright
h ouse Account Billing Period Due Date Amount Due
NETWORKS 200203202 08/01 -08/31 08/12/11 $172.27
Service Address: Customer Code: 8922
12120 Brookshire Pkwy This statement reflects payments received through July 22, 2011.
Carmel IN 46033
Previous Activity
Previous Balance
$172.27
Payments Received $172.27 CR
We are proud to offer great Previous Remaining Balance $0.00
entertainment choices for you and
your family. If you have any
questions or would like to try Current Charges
additional services, please contact Cable Television services $102.97
one of our customer Care High Speed Internet services $64.95
g p
Specialists.
Taxes and Fees $4.35
Total Balance Due $172.27
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of $4.50, your Total Balance Due must be
received in our office no later than the Due Date on your billing statement. Thank You
Important Information: Customer Code (Located below your Account Number)
EASYpay: Sign -up today! Your customer code is a unique identifer that we use to ensure the protection of your
Never miss a payment again. Pay personal information. You may be asked to identify your customer code when
your bill automatically each month registering for online access to your account and billing information. You will have to
with a credit card, debit card, enter your Customer Code during the Home Phone registration process. If this
checking or savings account. You process is not completed you will not be able to view your Bright House Networks call
can sign -up by filling out the details online.
FASYpay enrollment form included
on the back of this statement or For immediate closed captioning complaints, please call 1-800- 753 -2253. Written
enroll online at brighthouse.com complaints may be mailed to M. Higginbotham, Closed Captioning Coordinator, at
Bright House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by fax
(317)713 -0043 or email to ClosedCaptionin INg DQmybrighthouse.com
bright Customer Account 200203202 Detail
h ouse Monthly Charges for 08/01 -08/31
NETWORKS 77
Payment History
For your convenience, if you 07/13 Payment Thank you! $172.27 CR
provide a check as payment, you
authorize Bright House Networks Cable Television services
to use the information from your Cable Television Service Includes:
check to make a one -time 08/01 -08/31 Basic Cable $23.59
electronic fund transfer from your
account. If you have any 08/01 -08/31 Cable Networks Tier $55.35
questions, please call our Total Cable Television Services $78.94
Customer Care number. To assist
you in future payments, your bank Interactive TV services
or credit card information may be 08/01 08/31 Variety Pack
electronically stored in our system
in -a secure encrypted manner. 08/01 08/31 Equipment
Total Interactive TV services $24.03
High Speed Internet services
08/01 -08/31 Business Solutions Service $64.95
Taxes and Fees
Sales Service Centers Franchise Fee $4.35
3030 Roosevelt Ave Monthly Charges $172.27
Indianapolis, IN 46218 Previous Remaining Balance $0.00
6845 E Highway 36 Total Balance Due $172.27
Suite #500
Avon, IN 46123
Mon Fri 8:00am to 6:00pm
Saturday 8:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1 (866) 713 -3278
or u
visit or website at Please email all i d q uestions an concerns to: customers
httg: /bu visit o web house.com 4 pport.1ndiana @mybrighthouse.com
Fiber Customers, please call
1 (877) 424 -6249. Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington St., Suite 1500 E.,
Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268. Your FCC Community Unit ID number is IN0087.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bright House Network
Accounts Receivable IN SUM OF
P.O. Box 7256
Indianapolis, IN 46207 -7256
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1207 200203202 43- 495.00 $172.27 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
Monday, August 01, 2011
Director, Brooksh Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199
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))
07/22/11 200203202 Cable $172.2
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
bp0ht
house se Account Billing Period Due Date Amount Due
NETWORKS
404277701 08/06 -09/05 On Receipt $134.40
Service Address: Customer Code: 5607
1924 Franklin Blvd Apt E This statement reflects payments received through July 25, 2011.
Carmel IN 46032
Previous Activity
Previous Balance $64.95
Previous Remaining Balance $64.95
We are proud to offer great
entertainment choices for you and
your family. If you have any Current Charges
H Speed Internet services $64.95
questions or would like to try g p
additional services, please. contact Other Charges $4.50
one of our Customer Care Total Balance Due $134.40
Specialists.
Your account balance is PAST DUE. To avoid interruption in your service call 972 -9700
with a credit card payment, check by phone or stop by the nearest payment center.
In order to avoid a minimum late fee of $4.50, your Total Balance Due must be
received in our office no later than the Due Date on your billing statement. Thank you.
Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifer that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
EASYpay: Sign -up today! registering for online access to your account and billing information. You will have to
Never miss a payment again. Pay enter your Customer Code during the Home Phone registration process. If this
your bill automatically each month process is not completed you will not be able to view your Bright House Networks call
with a credit card, debit card, details online.
checking or savings account. You
can sign -up by filling out the For immediate closed captioning complaints, please call 1-800 -753 -2253. Written
EASYpay enrollment form included complaints may be mailed to M. Higginbotham, Closed Captioning Coordinator, at
on the back of this statement or Bright House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by fax
enroll online at brighthouse.com (317)713 -0043 or email to ClosedCaptionini�IND Qmybrif�hthouse.com
I
bright r h ouse Customer Account 404277701 Detail
NETWORKS Monthly Charges for 08/06-09/05
T�'
High Speed Internet services
For your convenience, if you 08/06 -09/05 Business Solutions Service $64.95
provide a check as payment, you Other Charges
authorize Bright House Networks
to use the information from your 07/26 Late Fee Charge $4.50
check to make a one -time
electronic fund transfer from your Monthly Charges $69.45
account. If you have any
questions, please call our Previous Remaining Balance $64.95
Customer Care number. To assist Total Balance Due $134.40
you in future payments, your bank
or credit card information may be
electronically stored in our system
in_a- secure_encrypted� manner
I LL J�
Sales Service Centers
3030 Roosevelt Ave
Indianapolis, IN 46218
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:00am to 6:00pm
Saturday 8:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1 (866) 713 -3278
or visit our website at Please email all questions and concerns to: customersupport indiana@mybrighthouse.com
http: /business.brighthouse.com
Fiber Customers, please call
1 (877) 424 -6249. Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington St., Suite 1500 E.,
Indianapolis, IN 46204, (317)232 -2712 or toll free 1.800. 851 -4268. Your FCC Community Unit ID number is IN0087.
br ight
h ouse O Account Billing Period Due Date Amount Due
NETWORKS
204131301 08/01 -08/31 08/12/11 $79.95
Service Address: Customer Code: 8464
12111 Brookshire Pkwy This statement reflects payments received through July 22, 2011.
Carmel IN 46033
Previous Activity
Previous Balance $79.95
Payments Received $79.95 CR
We are proud to offer great Previous Remaining Balance $0.00
entertainment choices for you and
your family. If you have any
questions or would like to try Current Charges
additional servic please contact e
High ed Internet services $79.9
-g-
one of our Customer Care Total Balance Due
Specialists $79.95
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of $4.50, your Total Balance Due must be
received in our office no later than the Due Date on your billing statement. Thank You
Imoortant Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifer that we use to ensure the protection of your
personal' information. You may be asked to identify your customer code when
EASYpay: Sign-up today) registering for online access to your account and billing information. You will have to
Never miss a payment again. Pay enter your Customer Code during the Home Phone registration process. If this
your bill automatically each month process is not completed you will not be able to view your Bright House Networks call
with a credit card, debit card, details online.
checking or savings account. You
n sign -up by filling out the For immediate closed captioning complaints, please call 1-800- 753 -2253. Written
ca complaints may be mailed to M. Higginbotham, Closed Captioning Coordinator, at
E4SY n s enrollment form included
on the back enrollment
this statement a Bright House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by fax
enroll online at brighthouse.com (317)713-0043 or email to ClosedCaotioninglND @mybrighthouse.com
i
i
right rZA S-) Customer Account 204131301 Detail
Monthly Charges for 08/01 -08/31
NETWORKS T�
Payment History
For your convenience, if you 07/13 Payment Thank you! $79.95 CR
provide a check as payment, you High Speed Internet services
authorize Bright House Networks
to use the information from your 08/01 08/31 Business Solutions Service $79.95
check to make a one time
electronic fund transfer from your Monthly Charges $79.95
account. If you have any
questions, please call our Previous Remaining Balance 0.00
Customer Care number. To assist Total Balance Due $79.95
you in future payments, your bank
or credit card information may be
electronically stored in our system
in _a- sec uce_enc_rypted_manner.-__-
Sales Service Centers
3030 Roosevelt Ave
Indianapolis, IN 46218
6845 E Highway 36
Suite #500
Avon, IN 46123
Mon Fri 8:00am to 6:00pm
Saturday 8:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1 (866) 713 -3278
or visit our website at
Please email all questions and concerns to: customers upport.indianaQmybrighthouse.com
htto: /business.brifshthouse.com
Fiber Customers, please call
1 (877) 424 -6249. Your franchising authority is the Indiana Utility Regulatory Commission, 101 W. Washington St., Suite 1500 E.,
Indianapolis, IN 46204, (317)232 -2712 or toll free 1- 800 851 -4268. Your FCC Community unit ID number is IN0087.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bright House
IN SUM OF
P.O. Box 30262
Tampa, FL 33630 -3262
$144.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 554.00 $64.95 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 43- 554.00 $79.95
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, July 29, 2011
Chief of Police
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))
07/29/11 monthly payment $64.95
07/29/11 monthly payment $79.95
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