HomeMy WebLinkAbout166455 12/02/2008 CITY OF CARMEL, INDIANA VENDOR: T362092 Page 1 of 1
ONE CIVIC SQUARE INGERSOL -RAND FINANCIAL SERVICE- AMOUNT: $1,128.32
CARMEL, INDIANA 46032 PO BOX 6229
CAROL STREAM IL 60197 -6229 CHECK NUMBER: 166455
CHECK DATE: 12/2/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4350900 16851251 1.,128.32 OTHER CONT SERVICES
i
INVOICE
Please tear at perforation and return bottom
portion to expedite processing.
#nvotceIdumber Dat@ Issued Pag@
BROOKSHIRE FIRST MORTGAGE, LLC 16851251 November 08, 2008 1 of 1
BROOKSHIRE GOLF CLUB LFrsk
ATTENTION PAUL BLOCKOMS CUStomerfVumt @r GUStfii @rS @1VIC@
12120 BROOKSHIRE PKWY
CARMEL, IN 46033 0000305092 0001 888 212 -0724
Thank you for choosing us for your financing needs. Checks sent to an address, other than the
one on this invoice, constitutes your authorization for us to present to your financial
institution, for a ment, a substitute instrument of equal amount from the account referenced in your check.
Cpntract- her Payme
lJescripton Payment fast Ot Total n!
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Due GhaO Due
111 0200630 -003 07 IN Hamilto GON pp
DUE DATE 10/0 1 1,128.32
40 ELEC GOLF
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ACTNI
TOTAL DUE 1 128.32
CONTRACT NUMBER INVOICE NUMBER
Each lease that we service for you will have a Used to process your payments. This number will
contract number. Each contract number will have change each month.
AWN
equipment, payments, taxes, etc associated with
it. If you have more than one contract, each will
be assigned a number that will appeor on your daq .ODw The date our system printed the invoice.
invoice, ic" 55
r, PHONE NUMBER
isvm wr n, re99 r .wr
99999.W50 9a9.z9as99 Our Customer Service line number. When you place a
DESCRIPTION call to this number, please have your contract number
Describes the eq uipment and all char es that we c 1% ys w9 Ir�aaw' '(i r a handy. This will allow you to access our 'Quick Call"
g rbl�7j is-
o „IIR Ii h w 4 1PL,, f account information system. You can obtain current
are invoicing you. Each description will start with 0 Y
the make, model and lost six numbers of the balance, payment and other important account
equipment serial number. The due dote of our information. If you hove more than one contract
Y If ��uc c;�t ,�uiih' ss iGU�t
payment will be shown along with any other number, you can access each contract by entering the
charges on the invoice. 4 fi contract number when prompted. You will also be
able to reach one of our Customer Service
Representatives by following the menu options.
PAYMENT
is ..re! �3-.�' A :sz
The amount due for your payment. LINK CODE
Use
PAST DUE
P d only if you have several locations that we send
P s z I t
invokes to. We can mai a o your invoices o one
The amount due for any past due payment.
uaa +�Ttl x location, like a headquarters, or mail invoices
OTHER CHARGES to each branch office, etc.
Charges due for items such as taxes, personal
property tax (PPT), and Vase charges.
TOTAL PAYMENT n.e.. ml, DUE This is the number that identifies your account in our
au n ma ronNo
computer system. We recommend that you write this
The total of any payments, past due payments R;i„wvas t 'smxLa c, number on your check when mailing payments.
"w....... �:;x `fin a""a.;E ti Pte-
and other charges shown on the invoice.
ssr�vm�lerr«°�»
REMIT TOTAL DUE BY: The sum total due for the amounts shown in the Field
TEAR OFF INVOICE STUB Jun. 01. 1999
'Total Payment Due'.
Please tear off the remittance portion of your x...E ..E.K P.t.OLE TO. MAKE CHECK EMBLE TO
invoice, and mail it with your check. A window a o x s 3 e u a o a a o 9 v s
Please make your check payable to this name.
envelope is provided for your convenience.
REMITUNCE ADDRESS nnihahudhdn,l6manmdhmml6 ADDRESS CHANGE
Please make sure that this address appears in a w Please check this box and complete the address
the window of your payment envelope. change information on the reverse side of the invoice
stub. REMIT TOTAL DUE BY
The due date of your payment.
Is�yrsrrwrL
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 f
,1 ti�A3 r //J/� f71� //Q'� aI�CS Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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 NO. WARRANT NO.
ALLOWED 20
-4a� F1/J S VGS IN SUM OF
Po
e yt- S 1Y&4A4 6062
112 5
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
S 3 �0 00 f r, 3L 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
Yi 4i
4o tF
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund