155526 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360689 Page 1 of 1
i 0 ONE CIVIC SQUARE SURVEYMONKEY.COM
CARMEL, INDIANA 46032 815 NW 13TH AVE SUITED CHECK AMOUNT: $200.00
PORTLAND OR 97209 CHECK NUMBER: 155526
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 15303074 200.00 ADULT CONTRACTORS
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SurveyMonkey My Account: Billing: Invoices Page 1 of 2
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SurveyMonkey.com Invoice 15303074
815 NW 13th Ave. Suite D Payment Made On: -na-
Portland, OR 97209 USA
Tax ID (EIN): 39- 1989790
Billing Invoice (11/27/07 11/28108)
(Payment due by 12/27/07)
To: Payment Details:
DEC 8 2007
Carmel Clay Parks and Recreation T
Schneider, Kate
kschneider @carmelclayparks.com
1235 Central Park Drive East
Carmel, IN 46032 US
Description Qt'y Price Amount
Annual Subscription 1 $200.00 $200.00
Total (USD) $200.00
Printed Check: Direct Bank Deposit:
SurveyMonkey.com Account Name: SurveyMonkey.com
815 NW 13th Ave. Suite D
Bank: Bank of America
Portland, OR 97209 USA
400 4th Street
Please note invoice #15303074 on check. Lake Oswego, OR 97034
Swift Code BOFAUS3N
ACH transfer
`'1 .3qV r 3 00. i DSO 1 ®0 �a Routing/ABA 323070380
L J ���J�� Account 485000808034
wire transfer
Routing/ABA 026009593
�7, �O, �D. D
Cor�•hz�`tocs Account 485000808047
Please note invoice 415303074 in comments.
l Please send us an email after the transfer is
complete.
http:// www. surveymonkey .com/MyAccount_Billing_ Invoice .aspx ?sm= IJSXJ9pK2OP8w... 11/29/2007
SurveyMonkey My Account: Billing: Invoices Page 2 oP 2
NOTES:
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Thank you for your valued business!
http:// w surveymonkey. com/ MyAccount _Billing_lnvoice.aspx ?sm =1 JSXJ9pK2OP8w... 11/29/2007
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
SurveyMonkey.com Date Due
815 NW 13th Ave. Suite D
Portland, OR 97209
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/07 15303074 Annual subscription 200.00
Total 200.00
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
1
Voucher No. Warrant No.
Allowed 20
SurveyMonkey.com
815 NW 13th Ave. Suite D
Portland, OR 97209 In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# V INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 15303074 4340800 200.00 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
4 -Jan 2008
ature
200.00 Business Se ice Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund