177101 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 00352795 Page 1 of 1
,I ONE CIVIC SQUARE AVIS RENT A CAR SYSTEMS INC CHECK AMOUNT: $257.56
o, r CARMEL, INDIANA 46032 7876 COLLECTIONS CENTER DRIVE
__�o• ACCTAV67677 -00- 0000 -5 CHECK NUMBER: 177101
°N CHICAGO IL 60693
CHECK DATE: 911512009
DEPARTMENT T ACCOUNT a PO NUMBER INVO N UMBER AMOUNT DESCRIPTION
1120 4343002 0116342774 257.56 EXTERNAL TRAINING TRA
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r;-
AVIS AVIS AVIS AVIS. AVIS k AVIS
CENTRAL BILLING STATEMENT REMITTANCE ADVICE E 0001
STATEMENT DATE: j 1AUG O 9 ,STATEMENT DATE: 31AUG O 9 INQUIRIES, PLEA,
ACCOUNTNUMBER:_ AV67677 0000 1 800 959 330.0 OR WRITE. TO:
BELOW IS A SUMMARY- OF UNPAID INVOICES
:CITY OF CARMEL AVIS, CENTRAL BILLING CIS
1,207 �276.65 24 j. 535.31 ACCOUNT NUMBER: AV67677- 00- 00.00 -5 P.O. BOX 6280,0
754.9 -JUNG 31MAY09 31MAR09 PLEASE DIRECT ALL REMITTANCES BEACH,. VA 2 3462
19
31JAN09 +OLDER TOTAL DUE USD 3,640.11
PREVIOUS BALANCE 2. 432.39 CITY OF CARMEL AVIS RENT A CAR SYSTEM, INC
CURRENTCHARGES 12_0_7_ 72 CINDY S}iEEKS ONE CIVIC SQUARE 787.6 COLLECTIONS CENTER DRIVE
CURRENT ADJUSTMENTS AMOUNT CHICAGO, IL 60693 3
PAYMENTS RECEIVED' CARMEL IN 46032 ENCLOSED �r '�j�.S�p i
THRU 3 1AdLG0 9 PLEASE RETURN THIS PORTION OF. THE STATEMENT WITH•YOUR.PAYMENT AND
TOTAL AMOUNT DUE INDICATE THE DIFFERENCES IN THE COMMENTS SECTION OR ON THE ENCLOSED
INVOICES. NOTE YOUR ACCOUNT NUMBER ON ALL CORRESPONDENCE,
OV CARD# RENTAL NUMBER i NAME I REFERENCE RENTAL LOCATION DATE RENTAL NUMBER AMOUNT USO PYMT I ADJ I COMMENTS NET AMT DUE USD j
03 99985 0116342774 HULETT,MARK TAMPA APO 07AUG09 U116342774 257.56 257.56
03 99985 0142245655 OGLE,JASON,W PHOENIX APO 28AUG09 .142245655 405.96 405.96
03 99985 U670034956 BREWER,SCOTT,L T.F.GREEN APO 02AUG09 0670034956 544.20 544.20
UBTOTAL DIVISION 03 *1,207.72
NEW CHARGES 31AU009 *1,207.72
t
03 99985 0678237556 I fLANNAN,BECKY FT.LAUD APO 29MAY09 U678237556 276.65 276.65
-*-*******.SUBTOTAL DIVISION 03 *276..65
j
OTAL UNPAID 30JUN09 *276.65
03 99985 0104589892 :ZELLERS,TIMOTHY ORLANDO APO 21MAY09 .104589692 343.74
j 19JUN09 II ADJG97 11,00 354,74
03 99985 0104595385 1HENSLEY,ROBERT ORLANDO APO 2024AY09 U104595385 241.43 241.43
03 99985 U104595654 !DELONG,KRISTY ORLANDO APO 21MAY09 U104595654 270.07 270.07
IIBTOTAL DIVISION 03 *866.24
i
*TbTAL IINPAID 31MAY09 *866.24
i
03 99985 j 0622130025 jHUFFMAN,DAVID MAINE PORTLAND 09MAR09 U622130025 118.50 118.50
03 j 0643157604 'sSMALL,THOMAS IBALT -WASH APO 129MAR09 U643157804 416.81 416.81
j *SUBTOTAL DIVISION 03 *535.31
**********TOTAL UNPAID 31MAR09 *535.31
03 0624561720 DELONG,KRISTY i ANGELES AP ISJAN09 U624581720 294.85 294.85
03 99985 0632429615 !VANVOORST,ROBERT iORLANDO APO 21JAN09 0632429615 j 196.61 196.61
03 99985 0641689801 DAWSON,GREGORY I JACKSNVTLE APO 23JAN09 0641689801 262.73 262.73
UBTOTAL DIVISION 03 *754.19
i
i
OTAL UNPAID 31JAN09 *754.19
OTAL AMOUNT DUE USD$ *3,640.11
E
srn d SIM j SIAV SLAV Sin e SIAV
1 PLEASE.WRITE THE RENTAL AGREEMENT NUMBER ON
ALL CORRESPONDENCE AND NOTE ANY COMMENTS
A vs °n void ON THISDOCUMENT I
RZ
RENTA!_ AGREEMENT NUMBER: U116342774
FOR BILLING INQUIRIES: 1-800- 959-3300
A FT
GD9f
RENTED 02AUG0 9 0 9 0 6 AT:TAMPA APO FL VEHICLE DATES GP MILES OUT MILES IN DRIVEN
RETURNED: 07AUG09 /08:18 AT:TAMPA APO FL SIL HYUN ELAN 4DR C 34488 34653 165
DUE IN: 07AUG09 /11:00 AT:TAMPA APO FL GA BBX4531 E
RENTED BY: RENTAL DETA _CHARGES
HULETT,MARR
CARMEL FIRE DEPT 120
ONE CIVIC SQUARE 5 DAYS GP C CAR 41.00 PER DAY 205.00.
CARMEL IN 46032 NET TIME AND MILEAGE 205.00
ENERGY RECOVERY FEE 0.47 PER DAY 2.35
SURCHARGE 11.80
AIRPORT CONCESSION FEE 10.40% 21.56.
TAXES 7.00% ON 240.71 16.85
WIZ#
ACCOUNT AV67677 -03- 9998 -5 TOTAL CHARGES USD 257.56
CREDIT 10
Q AWD# L6640041
COST CONTROL#
VOUCHER
RESM 33088945USI
RATE: AD
ARC
LOCAL PHONE# 317-862-1277C
FRED.TRVL#:
DRIVFR LICENSE
TAXABLE ITEMS
RENTAL AGREEMENT NUMBER
U1163427.74
Q
PAYMENT DUE UPON RECEIPT. USD 257.56
8”
'o
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))
U116342774 $257.56
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Avis
IN SUM OF
7876 Collections Center Drive
Chicago, IL 60693
$257.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 U116342774 43- 430.02 $257.56 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
SEP 14 2009
K4-0�
f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund