HomeMy WebLinkAbout203798 11/21/2011 =,\,f CITY OF CARMEL, INDIANA VENDOR: 357370 Page 1 of 1
ONE CIVIC SQUARE CAPITAL ONE BANK USA NA CHECK AMOUNT: $33.50
CARMEL, INDIANA 46032 12070 -7000 (SUBPEONA FULFILLMENT)
15000 CAPITAL ONE DRIVE CHECK NUMBER: 203798
RICHMOND VA 23238 -1119
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 201116793 33.50 SPECIAL INVESTIGATION
INVOICE FOR SERVICES RENDERED
PAYMENT REQUIRED
REMIT PAYMENT TO THE ATTENTION OF:
Capital One Bank USA NA
Attn: 12070 -7000 (Subpoena Fulfillment)
15000 Capital One Drive
Richmond VA 23238 -1119
subpoena@capitalone.com
PLEASE ATTACH THE CHECK TO THIS FORM AND RETURN
*FOR YOUR RECORDS: TAX ID# 54- 1780389
REQUESTOR Detective Brad Hedrick
ACCOUNT HOLDER: Glass House Inc
INVOICE 201116793 I
*Please include invoice number on check.
SERVICE PROVIDED QTY /TIME AMOUNT
RESEARCH PROCESSING COST:
$22.00 PER HR 1.50 $33.00
REPRODUCTION COST:
$0.25 PER PAGE 2 $0.50
TRANSPORTATION COST:
FedEx: $0.00
ADJUSTMENTS
TOTAL DUE: $33.50
*WITHIN 30 DAYS OF RECEIPT
Sara Gauvin 11/1/2011
Manager, Subpoena Team DATE
SIGNATURE
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))
11/01/11 201116793 case #2011 -34303 $33.50
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
Capital One Bank USA NA
12070 -7000 (Subpoena Fulfillment)
IN SUM OF
15000 Capital One Drive
Richmond, VA 23238 1119
$33.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 201116793 I 43 582.00 I $33.50 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
Wednesday, November 16, 2011
--2�
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund