177615 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363302 Page 1 of 1
ONE CIVIC SQUARE COMMERCIAL READERS SERVICE CHECK AMOUNT: $12.48
CARMEL, INDIANA 46032 PO BOX 959
NORMAL IL 61761 -0959 CHECK NUMBER: 177615
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CHECK DATE: 9/29/2009
DEPARTMEN ACCOUNT PO NUMBER I NVOICE NUM A MOUNT D ESCRIPTION
1207 4355300 12.48 ORGANIZATION MEMBER
CUNNERCIAL READERS SERUICE Bill
PO BOX-959 HF'2 05 j 44771 $0¢ 49. 92 UPON oRECEIP "'T
NORNAL IL 61761 -0959
1- 800 -3S3 -5799 TO PAY QUARTERLY
uuu.commercialreaders.com 74.88
ROBERT HIGGENS MXD
INVOICE DATE 9/10109 BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKW
CARMEL IN 46033 -3314
HF205 44771 0 4NT
COMMERCIAL READERS SERVICE
PO BOX 959
NORMAL IL 61761 -0959
Our records sbou your phone number is 317 846 -7431. Changed?
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT
NOW... Charge It! It's Easy...... It's Convenient Use your Charge Card
CARD AMOUNT TODAY'S DATE
EXPIRATION DATE:
Month Year VISA AMERICAN EXPRESS
NAME MASTERCARD DISCOVER
(PRINT)
X PLEASE CHECK ONE:
AUTOMATICALLY EVERY MONTH
THIS MONTH ONLY
SIGNATURE
IFYOU HAVE MOVED OR HAD A RECENTTELEPHONE CHANGE, PLEASE MAKE NOTE OFTHE CHANGE. THANK YOU!
Name Telephone Number
Address City State Zip
IF YOU HAVE MAILED PAYMENT IN THE LAST 10 DAYS, PLEASE DISREGARD.
T
44771 a: 37 44 12' 48 49.92 UPO#� REGEIFT'.
TO PA UARTERLY 74.88
COMMERCIAL READERS SERVICE PO Box 959 NORMAL IL 61761 -0959
1 -800 -353 -5799
"URGENT MESSAGE"
Our intention to collect your long past due account
has been very clear. Re— establish your credit
standing with us by mailing your check today!
INVOICE DATE 9110109 Your sub nag be
TAX- DEDUCTIP E if used
KEEP THIS PORTION FOR YOUR RECORDS for business purposes.
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"VALUED CUSTOMER ALERT"
FOR YOUR INFORMATION
IMPORTANT PLEASE READ
�c Our customer's name is totally confidential and is never passed �c
on or sold to anyone.
Should you receive any phone calls from other companies claiming to be us
�c please understand they are calling from random lists and, unfortunately, �c
this is something we have no control over.
Should one of our professional representatives need to call you, they will immediately identify
�c themselves along with the purpose of their call. �c
When in doubt, ask the caller for your personal account number which appears on this
statement each month.
�c Thank You. �c
M
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
I?'1 �(ZS�UrC'_cG Purchase Order No.
7 Terms
j Q 24Y,4_ t ��7�0� 6 Date Due
Invoice Invoice Description Amount
Q
Date Number (or note attached invoice(s) or bill(s)))
Total 10
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.
e
ALLOWED 20
IN SUM OF
&L7&/
ON ACCOUNT OF APPROPRIATION FOR
C) 12
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
-co 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 O
Signatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund