HomeMy WebLinkAbout178116 10/14/2009 F CITY OF CARMEL, INDIANA VENDOR: 363398 Page 1 of 1
ONE CIVIC SQUARE DICE CHECK AMOUNT: $795.00
1 CARMEL, INDIANA 46032 4939 COLLECTION CENTER DRIVE
ti o CHICAGO IL 60693 CHECK NUMBER: 178116
CHECK DATE: 10/14/2009
;A EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
x '202 4346000 19356 768057 795.00 JOB ADVERSTING
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nice a 768057
9/30/2009
4101 NW Urbandale Drive, Urbandale, IA 50322 10359089768057
City of Carmel REMIT TO LOCK BOX:
One Civic Square Dlce.com
4939 Collections Center Drive
Carmel IN 46032 Chicago, IL 60693
USA
ATTN Jim Spelbring
DETACH AND RETURN THIS REMITTANCE FORM WITH YOUR PAYMENT
10359089
City of Carmel 768057
One Civic Square
9/30/2009
Carmel IN 46032 Due Upon Receipt
USA
For billing questions, please call 877- 386 -3323
ITEM
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1000 Dice Member Service $795.00
Service From 9/29/2009 `I'hru 10/29/2009 PO Number: 19356
Discount $0.00
o $795.00
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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
r Di G Q_
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 5.
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. o I�2- RA NT NO.
ALLOWED 20
c� IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
93 o5 1 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
r
Si na. re
1 i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund