177107 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 360611 Page 1 of 1
ONE CIVIC SQUARE BANK OF NEW YORK MELLON CHECK AMOUNT: $1,500.00
CARMEL, INDIANA 46032 FINANCIAL CONTROL BILLING DEPT
PO BOX 19445 CHECK NUMBER: 177107
NEWARK NJ 07195-0445 CHECK DATE: 9/1512009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4354005 252-1422051 1,500..00 ADMIN FEES
DOR 641
THE BANK OF NEW YORK MELLON
INVOICE
The Bank of New York Mellon
Trust Company, N.A.
000225 XBFRSD01
CARMEL CITY INDIANA
ATfN DIANA CORDRAY
i CLERK TREASURER
CITY HALL 1 CIVIC SQUARE
CARMEL, IN 46032
Invoice Number— 252- 142205L
CITY OF CARMEL INDIANA REDEVELOPMENT DISTRICT TAX Account Number: CARMEL04A
INCREMENT REVENUE BONDS SERIES 2004A ILLINOIS STREET invoice Date: 27- Aug -09
PROJECT Cycle Date: 31-Aug-09
Administrator: Karen Franklin
Center Name: Indianapolis Muni
Phone Number: 317.637.3647
Currency: USD
Q uantity Rate Proration Subtotal Total
Flat
Administration Fee 1,500.00
For the period: August 31, 2009 to August 30, 2010
Invoice Total: 1,500.00
Satisfied To Date: 0 00
Balance Due 1,500.00
Terms: Payable upon receipt. Please reference the invoice and account number with your remittance.
Our Tax ID Number is 95- 3571558. Please fax Taxpayer Certification requests to (315) 362 -1220.
Check Payment Ins Wire Payment Instructions:
The Bank of New York Mellon The Bank of York Mellon-
Financial Control Billing Department ABA 021000018
P.O. Box 19445A Account: GLA 111-565
Newark, NJ 07195 -0445 For further credit: TAS 016760
Please enclose billing stub. Please reference Invoice Number: 252 1422051
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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.
j� Paayee
NtAl,()� `vaW Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
fliLA A
ON ACCOUNT OF APPROPRIATION FOR
g
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
C (0Z bill(s) is (are) true and correct and that the
l� materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund