HomeMy WebLinkAbout170745 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 358829 Page 1 of 1
ONE CIVIC SQUARE PAUL BLOCKOMS
0 CHECK AMOUNT: $155.86
CARMEL, INDIANA 46032 1514 PINE TRACE COURT
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UNIVERSITY PARK IL 60466 CHECK NUMBER: 170745
CHECK DATE: 4116/2008
DEPART ACCOUNT PO NUMBER INV NUMBER AMOUNT D ESCRIPTION
1207 155.86 W -2 REIMBURSEMENT
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New Matteson G,E.
4453 W. Lincoln H16hway
Matteson, 1L, 60443
(708)481 -8720
Fax (708)481 -8728
Open 24hrs
We new
close!!
Friday, March 13, 2009 8;49:45 PM
Money Order (131.00)
Fee
M.O. 304972
Total Due: 132.39
Amount Tendered: 140.00
change Rub: 7.61
We Do Not Dislcose Any Non Public
Personal Information to Anyone, Except
as Permitted by
Law.
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ADP, INC.
7007 E PLEASANT VALLEY ROAD
CLEVELAND OH 44131
Invoice 915151
0 March 27, 2009 Page 1
Accounts receivable number:
00034 740397 00005926 01 AB 0.351 Oi TR 0031 ROBCLVAi 10000
C008
PAUL BLOC S
Any questions? Call your ADP BLOCK GOLF MANAGEMENT
service representative, 121 BROOKSHIRE PARKWAY
Your Client Service Team (866)505 -7273 RMEL IN 46033 -3314
_Current Charges Autopay II Company code-63Jj
Processing Charges for period ending 03126/2009
Y/E Info, Tax Reporting, W -2'S 117.00
Case 3282073
W -2 Delivery 14.00
Total due this invoice $131.00
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Please return the portion below with your payment in the enclosed return envelope. Include
your accounts receivable number on your check made out. to ADP, Inc.
Send all service or general information correspondence to the address listed above or call
your Client Service Representative.
Pre�cribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
:L) C- Purchase Order No.
Terms
Ci�,U i,l✓ �z, ��d<o 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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/.S bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
np i received except
20
gignaftge
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund