205988 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 357831 Page 1 of 1
ONE CIVIC SQUARE SERVICE EXPRESS
CARMEL, INDIANA 46032 4845 CORPORATE EXCHANGE CHECK AMOUNT: $2,000.00
GRAND RAPIDS MI 49512
CHECK NUMBER: 205988
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 R4351501 25868 K25588 2,000.00 SERVER SUPPORT
ffi INVOICE Customer PO# 25868
K25588
Agreement 9715
Service Express, Inc. Invoice Total $2,000.00
Phone: 1.800.940.5585 Pa ment Terms Net 30
Fax: 616.698.2218 Date 12129/2011
www.seiservice.com
BILL TO: Service Location:
City of Carmel City of Carmel
Terry Crockett Terry Crockett
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Qty Part Number Description Unit Price Ext. Price
1 SERVICE SERVICE CHARGE $2,000.00 $2,000.00
Comments: Service Charge for Computer /Printer Equipment
n
JA 3 0 21012
Thank You I Total $2,000.00 i
REMIT TO:
Service Express Inc. Credit Card Payment Questions call Jennifer Merryweather at (616) 971 -0742 or email at
4845 Corporate Exchange Blvd SE billing @seiservice.com
Grand Rapids, MI 49512
Questions?
Service Questions Pete Terryn (616) 698 -2221 pterryn @seiservice.com
Billing Invoices Jennifer Merryweather (616) 971 -0716 billing @seiservice.com
Accounts Receivable /Purchase Orders Rod Rall (616) 971 -0718 rrall @seiservice.com
Read out The Values and Practices
of A Growing Company
www.theseiway.com
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))
12/29/11 K25588 $2,000.00
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
Service Express Inc.
IN SUM OF
4845 Corporate Exchange Blvd SE
Grand Rapids, MI 49512
$2,000.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
25868 K25588 43- 515.01 $2,000.00
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
Monday January 30, 2012
Director IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund