179484 11/16/2009 CITY OF CARMEL, INDIANA VENDOR: 355628 Page 1 of 1
ONE CIVIC SQUARE HOOSIER HERITAGE PORT AUTHORITY AMOUNT: $127.50
CARMEL, INDIANA 46032 33 N 9TH ST SUITE 215
roN L o NOBLESVILLE IN 46060 CHECK NUMBER: 179484
CHECK DATE: 11/16/2009
DEPARTMENT ,ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4344200 147 127.50 REISSUE CHECK 177243
Invoice
Page 1 of 1
A,
Invoice
HHPA- Technology Oversight Board
33 North 9th Street
,fr Suite 215 DATE INVOICE
Noblesille, IN 46060 9/16/2009 153
BILL, TO SHIP TO
City Of Carmel
Attn Terry Crockett
Three Civic Square
Carmel, IN 46032
DUE DATE P.O. NUMBER
10/16/2009
ITEM DESCRIPTION QTY RATE AMOUNT
1/4 Bandwidth Service August 2009 127.50
Subtotal 127.50
Please remit to above address. 0% Tax 0.00
Total 127.50
0 a�
y State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
iom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Y x'
Payee
r 1�'i'A 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
RANT NO.
ALLOWED 20
IN SUM OF
33
'fib 01
r
ON ACCOUNT ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
)53 1Z 5c 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
Si ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund