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175736 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 358085 Page 1 of 1 ONE CIVIC SQUARE IMAVEX CHECK AMOUNT: $720.00 CARMEL, INDIANA 46032 9615 E. 148TH STREET NOBLESVILLE IN 46060 CHECK NUMBER: 175736 CHECK DATE: 8/6/2009 DEPART ACCOUNT PO NUMBER IN VOIC E NUMBER AM OUNT DESC 651 5023990 2091217 270.00 OTHER EXPENSES 601 5023990 91217 450.00 07250992091217 Invoice Imavex, LLC 9615 East 148th Street, Suite 5 IMAVEX Noblesville, IN 46060 Bill To: Invoice 07250992091217 City of Carmel Utilities Date: Jul 25, 2009 ATTN: Accounts Payable 760 3rd Avenue SW Carmel, IN 46032 PLEASE REMIT PAYMENT TO IMAVEX, LLC DATE DESCRIPTION AMOUNT 07/24/09 Custom Work: Bill Pay Design and Payment Due Map $720.00 1� **ALL INVOICES ARE DUE ON THE 10TH OF THE MONTH Sub Total $720.00 You can pay by check or credit card. Balance Forward $0.00 To pay by credit card, log into your website and select "Make a payment to Imavex, LLC" from the Financial Tools menu or call 866- 734 -2729 to make a payment by phone. Balance Due 1 $720.00 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358085 IMAVEX Purchase Order No. 961,5 E 148TH STREET Terms NOBLESVILLE, IN 46060 Due Date 7/28/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2009 7250992091: $270.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 096110 WARRANT ALLOWED 358085 IN SUKOF I MAVEX 9615 E 148TH STREET NOBLESVILLE, IN 46060 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 72509920912 01- 7360 -07 $270.00 J Q O 5� o�� Q Voucher Total $270.00 Cost distribution ledger classification if claim paid under vehicle highway fund Invoice Imavex, -LLC I MAVEX 9615 East 148th Street, Suite 5 Noblesville, IN 46060 AL Bill To: Invoice 07250992091217 City of Carmel Utilities Date: Jul 25, 2009 ATTN Accounts Payable 760 3rd Avenue SW Carmel, IN 46032 PLEASE REMIT PAYMENT TO IMAVEX, LLC DATE DESCRIPTION AMOUNT 07/24/09 Custom Work: Bill Pay Design and Payment Due Map $720.00 1� ALL INVOICES ARE DUE ON THE 10TH OF THE MONTH Sub Total $720.00 You can pay by check or credit card. Balance Forward $0.00 To pay by credit card, log into your website and select "Make a payment to Imavex, LLC" from the Financial Tools menu or call 866- 734 -2729 to make a payment by phone. Balance Due 1 $720.00 Prescribed by State Board of Accounts e ForrA No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount I hereby certify that the attached invoice(s), or 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer Title Voucher No. Wa No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA s -3�O6s Favor Of .y�)17goek 9/0/ g {ti S s /e 5 0 Total Amount of Voucher Deductions 12 50 q q 2f 50 0/. 6 300 Amount of Warrant Month of Yr VOUCHER RECORD Acct. No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General i Operation- Maintenance Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325