175726 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: T359474 Page 1 of 1
ONE CIVIC SQUARE HHPA- TECHNOLOGY OVERSIGHT BOA RR�
GNECK AMOUNT: $127.50
CARMEL, INDIANA 46032 33 N 9TH ST SUITE 215
NOBLESVILLE IN 46060 CHECK NUMBER: 175726
CHECK DATE: 8/6/2009
DEPARTM ACCOUNT PO NUMB INVOIC N UMBER AMOUNT DESCRIP
1202 4344200 141 127.50 INTERNET LINE CHARGES
r' lr;7oice Page 1 of 1
f
Invoice
HHPA- Technology Oversight Board
33 North 9th Street DATE INVOICE
Suite 215 7/22/2009 141
Noblesille, IN 46060
BILL TO SHIP TO
City Of Carmel
Attn: Terry Crockett
Three Civic Square
Carmel, IN 46032
DUE DATE P.O. NUMBER
8/21/2009
ITEM DESCRIPTION QTY RATE AMOUNT
1/4 Bandwidth Service June 2009 127.50
Subtotal 127.50
Please remit to above address. 0% Tax 0.00
Total 127.50
1Y
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
HHPA Technology Oversight Board Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07122109 141 1/4 Bandwidth Service june 2009 $121.50
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
VOUCH EF09ffi O9 WARRANT NO.
Feci I, io 0 9y verslg oard ALLOWED 20
33 North �Xh St reet, Suite 215
IN SUM OF
Noblesville, IN 46060
$127.50
ON ACCOdg,,QF AL FUND ION FOR
1202 Information Systems
Board Members
POT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
$127.50 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
A?
4,$ignaiu r`
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund