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Home My WebLink About206781 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 244000 Page 1 of 1 ONE CIVIC SQUARE PITNEY BOWES INC. CARMEL, INDIANA 46032 PO BOX 371887 CHECK AMOUNT: $1,037.00 PITTSBURG PA 15250 CHECK NUMBER: 206781 CHECK DATE: 2128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1908435 -F312 240.00 OTHER EXPENSES 651 5023990 1908435 -FB12 144.00 OTHER EXPENSES 1701 4353003 2018273 -FB12 413.00 POSTAGE METER 1120 4353003 2278380 -FB12 52.00 POSTAGE METER 1160 4353003 2637461 -FB12 145.00 POSTAGE METER 1192 4353003 3968112 -FB12 43.00 POSTAGE METER Pitney Bowes Your term rental. invoice February 13, 2012 Account name Summary of your invoice City Of Carmel Fire Department Term rental charges $52.00 Sales tax $0.00 Lease acct number Previous balance after payments $52.00 2278380 Total due March 6, 2012 $104.00 Invoice number Please see reverse side for details of your invoice charges. 2278380 -FB12 Make check payable to Pitney Bowes. Payment Options Your last payment of $52.00 was creditc d to your account on Dec 27, 2011. Manage Your Account Online An payments received after Feb 6, 201 i Any y may not be reflected on this invoice. f i J Log on to: www.pb.com and register for My Account. Past due notice: Your account is now p, st due. Please mail your payment today to Click on My Bills and enroll today. the return address. Pay by Phone Online Postage when you need it! 1- 800 288 -2357 Add pbSmartPostage Exclusive 30 da•; trial for PB Customers. Now Click, Questions? Call a.m to 6 p.m. EST: Print, Ship or Mail. As a valued PB customer, you'll receive preferred pricing of just $5.99/mo. (60% off standard rat after the trial as long as you keep 1- 800 288 -2357 your meter. Go to ww.wtne orks im/ osta eonLine or call (800) 376 -3093 w P -y w a 9 ext. 1029 now! Thank you for choosing Pitney Bowes. Page 1 of 2 TAX ID 06- 0495050 Tear off here 001982 WX Your term rental invoice CUILL Pitney Bowes February 13, 2012 11 Ir Lease acct number Invoice number 2278380 2278380 -FB12 Details of term rental charges Charges for schedule 403 Your reference number: 1235 Equipment description: Charges for the period: Jan 30, 2012 to Feb 28, 2012 Mailing system Equipment location: 2 Civic Square, Carmel IN Model number: Term rental charges $52.00 SBXC Previous balance forward after payments $52.00 0 Serial number: Total for schedule 403 $104.00 3831253 0 Meter model: Serial number: Total charges $104.00 0 P700 3885435 0 0 0 [V GO Additional equipment on file. 0 Important information about your invoice 0 To order supplies from Pitney Bowes, call: 1- 800 243 -7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement, current If you have questions about a bill you as of the date of this invoice unless otherwise agreed in writing by the parties. o received from Pitney Bowes, call: Your term rental invoice For questions, call: This term rental invoice represents the amount you currently owe Pitney Bowes for the Equipment purchase 1 -800- 322 -8000 Pitney Bowes equipment and services. Rental 1-800- 288 -2357 Leasing 1 -800- 288 -2357 Service 1- 800 522 -0020 Postage By Phone account 1-600- 243 -7800 Overnight checks should be mailed [o: QU eStl Ons? Purchase Power account 1-800- 243 -7800 Pitney Bowes Mail your questions to: Attn: Box 371687 Pitney Bowes 500 Ross Street Suite 154 -0470 1305 Executive Blvd., Suite 200 Pittsburgh, PA 15262 -0001 Chesapeake, VA 23320 -3676 Returns Check your agreement with us for our return policy on equipment, postage meters and software that you have purchased, licensed, leased or rented from Pitney Bowes. Page 2 of 2 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)) 2278380 -FB12 $52.00 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. W NO. Pitney Bowes ALLOWED 20 IN SUM OF P.O. Box 371887 Pittsburgh, PA 15250 $52.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members 1120 I 2278380 -FB12 I 43- 530.03 I $52.00 1 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 EEQ 2 4 9 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Pitney Bowes Your term rental invoice February 13, 2012 Account name Summary of your invoice City Of Carmel Mayors Office Term rental charges $145.00 Sales tax $0.00 Lease acct number Previous balance after payments $145.00 2637461 Total due March 6, 2012 $290.00 Invoice number Please see reverse side for details of your invoice charges. 2637461 -FB12 Make check payable to Pitney Bowes. Payment Options Your last payment of $145.00 was credited to your account on Dec 27, 2011. Manage Your Account Online Any payments received after Feb 6, 2012 may not be reflected on this invoice. I Log on to: www.pb.com and register for My Account. Past due notice: Your account is now past due. Please mail your payment today to Click on My Bills and enroll today. the return address. WI1 Pay by Phone Online Postage when you need it! 1- 800 288 -2357 Add pbSmartPostage Exclusive 30 day trial for PB Customers. Now Click, Questions? Call 8 a.m to 6 p.m. EST: Print, Ship or Mail. As a valued PB customer, you'll receive preferred pricing of just $5.99/mo. (60% off standard rates) after the trial as long as you keep 1 -800- 288 -2357 our meter. Go to www. itneyworks.com/posta qeonLin e or call (800) 376 -3093 ext. 1029 now! Thank you for choosing Pitney Bowes. Page 1 of 2 TAX ID 06- 0495050 Tear Of here 002204 WX Your term rental invoice Pitney Bowes February 13, 2012 7 Lease acct number Invoice number 2637461 2637461 -FB12 Details of term rental charges Charges for schedule 406 Equipment description: Charges for the period: Jan 30, 2012 to Feb 28, 2012 Mailing system Equipment location: 1 Civic Sq Floor, Carmel IN Model number: Serial number: Te_r_m rental charges $145.00 3000 3158777 Pre vious balanc forward after pay ments $145.00 o Model number: Serial number: Total for schedule 406 $290.00 M P30 0178299 0 Meter model: Serial number: Total charges $290.00 °o G900 3158777 0 0 0 v 0 Additional equipment on file. N 0 Important information about your invoice To order supplies from Pitney Bowes, call: 1- 600 243 -7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement, current 0 as of the date of this invoice unless otherwise agreed in writing by the parties. If you have gaestior,s about a bRl yuu o received from Pitney Bowes, call: Your term rental invoice For que do ^e, cast: Thia term. rental invoice rapres —ts the amount you currently owe Pitney Bowes for the Equipment purchase 1- 800 322 -8000 Pitney Bowes equipment and services. Rental 1- 800 288 -2357 Leasing 1- 800 288 -2357 Service 1- 800 -522 -0020 Postage By Phone account 1- 800 243 -7800 Overnight checks should be mailed to: Questions? Purchase Power account 1- 800 243 -7800 Pitney Bowes Mail your questions to: Attn: Box 371887 Pitney Bowes 500 Ross Street Suite 154 -0470 1305 Chesapeake, Executive Blvd., Suite 200 Pittsburgh, PA 15262-0001 Chesapeake, VA 23320 -3676 Returns Check your agreement with us for our return policy on equipment, postage meters and software that you have purchased, licensed, teased or rented from Pitney Bowes. Page 2 of 2 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)) 02/13/12 2637461 -FB12 $145.00 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 Pitney Bowes, Inc. IN SUM OF P. O. Box 371887 Pittsburgh, PA 15250 -7887 $145.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1160 2637461 -F612 43- 530.03 $145.00 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 Frida February 24, 2012 Mayor Title Cost distribution ledger classification if claim paid motor vehicle highway fund Pitney Bowes Your term rental, invoice FEB 6 zoiz February 13, 2012 Account name C�Cs Summary of your invoice City Of Carmel Of Community Services Term rental charges $43.00 Sates tax $0.00 Lease acct number Previous balance after payments $86.00 3968112 Total due March 6, 2012 $129.00 Invoice number Please see reverse side for details of your invoice charges. 3968112 -FB12 Make check payable to Pitney Bowes. Payment Options Your last payment of $43.00 was credited to your account on Dec 27, 2011. Manage Your Account Online Any payments received after Feb 6, 2012 may not be reflected on this invoice. )f I Log on to: www.pb.com and register for My Account. Past due notice: Your account is now p;,st due. Please mail your payment today to Click on My Bills and enroll today. the return address. Pay by Phone Online Postage when you need it! 1- 800 288 -2357 Add pbSmartPostage Exclusive 30 day trial for PB Customers. Now Click, Questions? Call a.m to 6 p.m. EST: Print, Ship or Mail. As a valued PB cuslomer, you'll receive preferred pricing of just $5.99/mo. (60% off standard rat:!s) after the trial as Long as you keep 1- 800 288 -2357 our meter. Go to www. pitneywo rks.crlm/ osta eonline or call (800) 376 -3093 ext. 1029 now! Thank you for choosinq Pitney Bowes. Page 1 of 2 TAX ID 06- 0495050 Fear off here 003197 X Your term rental invoice �PP Pitney Bowes February 13, 2012 Lease acct number Invoice number 3968112 3968112 -FB12 Details of term rental charges Charges for schedule 402 Equipment description: Charges for the period: Jan 30, 2012 to Feb 28, 2012 Mailing system Equipment location: One Civic Square, Carmel IN Model number: Serial number: Term rental charges $43.00 MPO4 0503447 Previous balance forward after payments $86.00 0 Model number: Serial number: Total for schedule 402 $129.00 M 71 3976012 0 Meter model: Serial number: Total charges $129.00 o 13700 3976012 0 0 0 P Additional equipment on file. 0 Important information about your invoice CD To order supplies from Pitney Bowes, call: 1-800- 243 -7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement, current as of the date of this invoice unless otherwise agreed in writing by the parties. If you have questions about a bill you o received from Pitney Bowes, call: Your term rental invoice For questions, call: This term rental invoice represents the amount you currently owe Pitney Bowes for the Equipment purchase 1 -800- 322 -8000 Pitney Bowes equipment and services. Rental 1- 800 -288 -2357 Leasing 1 -800- 288 -2357 Service 1- 800 522 -0020 Postage By Phone account 1-800- 243 -7800 Overnight checks should be mailed to: Questions? Purchase Power account 1 -800- 243 -7800 Pitney Bowes Mail your questions to: Attn: Box 371887 Pitney Bowes 500 Ross Street Suite 154 -0470 1305 Executive Blvd., Suite 200 Pittsburgh, PA 15262 -0001 Chesapeake, VA 23320 -3676 Returns Check your agreement with us for our return policy on equipment, postage meters and software that you have purchased, licensed, leased or rented from Pitney Bowes. Page 2 of 2 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)) 02/12/12 3968112 -Feb12 $43.00 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 Pitney Bowes, Inc IN SUM OF P.O. Box 371887 Pittsburg, PA 15250 -7896 $43.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 1 3968112 -Feb12 I 43- 530.03 I $43.00 1 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 Monday, February 27, 2012 Direc r Title Cost distribution ledger classification if claim paid motor vehicle highway fund Pitn Bowes Your term rental, invoice February 13, 2012 Account name Summary of your invoice Carmel Utilities Term rental charges $384.00 Lease acct number Sales tax $0.00 1908435 Previous balance after payments $384.00 Invoice number Total due March 6, 2012 $768.00 1908435 -FB12 Please see reverse side for details of your invoice charges. Payment Options Make check payable to Pitney Bowes. Manage Your Account Online Your last payment of $384.00 was credited to your account on Dec 27, 2011. go Log on to: .com and register for My Any payments received after Feb 6, 2012 may not be reflected on this invoice. MyAcc Account. Click on My Bills and enroll today. Past due notice: Your account is now past due. Please mail your payment today to Pay by Phone the return address. im 1 -800- 288 -2357 Online Postage when you need it! Questions? Call 8 a.m to 6 p.m. EST: Add pbSmartPostage Exclusive 30 day trial for PB Customers. Now Click, 1- 800 288 -2357 Print, Ship or Mail. As a valued PB customer, you'll receive preferred pricing of just $5.99/mo. (60% off standard rat ?s) after the trial as Long as you keep your meter. Go to ww_ w.r)itnevworks.com t)osta g eonline or call (800) 376 -3093 ext. 1029 now! Thank you for choosing Pitney Bowes. Pagel of 2 TAX ID 06- 0495050 Tear off here 001661 X PitneyBOwes Term rental payment coupon Lease acct number: 1908435 Amount you owe: $768.00 2225 American Drive Please make your check payable to Invoi,:e number: 1908435 -FB12 Neenah, WI 54956 -1005 Pitney Bowes Invoi:e date: Feb 13, 2012 Due date: Mar 6, 2012 0131010016610000100102132012 Amount paid I I I I I 60 1908435 401 640 00076800 6 00000 1 C irli l al I i) 1 i1 1 i) i iiilni lilil��l�u�ll�lli�)I�llril PITNEY BOWES PO BOX 371887 CARMEL UTILITIES PITTSBURGH PA 15250-7887 760 :3RD AVE SW CARNEL IN 46032 -2072 Change of'contact information? Check here and fill in the information.on the back. 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 244000 PITNEY BOWES Purchase Order No. PO BOX 856390 Terms LOUISVILLE, KY 40285 -6390 Due Date 2/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/20/2012 1908435 F131 $144.00 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 Date O er VOUCHER 116809 WARRANT ALLOWED 244000 IN SUM OF PITNEY BOWES PO BOX 856390 LOUISVILLE, KY 40285 -6390 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1908435 FB1. 01- 7360 -07 $144.00 Voucher Total $144.00 Cost distribution ledger classification if claim paid under vehicle highway fund Pitney Bowes Your term rental, invoice February 13, 2012 Account name Summary of your invoice Carmel Utilities Term rental charges $384.00 Lease acct number Sales tax $0.00 1908435 Previous balance afte pa yments $384.00 Invoice number Total due March 6, 2012 $768.00 1908435 -FB12 Please see reverse side for details of your invoice charges. Payment Options Make check payable to Pitney Bowes. Manage Your Account Online Your last payment of $384.00 was credi!:ed to your account on Dec 27, 2011. i 1j Log on to: www.pb.com and register for MyAccounf. Any payments received after Feb 6, 201 may not be reflected on this invoice. Click on My Bills and enroll today. Past due notice: Your account is now pi1st due. Please mail your payment today to Pay by Phone the return address. 1- 800 288 -2357 Online Postage when you need it! Questions? Call 8 a.m to 6 p.m. EST: Add pbSmartPostage Exclusive 30 day trial for PB Customers. Now Click, 1- 800 288 -2357 Print, Ship or Mail. As a valued PB customer, you'll receive preferred pricing of just $5.99/mo. (60% off standard rat:!s) after the trial as long as you keep your meter. Go to www ,pitneyworks.cu_m /p or call (800) 376 -3093 ext. 1029 now! Thank you for choosing Pitney Bowes. J Page 1 of 2 TAX ID 06- 0495050 TearoHhere 001661 X Your term rental invoice Pitney Bowes February 13, 2012 ,I F Lease acct number Invoice number 1908435 1908435 -FB12 Details of term rental charges Charges for schedule 401 Equipment description: Charges for the period: Jan 30, 2012 to Feb 28, 2012 Mailing system Equipment location: 760 3rd Ave SW, Carmel IN Model number: Term rental charges $384.00 AZBB Previous balance forward after payments $384.00 0 Model number: Total for schedule 401 $768.00 APSE o Meter model: Serial number: Total charges $768.00 o 1 W00 1369612 0 0 0 0 'o Important information about your invoice 0 To order supplies from Pitney Bowes, call: 1-800- 243 -7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement, current o as of the date of this invoice unless otherwise agreed in writing by the parties. o If you have questions about a bill you received from Pitney Bowes, call: Your term rental invoice 0 For questions, call: This term rental invoice represents the amount you currently owe Pitney Bowes for the pirne Bowes a ui met:! and services. Equipment purchase 1 -600 -322 X000 Y 4 P Rental 1 -800- 288 -2357 Leasing 1- 800 -288 -2357 Service 1- 800 -522 -0020 Postage By Phone account 1 -800- 243 -7600 Overnight checks should be mailed to: cluestlons? Purchase Power account 1-800- 243 -7800 Pitney Bowes Mail your questions to: Attn: Box 371867 Pitney Bowes 500 Ross Street Suite 154 -0470 1305 Executive Blvd., Suite 200 Pittsburgh, PA 15262 -0001 Chesapeake, VA 23320 -3676 Returns Check your agreement with us for our return policy on equipment, postage meters and software that you have purchased, Licensed, leased or rented from Pitney Bowes. Page 2 of 2 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 244000 PITNEY BOWES Purchase Order No. P.O. Box 856390 Terms Louisville, KY 40285 -6390 Due Date 2/20/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/20/2012 1908435 F131 $240.00 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 fficer VOUCHER 113873 WARRANT ALLOWED 244000 IN SUM OF PITNEY BOWES P.O. Box 856390 Louisville, KY 40285 -6390 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1908435 FB1. 01- 6360 -07 $240.00 I Voucher Total $240.00 Cost distribution ledger classification if claim paid under vehicle highway fund Pitney Bowes Your term rental, invoice February 13, 2012 Account name Summary of your invoice City Of Carmel Clerk Treasurers Term rental charges $413.00 Sates tax $0.00 Lease acct number Previous balance requested not t o be shown by Lessee 2018273 Total due March 6, 2012 $413.00 Invoice number Please see reverse side for details of your invoice charges. 2018273 -FB12 Make check payable to Pitney Bowes. Payment Options Your last payment of $413.00 was credited to your account on Dec 27, 2011. Manage Your Account Online Any payments received after Feb 6, 201 may not be reflected on this invoice. Log on to: www.pb.com and register for My Account. Past due notice: Your account is now past due. Please mail your payment today to Click on My Bills and enroll today. the return address. Pay by Phone Online Postage when you need it! 1- 800 288 -2357 Add pbSmartPostage Exclusive 30 day trial for PB Customers. Now Click, Print, Ship or Mail. As a valued PB customer, you'll receive preferred pricing Questions? Call 8 a.m to 6 p.m. EST: of just $5.99/mo. 160% off standard ratas) after the trial as long as you keep 1 -800- 288 -2357 your meter. Go to w_ ww Pit neyworks.cnm /postag or call (800) 376 -3093 ext. 1029 now! _F hank you for choosing Pitney Bowes. Page 1 of 2 TAX ID 06- 0495050 Tear off here 001862 X Your term rental invoice Pitney Bowes February 13, 2012 'r Lease acct number Invoice number 2018273 2018273 -FB12 Details of term rental charges Charges for schedule 406 Equipment description: Charges for the period. Jan 30, 2012 to Feb 28, 2012 Mailing system Equipment location: 1 Civic Sq, Carmel IN Model number: Serial number: Term rental charges $413.00 DJW2 0005817 Total for schedule 406 $413.00 0 Model number: Serial number: DH11O 0012520 Total charges $413.00 0 Meter model: Serial number: o WOO 4249348 0 0 0 N 'O Additional equipment on file. co 0 Important information about your invoice To order supplies from Pitney Bowes, call: 1-800- 243 -7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement, current as of the date of this invoice unless otherwise agreed in writing by the parties. If you have questions about a bill you o received from Pitney Bowes, call: Your term rental invoice For questions, call: This term rental invoice represents the amount you currently owe Pitney Bowes for the Equipment purchase 1 -800- 322 -8000 Pitney Bowes equipment and services. Rental 1 -600- 288 -2357 Leasing 1 -800- 288 -2357 Service 1- 800 522 -0020 Postage By Phone account 1- 800 243 -7800 Overnight checks should be mailed to: Ouestions? Purchase Power account 1 -800- 243 -7800 Pitney Bowes Mail your questions to: Attn: Box 371887 Pitney Bowes 500 Ross Street Suite 154 -0470 1305 Executive Blvd., Suite 200 Pittsburgh, PA 15262 -0001 Chesapeake, VA 23320 -3676 Returns Check your agreement with us for our return policy on equipment, postage meters and software that you have purchased, licensed, Leased or rented from Pitney Bowes. Page 2 of 2 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 s 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 VOUCHER NO. WARRANT NO. ALLOWED 20 L IN SUM OF �o 2LAft-�, h, 7 2D ,C ON ACCOUNT OF APPROPRIATION FOR M Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. 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 rAi iP 20 "tom Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund