175198 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 359506 Page 1 of 1
l 0 ONE CIVIC SQUARE V G M FINANCIAL SERVICES CHECK AMOUNT: $790.71
1 CARMEL, INDIANA 46032 P o Box 78523
MILWAUKEE WI 53278 -0523 CHECK NUMBER: 175198
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4353099 1516538 790.71 OTHER RENTAL LEASES
28713/001 1 1 196 619 0000022015
1111 West San Marnan Drive INVOICE
Waterloo, IA 50701
800 643- 4354(phone)
Cfi�n�ancia� ervices 319 833 -4577 (fax)
money" Invoice No: Invoice Date: Page No.
1516538 07/14/2009 1
0000022015 "AUTO AADC 350 For customer service contact: 800 643 -4354
Please call customer service with any address
Attn: PAUL BLOCKOMS changes or questions about your invoice.
BROOKSHIRE FIRST MORTGAGE LLC
12120 BROOKSHIRE PARKWAY
CARMEL, IN 46033 -3314
Customer I Invoice Due
Account Number Invoice.Date Number Date
4009604 07/14/2009 1516538 08/05/2009
i Current Past Due Past.Due Past Due Total
Contract No. Invoice Description Charges 1 -30 Days 31 -60 Da vs 61 s Due
004 4009604 -001 KENNY- MULTIPRO1250
Payment Due 790.71 0.00 0.00 0.00 790.71
Total $790.71 $0.00 $0.00 $0.00 $790.71
KFFP I iPPFR P0RT10_N FOR YOUR RECORDS
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.
(1 Payee
S Purchase Order No.
P -l7 �'�X �c 2- Terms
(y1; iWcoKee, 1 53a 05 3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
?)m) 0q I Y&S39 (ease c j, j b• �7 I
Total o `7 I
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, R NO. WARRANT NO.
C ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
LJ�DDxS�:r� b0) OUL
Board Members
Post or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1a o )S Jbs38 '79o ,71 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 0
qignaturj
Cost distribution ledger classification if
itle
claim paid motor vehicle highway fund