173074 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 359506 Page 1 of 1
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ONE CIVIC SQUARE V G M FINANCIAL SERVICES CHECK AMOUNT: $790.71
s•.�i?a CARMEL, INDIANA 46032 P O BOX 78523
MILWAUKEE WI 53278 -0523 CHECK NUMBER: 173074
CHECK DATE: 5/2712009
DEPARTMENT AC PO NUMBER I NVOICE NUMBER AMOUNT DE SCRIPTION
1207 4353099 1459569 790.71 OTHER RENTAL LEASES
y
18258/001 1 1 134 619 0000021151
1111 West San Marnan Drive INVOICE
Waterloo, IA 50701
800 643- 4354(phone)
Fpervices 319 833 4577 (fax)
money" Involce=NO Involee "Date Page No RBa,.
1459569 05/14/2009 1
0000021151 "AUTO "MIXED AADC E 350 For customer service contact: 800- 643 -4354
I ,I{,ll 11n11u1nl1„1111nlln1111n1 Il 11111 1111111111111111 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
w Customer InvokeDue
Account Nurteber�a:i .Invalce `,e. .Number, -Date
4009604 05/14/2009 1459569 06/05/2009
Current, Past,Due .Past -Due Past Due I_. Total-_
p
Contract No Invoice Descri t)on Car es 'a` -1 -30 Da ``s r 31-60 Da s X61+ Da 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 P! )RTION F( vni IR RFCf1Rr1S
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))
Total 90.
1 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
IN SUM OF
/W/3u -Lee:
171
ON ACCOUNT OF APPROPRIATION FOR
11,1207 60/-c
c
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
S 53U 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
ure
i
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund