168180 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 276850 Page I of 1
ONE CIVIC SQUARE SAME DAY COURIER SVS INC CHECK AMOUNT: $34.02
O
CARMEL, INDIANA 46032 1044 SUMMIT OR
•y CARMEL IN 45032 CHECK NUMBER: 168180
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT PO NUM IN VOICE NUMBER AMO UNT DESCRIPTION
601 5023990 32978 34.02 OTHER EXPENSES
Same Day Courier Service, Inc Invoice
1016 3rd Ave S.W.
Suite 103 DATE INVOICE
Carmel, IN 46032
32978
(317) 846 -7654
DUE UPON RECEIPT
BILL TO
Carmel Utilities
760 3rd Ave. SW
Carmel, IN 46032
SERVICED ITEM TICKET JOB DESCRIPTION RATE AMOUNT
12/9/2008 Courier Service 19700 BOH Additional Pick Up for Client 10.80 10.80
12/15/2008 Courier Service 19791 BOH Additional Pick Up for Client 10.80 10.80
12/22/2008 Courier Service 19885 BOH Additional Pick Up for Client 10.80 10.80
12/20/2008 Gas Surcharge Gasoline Surcharge 1.62 1.62
Total $34.02
PLEASE INCLUDE INVOICE NUMBER ON
CHECK
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
276850
SAME DAY COURIER SVS INC Purchase Order No.
1044 SUMMIT DR Terms
CARMEL, IN 46032 Due Date 12/31/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/2001 32978 $34.02
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
Date Officer
VOUCHER 084025 WARRANT ALLOWED
:276850 IN SUM OF
:SAME DAY COURIER SVS INC 4pT
1044 SUMMIT DR y�
CARMEL, IN 46032 Vl
IN
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
32978 01- 6360 -03 $34.02
Voucher Total $34.02
Cost distribution ledger classification if
claim paid under vehicle highway fund