174036 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 276850 Page 1 of 1
ONE CIVIC SQUARE SAME DAY COURIER SVS INC
?o CARMEL, INDIANA 46032 10163RO AVE SW CHECK AMOUNT: $72.56
SUITE 103 CHECK NUMBER: 974036
CARMEL IN 46032
CHECK DATE: 6/24/2009
DEPA RTMENT ACCOUNT PO NUMB INVOICE NUM BER AMOUNT DESCRIPT
,601 5023990 33786 72.58 OTHER EXPENSES
Same Day Courier Service, Inc Invoice
10163rd Ave S.W.
Suite 103 DATE INVOICE
Carmel, IN 46032 5/31/2009 33786
(317) 846 -7654
DUE UPON RECEIPT
BILL TO
Carmel Utilities
760 3rd Ave. SW
Carmel, IN 46032
SERVICED ITEM TICKET JOB DESCRIPTION RATE AMOUNT
4/27/2009 Courier Service 21677 Board of Health Additional Pick Up for Client 10.80 10.80
4/29/2009 Courier Service 21700 Board of Health Additional Pick Up for Client 10.80 10.80
5/8/2009 Courier Service 21856 Board of Health Additional Pick Up for Client 10.80 10.80
5/13/2009 Courier Service 21949 Board of Health Additional Pick Up for Client 10.80 10.80
5/21/2009 Courier Service 22110 Board of Health Additional Pick Up for Client 10.80 10.80
5/26/2009 Courier Service 22166 Board of Health Additional Pick Up for Client 10.80 10.80
5/26/2009 Gas Surcharge Gasoline Surcharge 7.78 7.78
Total $72.58
PLEASE NOTE NEW MAILING ADDRESS
ABOVE,
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
e
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.
1016 3RD AVE SW Terms
SUITE 103 Due Date 6/10/2009
CARMEL, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2009 33786 $72.58
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 092051 WARRANT ALLOWED
276850 IN SUM OF
SAME DAY COURIER SVS II�N
1016 3RD AVE SW
103
CA RMEL, IN 46032 0 ;0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
33786 01- 6360 -03 $72.58
t Voucher Total $72.58
Cost distribution ledger classification if
claim paid under vehicle highway fund