172529 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 276850 Page 1 of 1
ONE CIVIC SQUARE SAME DAY COURIER SVS INC
CARMEL, INDIANA 46032 1016 3RD AVE SW CHECK AMOUNT: $35.00
SUITE 103
CHECK NUMBER: 172529
CARMEL IN 46032
CHECK DATE: 511312009
DEPA ACCOUNT PO NUMBER INVOICE NUMBE AMOUN DESCRIPTION
°601 5023990 0107557 35..00 OTHER EXPENSES
Same Day Courier Service, Inc I nvoice
1016 3rd Ave S.W.
Suite 103 DATE INVOICE
Carmel, M 46032 4/27/2009 33590
(317) 846 -7654
DUE UPON RECEIPT
BILL TO
Carmel Utilities
760 3rd Ave. SW
Carmel, 1N 46032
SERVICED ITEM TICKET JOB DESCRIPTION RATE AMOUNT
4/1/2009 Courier Service 21273 Board of Health Additional Pick Up for Client 10.80 10.80
4/13/2009 Courier Service 21452 Board of Health Additional Pick Up for Client 10.80 10.80
4/1.6/2009 Courier Service 21536 Board of Health Additional Pick Up for Client 1.0.80 10.80
4/24/2009 Gas Surcharge Gasoline Surcharge 2.60 2.60
Tot� 1 $3 5,00
PLEASE NOTE NEW MAILING ADDRESS
ABOVE.
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.
1016 3RD AVE SW Terms
SUITE 103 Due Date 5/4/2009
CARMEL, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2009 33590 $35.00
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
Date Officer
VOUCHER. 091713 WARRANT ALLOWED
276850 IN SUM OF
SAME DAY COURIER SVS INg J)
1016 3RD AVE SW
SUITE 103
z CARMEL, IN 46032 ER?R?
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
33590 01- 6360 -03 $35.00
Voucher Total $35.00
Cost distribution ledger classification if
claim paid under vehicle highway fund