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Home My WebLink About168708 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 360689 Page 1 of 1 ONE CIVIC SQUARE SURVEYMONKEY.COM CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 815 NW 13TH AVE SUITE D oM to PORTLAND OR 97209 CHECK NUMBER: 168708 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMB INVOICE NU AMOUNT DESCRIPTION 1047 4355200 16097759 200.00 SUBSCRIPTIONS c> 4� SurveyMonkey My Account: Billing: Invoices Page 1 of 2 S urveyMonkey.com Web Site: www.surve because knowledge is everything SurveyMonkey.com Invoice 16097759 815 NW 13th Ave. Suite D Payment Made On: -na- Portland, OR 97209 USA Tax ID (EIN): 39- 1989790 ti Billing Invoice (01/15/09 01/15/10) (Payment due by 02/15/09) To: Payment Details: Carmel Clay Parks and Recreation Schneider, Kate kschneider @carmelclayparks.com 1235 Central Park Drive East Carmel, IN 46032 US =BY: Description QYy Price Amount Annual Subscription 1 $200.00 $200.00 Total (USD) $200.00 Printed Check: Direct Bank Deposit: SurveyMonkey.com Account Name: SurveyMonkey.com 815 NW 13th Ave. Suite D Portland, OR 97209 USA Bank: Bank of America 400 4th Street Please note invoice #16097759 on check. Lake Oswego, OR 97034 Swift Code BOFAUS3N i ACH transfer Routing /ABA 323070380 Purchase Account 485000808034 Description j C✓Vt l UAh011 wire transfer P.O. -NZip P or r Routing/ABA 026009593 G.L. "T 'IUD Ir`13SSZDU Bud Account 485000808047 get Line Descr L p o_h7 r7'( Purchaser Date�D9 Please note invoice #16097759 in comments. Approval Date Please send us an email after the transfer is complete. i http:// www. surveymonkey .com/MyAccount_Billing_ Invoice .aspx ?sm= By6UZXhhJA7ov... 1/16/2009 i ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Survey Monkey.com Terms ,d 815 NW 13th Ave. Ste D Portland, OR 97209 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/15/09 16097759 Survey evaluation 200.00 Total 200.00 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. Survey Monkey.com Allowed 20 815 NW 13th Ave. Ste D Portland, OR 97209 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members Dept 1047 16097759 4355200 200.Q0 I hereby certify that the attached invoice(s), or 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 2 -Feb 2009 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund