208478 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360689 Page 1 of 1
ONE CIVIC SQUARE SURVEYMONKEY.COM
CARMEL, INDIANA 46032 C/O BANK OF AMERICA LOCKBOX CHECK AMOUNT: $299.00
15765 COLLECTIONS CENTER DRIVE CHECK NUMBER: 208478
CHICAGO IL 60693
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341991 19538733 59.80 MARKETING PROMOTION
1091 4341991 19538733 239.20 MARKETING PROMOTION
Invoice No. 19538733 Page 1 of 2
i nvo i ce 95)38 Close Print PayNow,�
Apr 2 2012 Payment Due on June 17, 2012
DESCRIPTION USER NAME BILLING PERIOD QUANTITY PRICE AMOUNT
Gold Plan MononCenter May 17, 2012 May 16, 2013 1 $299 $299
Total: $299
BILLING DETAILS NOTES
Serra Garske Subscription Renewal Charge
Carmel Clay Parks Recreation
1411 E 116th Street
Carmel
Indiana o JR
46032
United States
317- 573 -5238 APR 4 2U 12
Purchase Order Number:
BY.
PAYMENT INFORMATION
Please pay using one of these methods:
1. Pay now by Credit or Debit Card
2. Pay with a check
Send check to: i' ;rchass 'l 1
S o LLC Description
c/o o Bank Bank of America Lockbox Services P O C� /I 3� r- P
15765 Collections Center Drive G.L.
Chicago, IL 60693 J 2Z ff t09/9 jj
Bucket �O
NOTE: Please write the invoice number: #19538733 on your check. Line Descr 1031 gg43`t
Purchaser M r pAt'a ry (5
3. Pay by Direct Bank Deposit Approval Date
Use the following information to make your deposit:
Account Name: SurveyMonkey.com
Swift Code BOFAUS3N
For ACH:
Routing /ABA 323070380
Account 485005765897
For wire transfers:
Routing /ABA 026009593
Account 485005765897
NOTE: Please include the invoice number: #19538733 in the comments of your deposit.
https: /www.surveymonkey.com/ billing /invoice/ 19538733/0422f91 d3abd258fOd47398b86£.. 4/4/2012
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.
360689 SurveyMonkey.com, LLC Terms
c/o Bank of America Lockbox Services
15765 Collections Center Drive
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/2/12 19538733 Survey subscription 30637 239.20
4/2/12 19538733 Survey subscription 30637 59.80
Total 299.00
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.
360689 SurveyMonkey.com, LLC Allowed 20
c/o Bank of America Lockbox Services
15765 Collections Center Drive
Chicago, IL 60693 In Sum of
299.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1091 19538733 4341991 239.20 1 hereby certify that the attached invoice(s), or
1081 -99 19538733 4341991 59.80 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
19 -Apr 2012
Signature
299.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund