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209159 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366072 Page 1 of 1 0 ONE CIVIC SQUARE GEMINI GROUP CHECK AMOUNT: $5,247.00 CARMEL, INDIANA 46032 190 NORTH MAIN ST 'tr NATICKMA 01760 CHECK NUMBER: 209159 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 112 -10883 5,247.00 OTHER EXPENSES i Gemini Group L.L.C. Invoice 190 North Main Street Natick, MA 01760 Date Invoice# 5/15/2012 112 -10883 Bill To Ship To Carmel Water Carmel Water Jaimie Foreman Jaimie Foreman 3450 W. 131st. St 3450 W. 131st. St Carmel, fN 46074 Carmel, IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Project JF031212 Net 30 5/15/2012 Quantity Item Code Description Price Each Amount 29,000 CCR Standard Complete CCR management services for Standard Service 0.15786 4,578.00 Program CCR Other Freight 669.00 669.00 Phone Fax Total I $5,247.00 508- 647 -8320 508- 647 -8323 VOUCHER 114607 WARRANT ALLOWED 336072 IN SUM OF GEMINI GROUP 190 NORTH MAIN ST NATICK, MA 01760 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 112 -10883 01- 6750 -08 $5,247.00 Voucher Total $5,247.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 336072 GEMINI GROUP Purchase Order No. 190 NORTH MAIN ST Terms NATICK, MA 01760 Due Date 5/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/17/2012 112 -10883 $5,247.00 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