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209576 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 358085 Page 1 of 1 s 0 ONE CIVIC SQUARE IMAVEX CARMEL, INDIANA 46032 9615 E. 148TH STREET CHECK AMOUNT: $129.00 NOBLESVILLE IN 46060 CHECK NUMBER: 209576 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 80.63 OTHER EXPENSES 651 5023990 48.37 OTHER EXPENSES Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER Form No. 301 -S (Rev. 1995) l x T6f ADDRESS Invoice Date Invoice Number Item Amount D� 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 19 Signature Title 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. 19 d� Offlcer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS SANITATION DEPARTMENT ACCT. CARMEL, INDIANA AUryf(_ 3W vor Of Total Amount of Voucher Deductions r Amount of Warrant Month of 19 Acct: VOUCHER RECORD No. Collection System Operation Plant Commercial General Undistributed Construction Depreciation Reserve Stock Accounts Merchandise Total Allowed Board Members Filed BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325 Invoice Imavex, LLC 9615 E. 148th Street Suite 5 Date: Noblesville, IN 46060 5/25/2012 Bill To: Invoice 6dlOc9 City of Carmel Utilities Due Date: 6/10/2012 760 3rd Avenue SW Carmel IN 46032 Attn: Accounts Payable PO Description Amount 129.00 iWorksite Monthly Hosting and Services (June 2012) You can pay by check or credit card. To pay by credit card, log into your website and Invoice Total USD 129.00 select "Make a payment to Imavex, LLC" from the Financial Tools menu or call to make a payment by phone. If you have questions contact the accounting department at Payments /Credits Applied USD 0.00 317 774 -7460 xI10 Total Customer Balance USD 129.00 Prescribed by State Board of Accounts Form No. 301 (Rev. 1995) ACCOUNTS PAYAB VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 ,19 Signature Title I hereby certify that the attached invoice(s), or bill(s), is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6. 1 19 IhA ficer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA PJ Total Amount of Voucher Deductions C Amount of Warrant Month of 19 VOUCHER RECORD Acct. No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and Ge ral Operation Maintenance Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325