211537 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 360611 Page 1 of 1
ONE CIVIC SQUARE BANK OF NEW YORK MELLON
CARMEL, INDIANA 46032 FINANCIAL CONTROL BILLING DEPT CHECK AMOUNT: $850.00
PO BOX 19445A
CHECK NUMBER: 211537
NEWARK NJ 07195-0445
CHECK DATE: 7/3112012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
653 5023990 2521641963 850 . 00 CONT SVS-OTHER
DOR 1
BNY MELLON INVOICE
CORPORATE TRUST
The Bank of New York Mellon
Trust Company, N.A.
Perette Russell o Invoice Number: 252-1641963
300 N.Meridian Street,Suite 910 C:)
Account Number: CARSEW 12
Indianapolis,IN 46204 O Invoice Date: 18-Jul-12
Cycle Date: 23-May-12
Administrator: Perette Russell
Center Name: Indianapolis Muni
Phone Number: 317-637-7771
Currency: USD
CITY OF CARMEL,IN SEWAGE WORKS REVENUE BONDS OF 2012
Quanti Rate Proration Su total Total
Flat
Administration Fee 500.00
For the period:May 23,2012 to June 05,2013
One Time Charges
Acceptance Fee 350.00
Invoice Total: 850.00
Satisfied To Date: 0.00
Balance Due 850.00
Terms:Payable upon receipt. Please reference the invoice and account number with your remittance.
Our Tax ID Number is 95-3571558. Please fax Taxpayer Certification requests to(732)667-9576.
Check Payment Instructions: Wire Payment Instructions:
The Bank of New York Mellon The Bank of New York Mellon
Financial Control Billing Department ABA#021000018
P.O.Box 19445A Account:GLA#111-565
Newark,NJ 07195-0445 For further credit:TAS#016760
Please enclose billing stub. Please reference Invoice Number:252-1641963
Billing Stub
CITY OF CARMEL,IN SEWAGE WORKS REVENUE BONDS OF 2012 Invoice Number. 252-1641963
Account Number. CARSEW 12
Invoice Date: 18-Jul-12
GIL
Cycle Date: 23-May-12
Administrator: Perette Russell
Center Name: Indianapolis Muni
Phone Number: 317-637-7771
Amount: 850.00 USD
000000574066252D16419630000000000000850004
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
360611
BANK OF NEW YORK MELLON Purchase Order No.
FINANCIAL CONTROL BILLING DEPT Terms
PO BOX 19445A Due Date 7/23/2012
NEWARK, NJ 07195-0445
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2012 2521641963 $850.00
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
7/i71JI ���--
Date Officer
VOUCHER # 125381 WARRANT # ALLOWED
360611 IN SUM OF $
BANK OF NEW YORK MELLON
FINANCIAL CONTROL BILLING DEPT
PO BOX 19445A
NEWARK, NJ 07195-0445
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2521641963 10-7360-08 $850.00
Voucher Total $850.00
Cost distribution ledger classification if
claim paid under vehicle highway fund