213370 10/09/2012 a ,\*f CITY OF CARMEL, INDIANA VENDOR: 00352795 Page 1 of 1
0 ` ONE CIVIC SQUARE AVIS RENT A CAR SYSTEMS INC CHECK AMOUNT: $306.36
CARMEL, INDIANA 46032 7876 COLLECTIONS CENTER DRIVE
soy ACCT AV67677-00-0000-5 CHECK NUMBER: 213370
CHICAGO IL 60693
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4343002 U325519331 306 . 36 EXTERNAL TRAINING TRA
AV/S. AV/S. AV/S.
CENTRAL BILLING STATEMENT
STATEMENT DATE: 3 0 S E P 12
ACCOUNTNUMBER: AV67677-00-0000-5
BELOW IS A SUMMARY OF ALL UNPAID INVOICES
306.36 �-
30SEP12
PREVIOUS BALANCE 4_91.40 CITY OF CARMEL
CURRENT CHARGES 287.11 CINDY SHEERS
CURRENT ADJUSTMENTS 1.9_._2.5_ ONE CIVIC SQUARE
PAYMENTS RECEIVED CARMEL IN 46032
THRU 30S 1212 TOTAL AMOUNT AMOUNT DUE 3_0-6-.-3-6-
DV CARD# RENTAL NUMBER NAME/REFERENCE RENTAL LOCATION DATE
03 99985 U325519331 HULETT,MARR ORLANDO APO 15SEP12 :
28SEP12
03 99985 U208930680 CORDRAY,DIANA,L APO NASHVILLE 21JUL12
18SEP12
03 99985 U328485404 ELLIOTT,JOHN,R PHOENIX APO 28JUL12
18SEP12
*WE PROVIDE MORE TI ELY AND ACCURATE I FORMATION
*TO THE BUSINESS CO MUNITY BY SHARING UR
*ACCOUNTS RECEIVABLE INFORMATION WITH DUN AND
*BRADS REET.******* ****************** ***********
i
SiAV SIAV SiAV
AVIS AVIS. AVIS.
CENTRAL BILLING STATEMENT
STATEMENT DATE: 3 O S E P S 2 ;
ACCOUNTNUMBER: AV67677-00-0000-5 AVIS. AVIS. AVIS
BELOW IS A SUMMARY OF ALL UNPAID INVOICES
EMITTANCE ADVICE' ?AGE 0 0 01
[ 6.36 7ATEMENTDATE 308EP12.. INQUIRIES,PLEASE,CALL: TO
3 Q;S8g.12W
1-806.-;,§59 330:0 OR WRITE
ITY )F CARMEL` AVIS CENTRAL. BILLING. 0/S
IaIVIO.USpALANCE 491.44_ CITY OF CARMEL CCOUNYNUMBER AV676.77 00 :0000 0. BOX 62800
cuR14ENTCHARGES _ 287 1,� CINDY SHEERS VIRaINIA:BPACH, VA 23462
CURRENTADJU6TMENTS.'. ____�,9_2.5_..) ONE CIVIC SQUARE PLEASE DIRECT ALL REMITTANCES TO:
PAYMPNTSRECEIVED CARMEL IN 46032 TOTAL.DUE.U$D 306.36
AVIS RENT A CAR SYSTEM, INC
THnu 3Q$EP12 7876 COLLECTIONS CENTER DRIVE
TOTALAMOUNTDUE AMOUNT
ENCLOSED CHICAGO, IL 60693
DV CARD# RENTAL NUMBER�-F NAME 1 REFI RENCE^� RENTAL LOCATION DATE
PLEASE RETURN THIS PORTION OR THE STATEMENT WITH YOUR PAYMENT AND
�- - ----� — -- - -- - "-"r INDICATE THE DIFFERENCES IN THE COMMENT> SECTION OR ON THE ENCLOSED
INVOICES.NOTE YOUR A.COUNT NUMBERION ALL CORRESPONDENCE.
03 99985 0325519331 HULETT,MARR ORLANDO APO SEP12
285EP12 RENTAL NUMBER AMOUNT USD.', PYMT/ADJJCOMMENTS NET AMT DUE USE)
28
;! U325519331 287,11
ADJG97 19.25 306.36
03 99985 U208930680 CORDRAY,DIANA,L APO NASHVILLE 21JUL12 **********SUBTOTAL DIVISION 03 *******306.36
ISSEP12
03 99985 0328485404 ELLIOTT,JOAN,R PHOENIX APO 2BJUL12 NEW CHARGES 30SE212 *******306.36
18SEP12 0208930680 153.82
88322PMT 153.82- .00
0328485404 337 ,58
88322PMT j 337.58- 00
**********SUBTOTAL DIVISION 03
«««««««««««««*««««« ««««««*««««««««««« ««*«««««««« *********« OTAL UNPAID 31JUL12
WE PROVIDE MORE TI ELY AND ACCURATE I FORMATION
TO TH BUSINESS CO UNITY BY SHARING UR * ********** OTAL AMOUNT DUE USD$ *******306.36
*ACCOUNTS RECEIVABLE INFORMATION WITH UN AND
DJUSTMENTSUMMARY
y G97 - TOLL USAGE
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PLEASE WRITE THE RENTAL AGREEMENT NUMBER ON
ALL CORRESPONDENCE AND NOTE ANY COMMENTS
ON THIS DOCUMENT. AVIS RENT A CAR SYSTEMS, INC
Avis I REMIT TO : 7876 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
Q
RENTAL AGREEMENT NUMBER: 0325519331
FOR BILLING INQUIRIES: 1-800-959-3300
RENTED: IOSEPI2/09:47 AT:ORLANDO APO FL VEHICLE DATES GP MILES OUT MILES IN DRIVEN
RETURNED: 15SEP12/10:30 AT:ORLANDO APO FL SIL NISS ALTI 4DR E 30909 31070 161
DUE IN 15SEP12/12:00 AT:ORLANDO APO FL FL 257JQA
RENTED BY RENTAL DETAILS CHARGES
HULETT,MARK
CARMEL FIRE DEPT 120
ONE CIVIC SQUARE 1 WEEKS GP E CAR @ 126.99 PER WEEK 126.99
CARMEL IN 46032 NET TIME AND MILEAGE 126.99
CUSTOMER FACILITATION CHARGES 12.50
ERF FEE CHARGES 3.60
STATE SURCHARGE 12.00
TIRE AND BATTERY SURCHARGE 0.12
WIZ#: REGISTRATION FEE 4.68
ACCOUNT#: AV67677-03-9998-5 REFUELING CHARGE 92,90
CREDIT ID# AIRPORT CONCESSION FEE @ 10.00% 22.47
QAwo#: L8640041 TAXES @ 6.50% ON 182.36 11.85
COST CONTROL#: !.
VOUCHER#: TOTAL CHARGES USE) 287.11
RES#: 06278676US5 COURTESY ADJUSTMENT 19.25
RATE: 22
ARC#:
LOCAL PHONE#: 317-428=8784=
FREQ.TRVL#: S.
DRIVER LICENSE .
TAXABLE ITEMS * � .
N RENTAL AGREEMENT NUMBER
U325519331Pr� w� p
PAYMENT DUE UPON RECEIPT. USD 306.36 � `
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
U325519331 $306.36
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.
ALLOWED 20
Avis
IN SUM OF $
7876 Collections Center Drive
Chicago, IL 60693
$306.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
� r
1120 I U325519331 I 43-430.02 I $306.36 1 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
ie
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund