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214559 11/19/2012 CITY OF CARMEL, INDIANA VENDOR: 361808 Page 1 of 1 0 ONE CIVIC SQUARE PROLIANCE ENERGY LLC CARMEL, INDIANA 46032 111 MONUMENT CIRCLE SUITE 2200 CHECK AMOUNT: $3,909.90 INDIANAPOLIS IN 46204 CHECK NUMBER: 214559 CHECK DATE: 11/19/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4349000 201210-I-000 3 , 909 . 90 201210-I-000912 Invoice Date: 09-Nov-2012 Invoice Number: 201210-I-000912 Due Date: 23-Nov-2012 Customer ID: CARtvIELPARREC Production Month: 10/2012 GMS Contract Number: S-CARMELPARREC-T-0001 Customer Number: 42066 PO Number(s): Please Remit to: Carmel/Clay Board of Parks and Recreation Attn: Paula Schlemmer ProLiance Energy LLC 1411 E. 116th St. Attn: Accounts Receivable Carmel,IN 46032 � NT�� 111 Monument Circle Suite 2200 NOV I a 2012 Indianapolis,IN 46204-5178 - - -BY: -- -- --- E N'R('3"Y Pit)eline Meter Description Stat. Ouantitv Price AmountDue OCT 2012 INDGAS C&I Pool C&I IGC Pool Act 1,091 Dth $3.53430 $3,855.93 IN URT (1.40&) $53.98 Current Totals 1,091 Dth $3,909.90 Recao- Total Actual $3,855.92 Total Tax $53.98 Net Amount Due $3,909.90 + Prior Account Balance $0.00 Total Amount Due $3,909.90 *Any amounts that are past due will continue to accrue late fees and/or late charges until amount is paid in full. Contract Volume Z Market Price If you have any questions or concerns on this invoice,please contact Customer One at our toll free number 1-8PROLIANCE(1-877-654-2623). Please Send EFT Transactions To: Please Send Invoices To Please Remit Check To: Please Send Correspondence To: PNC Bank,N.A. ProLiance Ener- LLC ProLiance Ener__ry LLC ProLiance Energry LLC East Brunswick.NJ I I I Nlomunent Circle Attn:Accounts Receivable I I I Monwnent Circle Bank Account# 3026732295 Suite 2200 1 1 l Monument Circle Suite 2200 WIRE ABA# 031207607 Indianapolis,IN 46204-5173 Suite 2200 Indianapolis,IN 46204-5173 ACH ABA,; 031207607 Phone:(317)231-6300 Indianapolis.IN 46204-5178 Phone:(3l 7)231-6300 Invoice Number: 201210-1-000912 Customer ID: CARMELPARREC Page 1 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. 361808 ProLiance Energy LLC Terms 111 Monument Circle, Ste 2200 Date Due Indianapolis, IN 46204-5178 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/9/12 2012101000912 Monon Community Center Oct'12 $ 3,909.90 Total $ 3,909.90 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. 361808 ProLiance Energy LLC Allowed 20 111 Monument Circle, Ste 2200 Indianapolis, IN 46204-5178 In Sum of$ $ 3,909.90 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#i AMOUNT Board Members Dept# TITLE 1091 2012101000912 4349000 $ 3,909.90 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 15-Nov 2012 6�� Signature $ 3,909.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund