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214602 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 365610 Page 1 of 1 t, ONE CIVIC SQUARE CORE RESEARCH,INC CARMEL, INDIANA 46032 PO BOX 45873 CHECK AMOUNT: $190.00 +, OMAHA NE 68145-0873 CHECK NUMBER: 214602 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4350900 3422 190 . 00 OTHER CONT SERVICES Invoice CORE RESEARCH Invoice Number: 3422 Invoice Date: 2012-10-31 Billing Terms: net 15 Bill To: Remit To: Carmel Clay Park and Recreation Core Research,Inc. Phone:317-573-5236 PO Box 45873 Fax:317-573-5254 Omaha,NE 68145-0873 (402)502-0579 angie @coreresearchinc.com m. a es ;':,; IVlononCenter DayPas"s=Vsit'{ 3=�. 5 2012-10-15 ..........................................__.........._................._............... .......... ..................... .. .. ................. ._ 2012-10-15 Monon Monon Community Center Monon Center Day Pass Visit 80.00 USD Carmel IN 46032 Survey ID:40669 Purchase Expense 0.00 USD Survey Subotal: 80.00 USD " c rd-- ' 8 i4' a`-Summary for 2012-10=15- (1)re o "' Subtotal:_ '°° 0- USD' °E z r r n r_PlioneCalla -, :�.,. & .. �Monori�Ce to .r. .:,: ���,.. ���• .;� :`��.. :;��'��.. l�:,.. 2012-10-15 2012-10-15 Monon Monon Community Center Monon Center Phone Call 30.00 USD Carmel iN 46032 Surrey ID:40667 ,,, .?' •` Summary'•for2012 10-15; (.1')`reco[d - ? - "Subtotal•:_.; ;-""•30.00 USD) °-ms's as ,, °-, - ,'- ;=„ �5, .- ,,, „N,, w =°'. ;'�:;:...-,�-...; R".Center Toursx 2012-10-15 _..._.._._........._....-.......... ........---............... ....................................._......................................... ............. ........_...................................... ...........-........__.................. ......................_...........................__............. 2012-10-15 Monon Monon Community Center Monon Center Tour 80.00 USD Carmel IN 46032 Survey ID:40668 cwt n:Suma'.ry Subtotal• for '80 �m .s;� .00' USD' '. :ri•�:��- ;x; °>��` =:,�� :�'��s: `Number of;Surveys:• _ •:: � °�:'• ��•°3"'`�: y�'. '�d. -'Invoice Total:, ` X190.00 USD:`, t $ Purchase ffV'\3 l `O" ' 1� Description (�� ��----FYt�� (7 7�i,JU P.O.# P r F OCT 3 0 2012 G.L.# I091— 4 35DG?o d Budget UneD escrno)] B Y Purchaser KU= 10-� 12Date Approval Date Page 1 of 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, 365610 Core Research, Inc. Terms P.O. Box 45873 Omaha, NE 68145-0873 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/31/12 3422 Mystery shopper program Oct'12 31070 $ 190.00 Total $ 190.00 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 20_ Clerk-Treasurer Voucher No. Warrant No. 365610 Core Research, Inc. Allowed 20 P.O. Box 45873 Omaha, NE 68145-0873 In Sum of$ $ 190.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept# 1091 3422 4350900 $ 190.00 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 &�A114 Signature $ 190.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund