HomeMy WebLinkAbout214632 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00352832 Page 1 of 1
ONE CIVIC SQUARE FIFTH THIRD BANK
CARMEL, INDIANA 46032 ACCT#XXXX-XXXX-XXXX-2798 CHECK AMOUNT: $2,145.00
PO BOX 740523 CHECK NUMBER: 214632
CINCINNATI OH 45274-0523
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 2798 2, 029 . 01 TRAVEL FEES & EXPENSE
1125 4230200 2798 79 . 99 OFFICE SUPPLIES
1125 4342100 2798 36 . 00 POSTAGE
Fifth Third Bank
ACCOUNT NUMBERxxxx XXXX XXXX 2798
FIFTH THIRD BANK
PO BOX 740523 PAYMENT DUE DATE 11-15-12
CINCINNATI OH 45274-0523 AMOUNT DUE $2,145.00
CURRENT BALANCE $2,145.00
FIFTH THIRD BANK
PO BOX 740523
CINCINNATI OH 45274-0523 AMOUNT
ENCLOSED 11h L4 511D
CARMEL CLAY PARKS & RECR r000aase
CORPORATE BILLING ACCT
C/O AUDREY KOSTRZEWA
1411 E 116TH ST
CARMEL IN 46032-3455
5569260004422798 0002145001 0002145001
Please tear payment coupon at perforation.
-------------------------------------------
--------------------------------------------------------------
-_______ STATEMENT MESSAGES
For your protection,the card activation line has been enhanced to require zip code in addition to your card number and
unique ID.
If you receive a new card,and do not know your zip code, please contact your program administrator
Y ——F-1I-7F--j
NOV 01 2012 II�
�k: 1
CORPORATE ACCOUNTSUMMARY,
CORPORATE ACCOUNT NUMBER
XXXXXXXXXXXX2798
CLOSING DATE 10-31-12 PREVIOUS BALANCE 2432.04
PAYMENT DUE DATE 11-15-12 PURCHASES AND OTHER CHARGES 4,577.04
CREDIT LIMIT 40,000 CASH ADVANCES .00
AVAILABLE CREDIT 37,855 CREDITS 4,864.08
PAYMENTS .00
FOR CUSTOMER SERVICE CALL: LATE PAYMENT CHARGES .00
1-800-375-1747
CASH ADVANCE FEE .00
SEND BILLING INQUIRIES TO: FINANCE CHARGES .00
FIFTH THIRD BANK NEW BALANCE 2,145.00
P.O. BOX 630781
CINCINNATI OH 45263.0781 TOTAL PAYMENT DUE 2,145.00
DISPUTED AMOUNT .00
Page 1 of 2
ACCT. NUMBER: XXXX XXXX XXXX 2798
CREDIT LIMIT 40,000.00 CASH ADVANCE BALANCE .00
CURRENT BALANCE 2,145.00 MINIMUM PAYMENT DUE 2,145.00
AVAILABLE CREDIT 37,855.00 PAYMENT DUE DATE 11-15-12
INDIVIDUAL CARDHOLDER ACTIVITY:.-
DAWN R KOEPPER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY
XXXX-XXXX-XXXX-2814 $0.00 $79.99 $0.00 $79.99
Post Trans
Date Date Reference Number Transaction Description VCN Amount
10-19 10-18 55432862292000943949299 CBI'PARALLELS 866-522-6855 IL 79.99
PAULA SCHLEMMER CREDITS PURCHASES CASH ADV TOTAL ACTIVITY
XXXX-XXXX-XXXX-9873 $0.00 $36.00 $0.00 $36.00
Post Trans
Date Date Reference Number Transaction Description VCN Amount
10-26 10.25 05410192299418137138964 USPS 17127608130911713 CARMEL IN 36.00
MICHAEL W KLITZING CREDITS PURCHASES CASH ADV TOTAL ACTIVITY
XXXX-XXXX-XXXX-2421 $4,864.08 $4,461.05 $0.00 $403.03 CR
Post Trans
Date Date Reference Number Transaction Description VCN Amount
10-17 09-26 75569262291004048194337 LASTMINUTE.COM USA 800-256-9089 TX 2,432.04 CR
10-19 10-18 55541862292004099049985 TRAVELOCITY HOTEL RESE 800-256-9089 TX 2,432.04 CR
10-19 10-18 55446412293091812001061 JACK IN THE BOX#3165 ANAHEIM CA 7.52
10-19 10-17 55421352292158132333199 BAJA FRESH SBARRO ANAHEIM CA 12.47
10-19 10-17 55432862292000972654943 FIREICE GRILLBAR ANAHEIM CA 87.83
10-22 10-19 05140482293720062154850 MCDONALD'S F20727 GRAPEVINE TX 4.84
10-22 10-19 55417342294872942537675 AMERICAN 00102760000100 ORANGE COUNTY CA 25.00
KLITZINGIMICHAE Departure Date 10-19.12
XAA AA X XAE
10-22 10-19 55432862293000239757272 SQ*OWNER OPERATOR CAL IRVINE CA 40.20
10-22 10-18 55432862293000252292876 CALIFORNIA PIZZA 268 ANAHEIM CA 53.62
10-22 10-20 05410192294090679064414 A STAR TAXI LONG ISLAND C NY 61.38
10-22 10-20 85450782295118000164221 DOUBLETREE GUEST SUITE ANAHEIM CA 829.40
00002864 ARRIVAL:10-14.12
10-22 10-20 85450782295118000175938 DOUBLETREE GUEST SUITE ANAHEIM CA 906.75
00002875 ARRIVAL:10.14-12
10-25 09-26 55541862271004048194333 LASTMINUTE.COM USA 800-256.9089 TX 2,432.04
Page 2 of 2
Parallels,
Cie" T' eronage
advanced e-commerce
cleverbridge, Inc. - 360 N. Michigan Ave. Suite 1900 - Chicaoo, IL 60601-3805 - United States OCT 18 2012
Carmel Clay Parks and Recreation
Dawn Koepper �,
1411 E. 116th Street
Carmel, IN 46032
United States `'(�'
RECEIPT D
Reference number: 37244346 Invoice date: 10/18/2012
(required for all inquiries)
Invoice number: BKD-7363058903
INVOICE INFORMATION
# Product name Delivery Unit price Qty. Price
1 Parallels Desktop 8 for Mac Electronic $79.99 1 $79.99
Run Windows on your Mac!
Total: $79.99
Unless stated otherwise, the delivery date is identical to the billing date.
PAYMENT DETAILS
Your credit card (xxxxxxxxxxxxx2814) has been successfully authorized. Please note that the charge on your
credit card will appear as "CBI*PARALLELS."
F1F -q T-1
Purchase / d
Description , Tw�> �<llti4 _&3 Y'
P.O.# P rF
G.L.# I Ias- a -4a39
Budget
Line Descr
Purchaser Date
Approval Date
cleverbridge, Inc. cleverbridge, Inc. is the merchant of record for this Tax ID: 20-4503251
360 N. Michigan Ave. transaction.
Suite 1900
Chicago, IL, 60601-3805
- 1 -
Transaction Receipt
Account Number: 556926.....`2421 Name on Account: MICHAEL W KLITZING
i
Date: 10/1 5:33
Amoun;t: 2.47
Processing T or ransaction
Swipe: Full Track 1&2
Result: Authorized
Approval Code: 005938
Merchant
3
Card Acceptor: 8788430122683
Merchant Name: BAJA FRESH SBARRO
Address: ANAHEIM 06 840
MCC Category: EATING PLACES AND RESTAURANTS
10q C-ET 17ED
OCT 2 3 2012
Michael Klitzing `�S` ,6
From: Square [noreply @messaging.squareup.com]
Sent: Friday, October 19, 2012 8:02 AM
To: Michael Klitzing
Subject: Receipt from owner operator California Yellow cab for$40.20
'n
C �!
Oct 19.2.012 at 5 01 am Receipt
#IdCS
Custom Amount $33.50
Tip $6.70
Total $40.20
lam•" 2421 $40.20
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1
2085 S.Harbor Blvd. • Anaheim,CA 92802
Phone(714)750-3000 • Fax(714)750-3002
DOUBLETUE SUITES For reservations across the nation
Name&Address BY H I LT ON'" www.doubletreeanaheim.com or 1-800-222-TREE
ANAHEIM RESORT-CONVENTION CENTER
KLITZING, MICHAEL Room 339/NK1
Arrival Date 10/14/2012 9:20:OOPM
Departure Date 10/19/2012
Adult/Child 1/0
Room Rate $169.00
RATE PLAN C-NRP R C VEff
HH#
AL BONUS AL CAR OCT 2 2 2012
Confirmation: 80437366 BY
10/19/2012 PAGE 1
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
1011412012 1944308 GUEST RO M $169.00
10/14/2012 1944308 OCCU PANC Y TAX $25.35
10/14/2012 1944308 ANAHEIM TOURISM FEE ATID) $3.38
10/14/2012 1944308 RESORT AE SESSMENT FEE $6.00
10/14/2012 1944308 RESORT AE MT FEE TAX $0.90
10/14/2012 1944308 ANAHEIM TOURISM FEE $0.12
10/15/2012 1945089 GUEST ROOM $169.00
10/15/2012 1945089 OCCUPAN Y TAX $25.35
10/15/2012 1945089 ANAHEIM TOURISM FEE ATID) $3.38
10/15/2012 1945089 RESORT A SESSMENT EE $6.00
10/15/2012 1945089 RESORT AE MT FEE TAX $0.90
10/15/2012 1945089 ANAHEIM T DURISM FEE $0.12
10/16/2012 1945956 GUEST ROOM $169.00
10/16/2012 1945956 OCCUPAN Y TAX $25.35
10/16/2012 1945956 ANAHEIM T URISM FEE ATID) $3.38
10/16/2012 1945956 RESORT Ac SESSMENT FEE $6.00
10/16/2012 1945956 RESORT Ac MT FEE TAX $0.90
10/16/2012 1945956 ANAHEIM T DURISM FEE $0.12
10/17/2012 1946869 GUEST ROOM $169.00
10/17/2012 1946869 OCCUPAN Y TAX $25.35
10/17/2012 1946869 ANAHEIM T URISM FEE ATID) $3.38
10/17/2012 1946869 RESORT AE SESSMENT FEE $6.00
10/17/2012 1946869 RESORT AE MT FEE TAX $0.90
10/17/2012 1946869 ANAHEIM T URISM FEE $0.12
10/18/2012 1947597 CHECK(NU BER 7050) ($194.35)
EXPRESS CHECK-OUT DATE OF CHARGE FOLIO NO./CHECK NO.
286422 A
Good Morning ! We hope you enjoyed your stay. With Express Check-Out "\/7
there is no need to stop at the Front Desk to check out.
• Please review this statement. It is a record of your charges as of late last AUTHORIZATION INITIAL JL
evening.
• For any charges after your account was prepared,you may: PURCHASES&SERVICES
•pay at the time of purchase.
•charge purchases to your account,then stop by the Front Desk for an TAXES
updated statement.
•or request an updated statement be mailed to you within two business days. TIPS&MISC.
Simply call the Front Desk from your room and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s)in the room. TOTAL AMOUNT O
Please call the Front Desk if you wish to extend your stay or if you have any
questions about your account. PAYMENT DUE UPON RECEIPT
PAYMENT DUE UPON RECEIPT-1.5%PER MONTH INTEREST CHARGE"'ILL BE APPLIED TO ALL PAST DUE INVOICES.
ARN
4PJ 2085 S.Harbor Blvd. Anaheim,CA 92802
Phone(714)750-3000 Fax(714)750-3002
DOUBLETREE SUITES For reservations across the nation
Name&Address a v H LI ON- www.doubletreeanaheim.com or 1-800-222-TREE
ANAHEIM RESORT-CONVENTION CENTER
KLITZING,MICHAEL Room 339/NK1
Arrival Date 10/14/2012 9:20:OOPM
Departure Date 10/19/2012
Adult/Child 1/0
Room Rate $169.00
RATE PLAN C-NRP
HH#
AL
BONUS AL CAR
Confirmation: 80437366
10/19/2012 PAGE 2
DATE DESCRIPTION ID REF NO CHARGES CREDITS BALANCE
10/18/2012 1947771 GUEST ROOM $169.00
10/18/2012 1947771 OCCUPANCY TAX $25.35
10/18/2012 1947771 ANAHEIM TOURISM FEE ATID) $3.38
10/18/2012 1947771 RESORT AE SESSMENT FEE $6.00
10/18/2012 1947771 RESORT AE MT FEE TAX $0.90
10/18/2012 1947771 ANAHEIM TOURISM FEE $0.12
WILL BE SETTLED 0OAl2MO 0$829..0400 EF ECTIVE B LANCE OF
ESTIMATED CURRENCY TOTAL
EXPRESS CHECK-OUT DATE OF CHARGE FOLIO NO./CHECK NO.
286422 A
Good Morning ! We hope you enjoyed your stay. With Express Check-Out X7
there is no need to stop at the Front Desk to check out.
• Please review this statement. It is a record of your charges as of late last AUTHORIZATION INITIAL JL
evening.
° For any charges after your account was prepared,you may: PURCHASES&SERVICES
•pay at the time of purchase.
•charge purchases to your account,then stop by the Front Desk for an TAXES
updated statement.
•or request an updated statement be mailed to you within two business days. TIPS&MISC.
Simply call the Front Desk from your room and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s)in the room. TOTAL AMOUN6 0
Please call the Front Desk if you wish to extend your stay or if you have any
Questions about your account. PAYMENT DUE UPON RECEIPT
PAYMENT DUE UPON RECEIPT-1.5%PER MONTH INTEREST CHARGE WILL BE APPLIED TO ALL PAST DUE INVOICES.
144-A A.r nJ k PA-
2085 S.IIarbor Blvd, Anaheim,CA 92802
Phone(714)750-3000 Fax(714)750-3002
DQU$LETREE SUITES For reservations across the nation �►w�ena,
Name&Address eY H L ON' www.doubtetreeanaheim.com or 1-800-222-TREE /�•�
ANAHt11A RESORT-CONVENTION C,E.ITE0.
LABAS,BENJAMIN Room 528/NKXSD [.trl_' •
8809 147TH PL Arrival Date 10/14/2012 12A0:00PM
Departure Date 10/19/2012
NOBLESVILLE,IN 46060
US Adult/Child 2/0
Room Rate $149.00
RATE PLAN LV6
HH# 233139432 GOLD
AL DL #6706729347
BONUS AL CAR
Con fi r m a t ion: 810752 34
10/19/2012 PAGE 1
DATE DESCRIPTION ID REF,NO CHARQES CREDITS BALANCE
10114/2012 1944389 GUEST ROOM $149.00 -
10/14/2012 1944389 OCCUPAN Y TAX $22.35
10/14/2012 1944389 ANAHEIM T URISM FEE(ATID) $2.98
10/14/2012 1944389 RESORT A SESSMENT EE $6.00
10/14/2012 1944389 RESORT Ac,MT FEE TAX $0.90
10/14/2012 1944389 ANAHEIM TOURISM FEE $0.12
10/15/2012 1945197 GUEST ROOM $149.00
10/15/2012 1945197 OCCUPANCY TAX $22.35
10/15/2012 1945197 ANAHEIM T URISM FEE ATID) $2.98
10/15/2012 1945197 RESORT A SESSMENT EE $6.00
10/15/2012 1945197 RESORT AE MT FEE TAX $0.90
10/15/2012 1945197 ANAHEIM TOURISM.FEE $0.12
10/16/2012 1946048 GUEST ROOM $149.00
10/16/2012 1946048 OCCUPANCY TAX $22.35
10/16/2012 1946048 ANAHEIM TOURISM FEE ATID) $2.98
10/16/2012 1946048 RESORT AE SESSMENT F7EE $6.00
10/16/2012 1946048 RESORT AE MT FEE TAX $0.90
10/16/2012 1946048 ANAHEIM TOURISM FEE $0.12
10/17/2012 1946958 GUEST ROOM $149.00
10/17/2012 1946958 OCCUPANCY TAX $22.35 Ir 71
10/17/2012 1946958 ANAHEIM T URISM FEE ATID) $2.98
10/1712012 1946958 RESORT A SESSMENT EE $6.00
10117/2012 1946958 RESORT A MT FEE TAX $0.90
10/17/2012 1946958 ANAHEIM T URISM FEE $0.12
10118/2012 1947872 GUEST ROOM $149.00
EXPRESS CHECK-OUT DATE OF CHARGE FOLIO NO./CHECK NO.
287593 A
Good Morning? We hope you enjoyed your stay. With Express Check-Out
there is no need to stop at the Front Desk to check out.
• Please review this statement. It is a record of your charges as of late last AUTHORIZATION INITIAL JL
evening.
° For any charges after your account was prepared,you may: PURCHASES&SERVICES
•pay at the time of purchase.
•charge purchases to your account,then stop by the Front Desk for an TAXES
updated statement.
•or request an updated statement be mailed to you within two business days. TIPS&MISC. 0
Simply call the Front Desk from your room and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s)in the room. TOTAL ANIOUN6 0
Please call the Front Desk if you wish to extend your stay or iJ you have any
que-wiolts about your account PAYMENT DUE UPON R>;CEI PI'
PAYMENT DUE UPON RECEIPT-1.57.PER MONTH INTEREST CHARGE WILL AE APPLIED TO ALL PAST DUE INVOICES.
2085 S.Harbor Blvd, Anaheim,CA 92802
Phone(714)750-3000 Fax(714)750-3002
DOU$LETREE SUITES For reservations across the nation
Name&Address aY HIETON- www.doubletreeanaheim.comor1-800.222-TREE
ANAHRI.N RESORT-CONVENTION CENTER
LABAS,BENJAMIN Room 528/NKXSD
8809 147TH PL Arrival Date 10/14/2012 12:40:00PM
Departure Date 1 011 9/201 2
NOBLESVILLE,IN 46060
US Adult/Child 2/0
Room Rate $149.00
RATE PLAN LV6
HH# 233139432 GOLD
AL DL #6706729347
BONUS AL CAR
Confirmation: 81075234
1 0/1 912 01 2 PAGE 2
ATE ID REF CHARGES REDIT BALANCE
- I
10/18/2012 1947872 OCCUPAN Y TAX $22.35
10/18/2012 1947872 ANAHEIM TOURISM FEE ATID) $2.98
10/18/2012 1947872 RESORT AE SESSMENT EE $6.00
10/18/2012 1947872 RESORT AE MT FEE TAX $0.90
10/18/2012 1947872 ANAHEIM TOURISM FEE $0.12
WILL BE ETTLED 0SSM $906.75
EF ECTIVE B LANCE OF $0'00
ESTIMATED CURRENCY FOTAL
Hilton HHonor (R)stays are posted within 72 t ours of check ut. To the k your earnings for this or any other stay at more than 3,000 Hilton
Family hotels worldwide,please visit HiltonHN nors.com.
Thank you for thoosing Doubletree?Come bac k soon to enjo our warm chocolate chip cooh fes and relaxed hosi itality. For your next trip vi it
us at double"9.com for our best available rat s!
DATE OF CHARGE FOLIO NO./CHECK NO.
EXPRESS CHECK-OUT 287593 A
Good Morning! We hope you enjoyed your stay. With Express Check-Out
there is no need to stop at the Front Desk to check out.
• Please review this statement. it is a record ofyour charges as of late last AUTHORIZATION NITIAL
evening.
• For any charges after your account was prepared,you may: PURCHASES&SERVICES
•pay at the time of purchase.
•charge purchases to your account,then stop by the Front Desk for an TAXES
updated statement.
•or request an updated statement be mailed to you within two business days. TIPS&MISC.
Simply call the Front Desk from your room and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel Free to leave your key(s)in the room. TOTAL A,NIOUN6 0
Please call the Front Desk if you wish to extend your stay or ij you have any
quay-tions about your account PAYMENT DUE UPON RECEIPT
PAYMENT DUE UPON RECEIPT-1.5%PER MONTH INTEREST CHARGE WILL RE APPLIED TO ALI,PAST DUE INVOICES.
Fifth Third Fund 101 Fund 109
Office Travel
Supplies Postage expenses
1125 1125 1091
V#354296 I I 4230200 4342100 4343000
10/18/12 Parallels/Cleverbridge Dawn j $ 79.99
10/18/12 CA Pizza Kitchen MK $ 53.62
10/19/12 McDonalds MK $ 4.84
10/19/12 A-Star Taxi MK $ 61.38
10/17/12 Fire & Ice MK $ 87.83
10/19/12 American Airlines MK $ 25.00
10/18/12 Jack in the Box MK $ 7.52
10119/12 CA Yellow cab MK $ 40.20
10/19/12 Double Tree Suites MK $ 906.75
10/19/12 Double Tree Suites MK $ 829.40
10/17/12 Baja Fresh MK _� $ 12.47
10/25/12 Carmel Post Office PS _ $ 36.00
$ 79.99 _$_ 36.00 $2,029.01 { $2,145.00
Fifth Third _ Fund 101 Fund 109
Office Travel
Supplies Postage expenses
1125 1125 1091
V#354296 1 4230200 43421001 1 4343000
ACCOUNTS PAYABLE VOUCHER +
CITY OF CARMEL
An invoice of bill to be property 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.
Fifth Third Bank Terms
P.O. Box 740523
i
Cincinnati, OH 45274-0523
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/31/12 2798 Office supplies $ 79.99
10/31/12 1 2798 Postage $ 36.00
10/31/12 2798 Travel expenses $ 2,029.01
Total $ 2,145.00
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.
Fifth Third Bank Allowed 20
P.O. Box 740523
Cincinnati, OH 45274-0523
In Sum of$
$ 2,145.00 i
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund/ 109 MCC
VD���b
PO#or INVOICE NO. ACCT#[TITL AMOUNT Board Members
Dept ept# '
1125 2798 4230200 $ 79.99 1 hereby certify that the attached invoice(s), or
1125 2798 4342100 $ 36.00 bill(s) is (are)true and correct and that the
1091 2798 4343000 $ 2,029.01 materials or services itemized thereon for
which charge is made were ordered and
received except
15-Nov 2012
Signature
$ 2,145.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund