214701 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00352573 Page 1 of 1
ONE CIVIC SQUARE IRON MOUNTAIN RECORDS MGT,INC
4� CARMEL,INDIANA 46032 PO Box 27128
CHECK AMOUNT: $167.12
o� NEW YORK NY 10087 CHECK NUMBER: 214701
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 GBG8634-8635 167 . 12 OTHER PROFESSIONAL FE
IRON MOUNTAIN' Invoice
Invoice Date: 10/31/2012
Due Date: 11/30/2012
P.O. No.: 13766
CARMEL CLERK TREASURER Page: 1
DIANA CORDRAY Amount Paid:
ONE CIVIC SQUARE
CARMEL, IN 46032
Please Remit To:
IRON MOUNTAIN
PO BOX 27128
NEW YORK, NY 10087-7128
Please retain this copy for your records
D • • D • D D me;mi;
IR700 GBG8634-GBG8635 &167.12 1.67 168.79
Please direct any questions about this invoice to: CUSTOMER SERVICE (800)934-3453
R-76667-2-4 Customer Copy
INV01S
I Billing/Activity Report
IRON MQUNTAIN° Customer
Invoice Date: 10/31/2012
Invoice No.: GBG8634-GBG8635
P.O. No.: 13766
CARMEL CLERK TREASURER Page: 1
DIANA CORDRAY
ONE CIVIC SQUARE
CARMEL, IN 46032
Customer: IR700
1.00 ADMINISTRATION FEE 25.12
22.80 STORAGE,REGULAR TO 11/30/2012 9.12
1 .00 MNTHLY MN STRG CHRG TO 11/30/2012 132.88
Sub Total 167.12
Total 167.12
Storage 142.00
Service 25.12
Supply .00
Tax .00
Total 167.12
Please direct any questions about this report to: CUSTOMER SERVICE (800)934-3453
R-76667-3-4
ACT01S
IRON MOUNTAIN' Billing/Activity Report
Div/Dept 'Totals
Invoice Date: 10/31/2012
Invoice No.: GBG8634-GBG8635
P.O. No.: 13766
CARMEL CLERK TREASURER Page: 1
DIANA CORDRAY
ONE CIVIC SQUARE
CARMEL, IN 46032
Cust Id: IR700
GBG8634 MASTER DEPARTMENT 158.00
PAYROLL GBG8635 PAYROLL 9.12
Total 167.12
Please direct any questions about this report to: CUSTOMER SERVICE (800)934-3453
R-76667-4-4
ACT01S
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
M�Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
1 �� � ' " — IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund