HomeMy WebLinkAbout215602 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 362752 Page 1 of 1
s 0 ONE CIVIC SQUARE CITYTECH USA INC CHECK AMOUNT: $350.00
CARMEL, INDIANA 46032 7228 O'NEILL ROAD
DOWNERS GROVE IL CHECK NUMBER: 215602
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355300 1862 350 . 00 ORGANIZATION & MEMBER
INVOICE
USA, Inc.
Michael W. Klitzing, CPRP Invoice #: 1862
Assistant(director o/'Parks& Recreation
Invoice Date: 12/03/2012
Carmel Clay Parks & Recreation Account#: 48319AA9
1411 E 116th Street
Carmel, IN 46032
DEC 5 2012
PAYMENT DUE RENEWAL TERM. i
01/02/2013 1 Year —
QTY .Item;, Descri tion Unit Price "Total,
1 PublicSalary Annual IPRA-L AOB $7M+ $350.00 $350.00
Membership
r ur ease ^
DEsc riotion
P.O.# P or F Subtotal $350.00
G.L.# —vo - y�S-S3,_, Balance
+cud+ et - $0.00
Line Descr Jr, Forward
Purchaser —Date_ '~ Ba_la•nce bue." $350.00
Approval uata I-
Thank you for your continuous ort and participation! If needed, you can find a copy
of our W-9 at http://www.cit echusa.com/pdf/w9.pdf
Reminder: Your account expires Dec 30, 2013
....................................................................................................
Login to your account at http://www.publicsalary.com/ to pay online
OR make check payable to CityTech USA, Inc. and Mail to:
City Tech USA, Inc. Account#: 48319AA9
7228 O'Neill Road Amount Due: $350.00
Downers Grove, IL 60516 Due by: 01/02/2013
p. 630-541-5489
e. support @citytechusa.com
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.
362752 City Tech USA, Inc. Terms
7228 O'Neill Road
Downers Grove, IL 60516
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/3/12 1862 Annual membership $ 350.00
Total $ 350.00
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.
362752 City Tech USA, Inc. Allowed 20
7228 O'Neill Road
Downers Grove, IL 60516
In Sum of$
$ 350.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 1862 4355300 $ 350.00 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
13-Dec 2012
Signature
$ 350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund