HomeMy WebLinkAbout215753 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 00352011 Page 1 of 1
0 ONE CIVIC SQUARE RESERVE ACCOUNT CHECK AMOUNT: $5,380.00
CARMEL, INDIANA 46032 PO BOX 223648
r,roN`o PITTSBURGH PA 15250-2648 CHECK NUMBER: 215753
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4342100 37241700 80 . 00 POSTAGE
209 4342100 26664 37241700 5, 300 . 00 POSTAGE
A 104100
r
Rtney owes
Use this coupon for postage deposits. Make checks payable to Reserve Account.
Reserve Account No.: 37241700
Reserve Account City of Carmel Mayors Office
PO Box 223648
Pittsburgh, PA 15250-2648 80 ° 00
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Send with check to:Reserve Account,PO Box 223648,Pittsburgh,PA 15250-2648
Mail overnight checks to:Reserve Account,Attn:Box 223648,500 Ross Street,Suite 154-0460,Pittsburgh,PA 15262-0001
The Pitney Bowes Bank,Inc. Member FDIC
372417000
• I
1
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reserve Account
IN SUM OF $
P. O. Box 223648
Pittsburgh, PA 15250-2648
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations i
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 Deposit Coupon 43-421.00 $80.00
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
Monday, December 17, 2012
J'1146t
jj Cora unity Relations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/17/12 Deposit Coupon $80.00
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
F.c
I LL-
Pitney Bowes - • • • •
Use this coupon for postage deposits. Make checks payable to Reserve Account.
Reserve Account No.: 37241700
Reserve Account City of Carmel Mayors Office
PO Box 223648
Pittsburgh, PA 15250-2648
$
Send with check to:Reserve Account,PO Box 223648,Pittsburgh,PA 15250-2648
Mail overnight checks to:Reserve Account,Attn:Box 223648,500 Ross Street,Suite 154-0460,Pittsburgh,PA 15262-0001
The Pitney Bowes Bank, Inc. Member FDIC
372417000
t
City ® /�° /�Ili/����� INDIANA RETAIL TAX EXEMPT PAGE
1Jlr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
DL� 7'�11L 1 i � FEDERAL EXCISE TAX EXEMPT 6 t��
35-60000972 n C
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF OUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIF EDr REQUISITION NO. VENDOR NO. DESCRIPTION
V
Jj
VENDOR (�� % � ` .t�'��� rg
SHIP
�ci.3 T O
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
J
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
i ' y -x/egio�
PAYMENTS X04 • !J v
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APP�PUATI CIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. '
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f`Je ;"e-
AND ..._
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 2 6 6 6 4 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
____
ALLOWED 20___
|N THE SUM OFS
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO#or.e�p�'� '
.
bill(s) is (are) true and oorr eo �d ���m
u �
ma��ha� orsonioes �em�ad thereon for
which charge is made we �onderedend
received except
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Cost distribution ledger classification if
claim paid motor vehicle highway fund
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