HomeMy WebLinkAbout216670 01/29/2013 a CITY OF CARMEL, INDIANA VENDOR: 064915 Page 1 of 1
ONE CIVIC SQUARE CONVEY COMPLIANCE SYSTEMS, INC
CARMEL, INDIANA 46032 9800 BREN ROAD SUITE 300 CHECK AMOUNT: $200.00
MINNETONKA MN 55343 CHECK NUMBER: 216670
CHECK DATE: 1/2912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4341999 7535 100 . 00 OTHER PROFESSIONAL FE
1701 4341999 7580 100 . 00 OTHER PROFESSIONAL FE
Convey Compliance Systems, Inc Phone: 800-334-1099
9800 Bren Rd E Ste 300 Fax: 800-329-1099
Minnetonka MN 55343-4712 Convey Email: financedept @convey.com
USA Website: www.convey.com
Invoice:7535 �r- ir
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Date: 1/21/2013
Sold To: Ship To:
Cindy Sheeks City Of Carmel
City Of Carmel One Civic Square
One Civic Square Clerk Treasurer Office
Clerk Treasurer Office Carmel IN 46032
Carmel IN 46032 USA
USA
Fax: 317-571-2410 EMail:csheeks @carmel.in.gov
Customer ID: 1867 PO Number: Terms:Net 30
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1 TM-RW9000 TIN Match W9 Solicitation
123 W-9 Solicitations
Subtotal: 100.00
f 1 2/20/2013 100.001 Total: $100.00 US®
Convey Compliance Systems, Inc Phone: 800-334-1099
9800 Bren Rd E Ste 300 Fax: 800-329-1099
Minnetonka MN 55343-4712 Email: .tinancedept @convey.com
USA Website: www.convey.com
Invoice: 7580 1
Page: t
INVOICE s= g o 1
— --- -- — _ — Date: 1/23/2013
Sold To:
Cindy Sheeks Ship
City
Of Carmel
City Of Carmel One Civic Square
One Civic Square Clerk Treasurer Office
Clerk Treasurer Office Carmel IN 46032
Carmel IN 46032 USA
USA
Fax: 317-571-2410 Wall:csheeks @carmel.in.gov
,'Customer ID: 1867 PO Number: Terms: Net 30
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1 TM-RW9000
1 EA� 100.00000 100.00
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Subtotal: 100.00
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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.
cx�'iu� Payee
L 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
S't,,/ IN SUM OF $
30D
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT
T
1 1c-5 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund