221722 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 360689 Page 1 of 1
ONE CIVIC SQUARE SURVEYMONKEY.COM
CARMEL, INDIANA 46032 C/O BANK OF AMERICA LOCKBOX CHECK AMOUNT: $299.00
t?� 15765 COLLECTIONS CENTER DRIVE
„o a CHECK NUMBER: 221722
CHICAGO IL 60693
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4341991 20940164 149. 50 MARKETING & PROMOTION
1091 4341991 20940164 149 . 50 MARKETING & PROMOTION
Invoice No. 20940164 Page 1 of 2
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Invoice #20940104
Close �Y Print v Pay Now»
Apr 2, 2013 Payment Due on May 17, 2013
DESCRIPTION USER NAME BILLING PERIOD QUANTITY PRICE AMOUNT
Gold Plan MononCenter May 17,2013-May 16,2014 1 $299 $299
Total:$299
BILLING DETAILS NOTES
Serra Garske Subscription Renewal Charge
Carmel Clay Parks&Recreation
1411 E 116th Street
Carmel
Indiana
46032
United States
317-573-5238
Purchase Order Number: b N
I JUN 1 1 2013
PAYMENT INFORMATION
Please pay using one of these methods: "--�-----�
1. Pay now by Credit or Debit Card
2. Pay with a check
Send check to:
SurveyMonkey Inc.
Go Bank of America Lockbox Services
15765 Collections Center Drive
Chicago,IL 60693
NOTE: Please write the invoice number:#20940164 on your check. /9�t�U, O �'ee
3.Pay by Direct Bank Deposit iPtion _�O rveu S>rvl C�
Account Name:SurveyMonkey Inc.
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Use the following information to make your deposit: v� P r F
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Swift Code#:BOFAUS3N I _I / [12scr
-.?'chaser
For ACH: Date
Routing/ABA#:323070380 -- ----- Date_
Account#:485005765897
For wire transfers:
Routing/ABA#:026009593
Account#:485005765897
NOTE: Please include the invoice number:#20940164 in the comments of your deposit.
https://www.surveymonkey.com/billing/invoice/20940164/fbc77f068664a882OdOcac7838C... 6/11/2013
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.
360689 SurveyMonkey.com, LLC Terms
c/o Bank of America Lockbox Services
15765 Collections Center Drive
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/2/13 20940164 Annual fee for survey services 29920 $ 149.50
4/2/13 20940164 Annual fee for survey services 29920 $ 149.50
Total $ 299.00
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
ra —
Voucher No. Warrant No.
360689 SurveyMonkey.com, LLC Allowed 20
c/o Bank of America Lockbox Services
15765 Collections Center Drive
Chicago, IL 60693 In Sum of$
$ 299.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE/ 109 Monon Center
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1081-99 20940164 4341991 $ 149.50 1 hereby certify that the attached invoice(s), or
1091 20940164 4341991 $ 149.50 bills) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20-Jun 2013
$ 299.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund