222043 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 162800 Page 1 of 1
f ONE CIVIC SQUARE INFORMATION SERVICES AGENCY CHECK AMOUNT: $175.00
�a CARMEL, INDIANA 46032 200 E WASHINGTON
SUITE 1960 CHECK NUMBER: 222043
INDIANAPOLIS IN 46204
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 175 . 00 EQUIPMENT MAINT CONTR
INFORMATION SERVICES AGENCY
�z
OF INDIANAPOLIS AND MARION COUNTY
200 East Washington Street
Suite 1942
Indianapolis, Indiana 46204-3327
Chargeback Account Invoice/Statement
Statement Date: 6130113
Bill To Pay To
Account X800938
Carmel Police Department Information Services Agency
3 Civic Square 200 E.Washington
Suite 1960
Carmel,IN 46032 Indianapolis, IN 46204
` Attm Teresa Anderson
Rate Description Units Amount YTD Units YTD Amount
Base Billing Information
Base Rate 0.00 $150.00 0.00 $450.00
Monthly Access Fee 0.00 $25.00 0.00 $75.00
SubTotal:Base Billing Information 0.00 $175.00 0.00 $525.00
Total For: Current Month 0.00 $175.00 0.00 $525.00
Past Dare Billing Information
Previous Months Balance 0.00 $175.00 0.00 $0.00
SubTotal:XPast Due Billing Information 0.00 $175.00 0.00 $0.00
Total For: Past Due 0.00 $175.00 0.00 $0.00
Total For: Carmel Police Department $350.00
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT
Carmel Police Department Account: X800938
AMOUNT PAID: $ f 4e�'a
**For detailed information or questions please call ISA at 327-3100**
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))
06/30/13 monthly payment $175.00
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
Information Services Agency
IN SUM OF $
200 E. Washington, Suite 1960
Indianapolis, IN 46204
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 43-515.01 $175.00
I hereby certify that the attached invoice(s), or
I I
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
Wednesday, July 10, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund