HomeMy WebLinkAbout222762 08/12/2013 CITY OF CARMEL, INDIANA VENDOR: 353561 Page 1 of 1
ONE CIVIC SQUARE BRIGHT HOUSE NETWORK
CARMEL, INDIANA 46032 PO BOX 30262
CHECK AMOUNT: $5,811.80
TAMPA FL 33630-3262 CHECK NUMBER: 222762
CHECK DATE: 8/12/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355400 68 . 45 403944601
1120 4344000 1, 009 . 80 400159201
1120 4344000 1, 009 . 80 403312201
1120 4344000 2 , 019 . 60 403917601
1202 4353099 409 . 80 400159201
1202 4353099 409 . 80 403312201
1202 4353099 819 . 60 403917601
651 5023990 64 . 95 403066501
1i
bright
house Account # Billing Period Due Date Amount Due
NETWORKS �.w 403917601 08/13-09/12 08/24/13 $1,419.60
Service Address: Customer Code: 1772
5032 E Main St This statement reflects payments received through August 4, 2013.
Carmel IN 46033
I; Previous Activity
Previous Balance ....... $1,419.60
- Payments Received ........ $1,419.60 CR
Customized solutions for Your
Business Previous Remaining Balance ............................................. $0.00
® Our services have the flexibility and
® i scalability to keep up with your ! Current Charges
!' business so you can always build the High Speed Internet services ............... ............. $1,400.00
-___perfeet-bundle to_f.ityour_needs.___ =Taxes'and-FeeS— - -.-"..........'
Have your business needs changed?
Give us a can at 1-877-824-6249 or Total Balance Due ..................................................... $1,419.60
visit brighthouse.com/business.
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
it In order to avoid a minimum late fee of$5.00,your Total Balance Due must be
freceived in our office no later than 08/24/13. Thank You
j! Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifier that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
-i—- - - - registering for online access to your account and billing information. You will have to
usiness Internet at speeds up to enter your Customer Code during the Home Phone registration process. If this process
�i 70Mbps is available is not completed you will not be able to view your Bright House Networks call details
'.. When you need more speed-we've
online.
got it. It's easy to upgrade your
Internet service when your needs For immediate closed captioning complaints, please call 1-800-753-2253. Written
change. Just give us a call at
complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright
1-877-824-6249 or visit House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by
brighthouse.com/business. fax(317)713-0043 or email to ClosedCaptioninglND @mybrighthouse.com
I
j•
bright
Customer Account 403917601 Detail
h®�SR
NETWORKS Monthly Charges for 08/13-09/12
Ta
Payment History
Fyvouinfuture our convenience, if you 07/19 Payment-Thank you! .......................................... $1,419.60 CR
a check as payment, you High Speed Internet services
e Bright House Networks
he information from your 08/13-09/12 Point to Point Connectivity .................................. $1,400.00
k to make a one-time Taxes and Fees
ic fund transfer from your
ount. If you have any Indiana Utility Receipts Tax ....................................... $19.60
tions, please call our
r Care number. To assist Monthly Charges ........................................................................... $1,419.60
ture payments, your bank Previous Remaining Balance ................................................................. $0.00
or credit card information may be Total Balance Due
electronically stored in our system ..................••••.......•••..••.•••...............................•• $1,419.60
in a secure encrypted manner.
L L
Sales &Service Center
352 Gracile Drive
Carmel, IN 46032
Mon -Fri 8:00am to 6:00pm
Saturday 9:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866) 713-3278
or visit our website at
http://business.brighthouse.com .
Fiber Customers, please call
1(866)246-3423.
Please email all questions and concerns to: customersupport.indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission,101 W.Washington St.,Suite 1500 E.,
Indianapolis,IN 46204,(317)232-2712 or toll free 1-800-851-4268.Your FCC Community Unit ID number is IN0087.
bright
house Account # Bllling Perlod Due Date Amount Due
NETWORKS � 400159201 08/15-09/14 08/24/13 $1,419.60
Service Address: Customer Code: 9490
3242 E 106th St This statement reflects payments received through August 4, 2013.
Carmel IN 46033
Previous Activity
Previous Balance ..................... $1,419.60
Payments Received $1,419.60 CR
Previous Remaining Balance
Customized Solutions for Your
y .......................... $0.00
Business """""""""'
® Our services have the flexibility and
scalability to keep up with your , Current Charges
business so you can always build the High Speed Internet services .....................$1,400.00
® _perfect bundle to fit your needs. Taxes-and-Fees -- . - -- $19:60 it Have your business needs changed? " """""" """ "
It
Give us a call at 1-877-824-6249 or Total Balance Due ..................................................... $1,419.60
visit brighthouse.com/business.
I
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of$5.00,your Total Balance Due must be
received in our office no later than 08/24/13. Thank You
Y Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifier that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
registering for online access to your account and billing information. You will have to
,Business Internet at speeds up to enter your Customer Code during the Home Phone registration process. If this process
70Mbps is available is not completed you will not be able to view your Bright House Networks call details
When you need more speed-we've
online.
got it. It's easy to upgrade your
Internet service when your needs For immediate closed captioning complaints, please call 1-800-753-2253. Written
change. Just give us a call at complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright
1-877-824-6249 or visit House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by
brighthouse.com/business. fax(317)713-0043 or email to ClosedCaptioninglND @mybrighthouse.com
lbri ht � �
JCu Account 400159201 Detail
®uSe Monthly Charges for 08/15-09/14
NETWORKS m
Payment History
Fauthorize nvenience, if you 07/19 Payment-Thank you! .......................................... $1,419.60 CR
ck as payment, you High Speed Internet services
ght House Networks
ormation from your 08/15-09/14 Point to Point Connectivity .................................. $1,400.00
check to make a one-time Taxes and Fees
electronic fund transfer from your
account. If you have any Indiana Utility Receipts Tax ....................................... $19.60
questions, please call our
Customer Care number. To assist Monthly Charges ........................................................................... $1,419.60
you in future payments, your bank Previous Remaining Balance ................................................................. $0.00
or credit card information may be Total Balance Due $1,419.60
electronically stored in our system
in a secure encrypted manner.
Sales &Service Center
352 Gradle Drive
Carmel, IN 46032
Mon-Fri 8:00am to 6:00pm
Saturday 9:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866)713-3278
or visit our website at
http://business.brighthouse.com .
Fiber Customers, please call
1(866)246-3423.
Please email all questions and concerns to: customersupport.indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission,101 W.Washington St.,Suite 1500 E.,
_j Indianapolis,IN 46204,(317)232-2712 or toll free 1-800-851-4268.Your FCC Community Unit ID number is IN0087.
bright
house Account # Billing Period Due Date Amount Due
NETWORKS ��� 402836002 08/15-09/14 08/24/13 $1,419.60
Service Address: Customer Code: 4983
540 w 136th St This statement reflects payments received through August 4, 2013.
Carmel IN 46032
Previous Activity
Previous Balance .................. $1,419.60
- -
Payments Received $1,419.60 CR
Customized Solutions for Your
Previous Remaining Balance .... $0.00
Business
® Our services have the flexibility and
® 1! scalability to keep up with your Current Charges
business so you can always build the
High Speed Internet services ..... $1,400.00
p
perfect bundle to fit your needs. Taxes and-Fees .:-.......... ::.:.:..—.........:.....:.........:....-.:$-19.60
Have your business needs changed?
® Give us a call at 1-877-824-6249 or Total Balance Due .......... $1,419.60
...........................................
visit brighthouse.com/business.
j Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of$5.00,your Total Balance Due must be
received in our office no later than 08/24/13. Thank You
j Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifier that we use to ensure the protection of your
personal information. You may be asked to identify p y your customer code when
- - - registering for online access to your account and billing information. You will have to
( -Business Internet at speeds up to enter your Customer Code during the Home Phone registration process. If this process
70Mbps is available is not completed you will not be able to view your Bright House Networks call details
When you need more speed-we've online.
got it. It's easy to upgrade your
Internet service when your needs For immediate closed captioning complaints, please call 1-800-753-2253. Written
change. Just give us a call at complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright
1-877-824-6249 or visit House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by
brighthouse.com/business. fax(317)713-0043 or email to ClosedCaptioninaIND @mybril�hthouse.com
Ibright
Customer Account 402836002 Detail
h®��� \ Monthly Charges for 08/15-09/14
NETWORKS \ w
Payment History
Futhorize nvenience, if you 07/19 Payment-Thank you! .......................................... $1,419.60 CR
ck as payment, you High Speed Internet services
ght House Networks
ormation from your 08/15-09/14 Point to Point Connectivity .................................. $1,400.00
check to make a one-time Taxes and Fees
electronic fund transfer from your
account. If you have any Indiana Utility Receipts Tax ....................................... $19.60
questions, please call our
Customer Care number. To assist Monthly Charges ........................................................................... $1,419.60
you in future payments, your bank Previous Remaining Balance ................................................................. $0.00
or credit card information may be Total Balance Due $1,419.60
electronically stored in our system •••••••••••••••••••••••••••••••••••••^••••••........................•••
in a secure encrypted manner.
Sales &Service Center
352 Gradle Drive
Carmel, IN 46032
Mon-Fri 8:00am to 6:00pm
Saturday 9:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866) 713-3278
or visit our website at
http://business.brighthouse.com .
Fiber Customers, please call
1(866) 246-3423.
Please email all questions and concerns to: customersupport.indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission,101 W.Washington St.,Suite 1500 E.,
Indianapolis,IN 46204,(317)232-2712 or toll free 1-800-851-4268.Your FCC Community Unit ID number is IN0087.
® bright
house Account # Billing Period Due Date Amount Due
NETWORKS �•° 403312201 08/15-09/14 08/24/13 $1,419.60
/ Service Address: Customer Code: 8449
3610 W 106th St This statement reflects payments received through August 4, 2013.
Carmel IN 46032
® Previous Activity
Previous Balance $1,419.60
-- -- -
Payments Received $1419.60 CR
Customized solutions for Your Previous Remaining Balance $0.00
i;
Business
Our services have the flexibility and
® scalability to keep up with your Current Charges
business so you can always build the High Speed Internet services $1,400.00
.......................................
perfect-bundle-to-fit-your-needs.--- .Tax2s afld F22SA.-. :.: ....::..'.................................-:..'$19.60"
Have your business needs changed?
® i Give us a call at 1-877-824-6249 or Total Balance Due $1,419.60
visit brighthouse.com/business.
I' Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of$5.00, your Total Balance Due must be
received in our office no later than 08/24/13. Thank You
Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifier that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
registering for online access to your account and billing information. You will have to
Business Internet at speeds uo to enter your Customer Code during the Home Phone registration process. If this process
70Mbr)s is available is not completed you will not be able to view your Bright House Networks call details
When you need more speed-we've online.
got it. It's easy to upgrade your
Internet service when your needs For immediate closed captioning complaints, please call 1-800-753-2253. Written
change. Just give us a call at complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright
1-877-824-6249 or visit House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by
brighthouse.com/business. fax(317)713-0043 or email to ClosedCaptioninglND Qmvbrighthouse.com
bright r1A Customer Account 403312201 Detail
house
NETWORKS Monthly Charges for 08/15-09/14
T�
Payment History
For your convenience, if you 07/19 Payment-Thank you! .......................................... $1,419.60 CR
provide a check as payment, you High Speed Internet services
authorize Bright House Networks
to use the information from your 08/15-09/14 Point to Point Connectivity .................................. $1,400.00
check to make a one-time Taxes and Fees
electronic fund transfer from your
account. If you have any Indiana Utility Receipts Tax ....................................... $19.60
questions, please call our
Customer Care number. To assist Monthly Charges ........................................................................... $1,419.60
you in future payments, your bank Previous Remaining Balance ................................................................. $0.00
or credit card information may be Total Balance Due $1,419.60
electronically stored in our system °°••••°••••••••••••••••••••••••••••••••••••........................••
in a secure encrypted manner.
Sales &Service Center
352 Gradle Drive
Carmel, IN 46032
Mon-Fri 8:OOam to 6:OOpm
Saturday 9:OOam to 1:OOpm
If you have any questions or for
customer support, please call
Business Solutions at
1(866)713-3278
or visit our website at
http://business.brighthouse.com .
Fiber Customers, please call
1(866) 246-3423.
P il�111questions and concerns to: customersupport.indiana @mybrighthouse.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brighthouse
IN SUM OF $
P.O. Box 30262
Tampa, FL 33630-3262
$5,678.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 400159201 1202-530.99 j $409.80 1 hereby certify that the attached invoice(s), or
1120 402836002 11202-530.99 1 $409.80 bill(s) is (are) true and correct and that the
1120 403312201 11202-530.99 $409.80 materials or services itemized thereon for
1120 403917601 1202-530.99 $409.80 which charge is made were ordered and
1120 400159201 43-440.00 $1,009.80 received except
_ A U G 12 ,'f!I t
1120 402836002 43-440.00 $1,009.80
1120 403312201 43-440.00 $1,009.80
1120 403917601 43-440.00 $1,009.80
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
400159201 $409.80
402836002 $409.80
403312201 $409.80
403917601 $409.80
400159201 $1,009.80
402836002 $1,009.80
403312201 $1,009.80
403917601 $1,009.80
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
I
(bright
house Account # Billing Period Due Date Amount Due
NETWORKS "• 403066501 08/06-09/05 08/16/13 - $64.95
Service address: Customer Code: 6147
901 N Rangeline Rd This statement reflects payments received through July 25, 2013.
I• Carmel IN 46032
a
® Previous Activity
Previous Balance ...................................... $64.95
Payments Received $64.95 CR
Customized Solutions for Your
Previous Remaining Balance ............................................. $0.00
Business
® g Our services have the flexibility and
Current Charges
scalability to keep up with your
i; ;
business so you can always build the High Speed Internet services ........................ $64.95
perfect bundle to fit your needs. Total Balance Due .......................................................... .$64.95
f Have your business needs changed?
- " Give us a`call-at-1=877:824=6249-or ----�---- --- -- — - ------- - —_�-
i+ visit brighthouse.com/business.
Thank you for your business. You are a valued Bright House Networks customer. We
are committed to bringing you the best in home entertainment and information.
jj In order to avoid a minimum late fee of$5.00, your Total Balance Due must be
i
received in our office no later than 08/16/13. Thank You
�! Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifier that we use to ensure the protection of your
personal information. You may be asked to identify your customer code when
registering for online access to your account and billing information. You will have to
enter your Customer Code during the Home Phone registration process. If this process
, Business Internet at speeds up to is not completed you will not be able to view your Bright House Networks call details
f? 70Mbi)s is available online.
When you need more speed-we've
a got it. It's easy to upgrade your For immediate closed captioning complaints, please call 1-800-753-2253. Written
y Internet service when your needs complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright
change. Just give us a call at House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by
1-877-824-6249 or visit fax(317)713-0043 or email to ClosedCaptionini�IND @mvbrighthouse.com
brighthouse.com/business.
I;
ii
i!
;i
u45yyaa I _ - -
�. _- Detach an-1 r with
bright
rFHIghSpeed ccount 403066501 Detail
house rges for 08/06-09/05
NETWORKS TM
tory
For your convenience, if you Payment-Thank you! ............................................... $64.95 CR
provide a check as payment, you Internet services
authorize Bright Hou se Networks
to use the information from your 08/06-09/05 Business Solutions Service ...................................... $64.95
check to make a one-time
electronic fund transfer from your Monthly Charges ................................................................................. $64.95
account. If you have any Previous Remaining Balance .................... $0.00
.............................................
questions, please call our Total Balance Due $64.95
Customer Care number. To assist
you in future payments, your bank
or credit card information may be
electronically stored in our system
in a secure encrypted manner.
Sales &Service Center
352 Gracile Drive
Carmel, IN 46032
Mon -Fri 8:00am to 6:00pm
Saturday 9:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866) 713-3278
or visit our website at
htto://business.brig_hthouse.com .
Fiber Customers, please call
1(866)246-3423.
Please email all questions and concerns to: customersupport.indiana @mybrighthouse.com
Your franchising authority is the Indiana Utility Regulatory Commission,101 W.Washington St.,Suite 1500 E.,
Indianapolis,IN 46204,(317)232-2712 or toll free 1-800-851-4268.Your FCC Community Unit ID number is IN0087.
C hf House Networks Account CITY OF CARMEN i zF� l
A, MMOV,
-count# �0306C,501 K.
VOUCHER # 136076 WARRANT # ALLOWED
353561 IN SUM OF $
BRIGHT HOUSE NETWORK
PO Box 30262
TAMPA, FL 33630
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
t
090513 01-7360-01 $64.95
I
I
Voucher Total $64.95
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353561
BRIGHT HOUSE NETWORK Purchase Order No.
PO Box 30262 Terms
TAMPA, FL 33630 Due Date 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 090513 $64.95
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
ell 113
Date Officer
mum
bright
house Account # Billing Period Due Date Amount Due
NETWORKS �° 403944601 08/13-09/12 08/24/13 $68.45
iG Service Address: Customer Code: 6104
Apt PI Hse This statement reflects payments received through August 4, 2013.
1411E116thSt
Carmel IN 46032
'k
Previous Activity
- = --- Previous Balance ............................................................. $68.45
_-- - Payments Received .......................................................... $68.45CR
Customized Solutions for Your
Previous Remaining Balance ............................................. $0.00
ii Business
Our services have the flexibility and
ji scalability to keep up with your Current Charges
business so you can always build the High Speed Internet services ............................................ $64.95
— --perfect bundle_to_fityouur-:needs.-- __ti — ._� - _. --
Have your business needs changed? Othe&-Ctffte"s .................................. ...................$3.50
°® Give us a call at 1-877-824-6249 or Total Balance Due $68.45
..........................................................
I
visit brighthouse.com/business.
I;
Thank you for your business. You are a valued Bright House Networks customer. We
G are committed to bringing you the best in home entertainment and information.
In order to avoid a minimum late fee of$5.00,your Total Balance Due must be
received in our office no later than 08/24/13. Thank You
is •
Important Information: Customer Code (Located below your Account Number)
Your customer code is a unique identifier that we use to ensure the protection of your
- - personal information. You may be asked to identify your customer code when
registering for online access to your account and billing information. You will have to
(Business Internet at speeds up to enter your Customer Code during the Home Phone registration process. If this process
70Mbps is available is not completed you-will not be able to view your Bright House Networks call details
�I When you need more speed-we've online.
h got it. It's easy to upgrade your
Internet service when your needs
i, For immediate closed captioning complaints, please call 1-800-753-2253. Written
change. Just give us a call at complaints may be mailed to D. Kramer, Closed Captioning Coordinator, at Bright
1-877-824-6249 or visit House Networks, 3030 Roosevelt Ave, Indianapolis, IN 46218 or by
brighthouse.com/business. fax(317)713-0043 or email to ClosedCaptioninglND @mybrighthouse.com
t
bright r
Customer Account 403944601 Detail
h��S� Monthly Charges for 08/13-09/12
NETWORKS TM
Payment History
For your convenience, if you 07/19 Payment-Thank you! ............................................... $68.45 CR
provide a check as payment, you High Speed Internet services
authorize Bright House Networks
to use the information from your 08/13-09/12 15Mbps X-1Mbps ..................................................... $64.95
check to make a one-time Other Charges
electronic fund transfer from your 08/13-09/12 Modem Charge $3.50
account. If you have any g ..........................................................
questions, please call our
Customer Care number. To assist Monthly Charges ................................................................................. $68.45
you in future payments, your bank Previous Remaining Balance ................................................................. $0.00
or credit card information may be Total Balance Due .............................................................................. $68.45
electronically stored in our system
L in a secure encrypted manner.—
Sales &Service Center
352 Gradle Drive
Carmel, IN 46032
Mon -Fri 8:00am to 6:00pm
Saturday 9:00am to 1:00pm
If you have any questions or for
customer support, please call
Business Solutions at
1(866)713-3278
or visit our website at
httr)://business.brighthouse.com .
Fiber Customers, please call
1(866)246-3423.
Please email all questions and concerns to: customersupport.indiana @mybrighthouse.com
L� Your franchising authority is the Indiana Utility Regulatory Commission,101 W.Washington St.,Suite 1500 E.,
Indianapolis,IN 46204,(317)232-2712 or toll free 1-800-851-4268.Your FCC Community Unit ID number is IN0087.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bright House
IN SUM OF $
P.O. Box 30262
Tampa, FL 33630-3262
$68.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-554.00 $68.45_
I hereby certify that the attached invoice(s), or
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
Friday, Au ust 09, 2013
Chief of Police
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))
08/09/13 monthly payment $68.45
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