223611 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 244000 Page 1 of 1
ONE CIVIC SQUARE PITNEY BOWES INC. CHECK AMOUNT: $1,034.00
CARMEL, INDIANA 46032 PO BOX 371887
PITTSBURG PA 15250 CHECK NUMBER: 223611
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 190843SAU13 240 . 00 OTHER EXPENSES
651 5023990 190843SAU13 144 . 00 OTHER EXPENSES
1701 4353003 2018273-AU13 410 . 00 POSTAGE METER
1120 4353003 2278380-AU13 52 . 00 POSTAGE METER
1160 4353003 2637461-AU13 145 . 00 POSTAGE METER
1192 4353003 3968112-AU13 43 . 00 POSTAGE METER
;ON ffrr-
Pitney Bowes
Terns rental invoice# 2637461 -AU13
August 13, 2013
Account name Invoice Summary - Schedule # 406
City Of Carmel
Mayors Office Term rental charges $145.00
.......................... . . ....................................................................................................................
Sales tax $0.00
Acct number Total due September 6,2013 $145.00
2637461
Invoice number Please see reverse side for invoice details.
2637461-AU13 If you have any questions regarding your account, please call the telephone number
listed on this invoice.
Payment Options
Your last payment of$145.00 was credited to your account on Aug 9, 2013.
Online Account Management
1.1I Register for MyAccount fd Any payments received after Aug 6, 2013 may not be reflected on this invoice.
www.pb.com/myaccount.Click Make check payable-to Pitney Bowes.
View and Pay Bills for online
payments. Questions about your Leasing Statement? Why not ask Sophie,our new On-Line
Virtual Agent?You can visit Sophie 24 hours a day or choose to Chat with an agent
f Pay by Phone from 8:00 AM -8:00 PM EST.GO TO:www.pb.com/support
1-800-288-2357
Thank you for choosing Pitney Bowes.
For Questions?
ask
- Sophie
Pitney Bowes Virtual Agent
Go to:www.pb.com/support or call:
1-800-288-2357 8 a.m to 6 p.m.EST
Avoid late!charges- Mail out ayment with the caupon below.and allow up to? 10 days for marl and processiing time ;
Page 1 of 2 TAX to 06-0495050 4 Tearofthere 001919 x
Term rental invoice
Pitney ROW®c August 13,2013
-11 r Pitney Bowes Acct number Invoice number
1 2637461 2637461-A U 13
Details of terra rental charges
Charges for schedule 406
Equipment description: Charges for the period:Jul 30,2013 to Aug 30,2013
Mailing system Equipment location: 1 Civic Sq Floor,Carmel IN
Model number: Serial number: Term rental charges $145.00
3C00 3158777 Total for schedule 406 $145.00 0
Model number: Serial number:
MP30 0178299 Total charges $145.00 0
CD
Meter model.. Serial number: c
G900 3158777 0
0
0
o,
Additional equipment on file. a
0
Important information °
To order supplies from Pitney Bowes,call:1-800-243-7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement,current
For questions,call:
as of the date of this invoice unless otherwise agreed to in writing by the parties.
0
Equipment n[purchase 1-800-322-8000
Renal
Rent 1-300-283-2357 This term rental invoice represents the amount you currently owe Pitney Bowes for the
Leasing 1-600-288-2357 Pitney Bowes equipment and services.
Service 1-800-522-0020
Postage By Phone®account 1-800-243-7800 Overnight checks should be mailed to:
Purchase Power®account 1.800-243-7800 Pitney Bowes
An
Email:mybills.supportfdpb.com n:Box 371887
500 Ross Street Suite 154-0470
or go to:www.pb.com/contact-us Pittsburgh,PA 15262-0001
Returns
Check your agreement with us for our return policy on equipment,postage meters and software that you have
purchased,licensed,leased or rented from Pitney Bowes.
Page 2 of 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pitney Bowes, Inc.
IN SUM OF $
P. O. Box 371887
Pittsburgh, PA 15250-7887
$145.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 2637461-AU13 43-530.03 $145.00 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
Friday, August 23, 2013
Mayor
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))
08/13/13 2637461-AU13 $145.00
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
Pitney Bowes
Term rental invoice# 1908435-A 13
August 13, 2013
Account name Invoice Summary - Schedule # 401
Carmel Utilities
Term rental charges $384.00
.......................................................................................................................................................
Acct number Sales tax
$0.00
1908435
Total due September 6,2013 $384.00
Invoice number
1908435-AU13 Please see reverse side for invoice details.
If you have any questions regarding your account, please call the telephone number
Payment Options Listed on this invoice.
Online Account Management Your last payment of$384.00 was credited to your account on Aug 9, 2013.
11� Register for MyAccount fa
-` www.pb.com/myaccount.Click Any payments received after Aug 6, 2013 may not be reflected on this invoice.
View and Pay Bills for online Make check payable to Pitney Bowes.
payments.
Pay by Phone Questions about your Leasing Statement? Why not ask Sophie,our new On-Line
' 1-800-288-2357 Virtual Agent. You can visit Sophie 24 hours a day or choose to Chat with an agent
from 8:00 AM -8:00 PM EST.GO TO:www.pb.com/support
For Questions? Thank you for choosing Pitney Bowes.
ask
Sophie
Pitney Bowes Virtual Agent
ii
JY I V
Go to:www.pb.com/support or call:
1-800-288-2357 8 a.m to 6 p.m. EST
1 `
Av01d late`charges M..il your payment wtth the coupon below a.nd allow up to 7-10 .days for mart and processing ttme
Page 1 of 2 TAX ID 06-0495050 4 Tearoff here 001299 X
Pitney Bowes Term rental payment coupon Acct number:1908435 Amount you owe:$384.00
2225 American Drive Please make your check payable to Invoice number:1908435-AU 13
Neenah,WI 54956-1005 Pitney Bowes Invoice date:Aug 13,2013 Due date:Sep 6,2013
01310100129900001001081'32013
Amount paid $ I I I l7J I t l Q i J
60 1908435 401 640 00038400 2 00000 0 0
PITNEY BOWES CARMEL UTILITIES
PO BOX 371887
PITTSBURGH PA 15250-7887 760 3RD AVE SW STE 110 CARMEL IN 46032-7612
❑Change of contact information?
Check here and fill in the information on the back.
VOUCHER # 132537 WARRANT # ALLOWED
244000 IN SUM OF $
PITNEY BOWES
P.O. Box 856390
Louisville, KY 40285-6390
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1908435AW1 01-6360-07 $240.00
S I�
Voucher Total $240.00
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
244000
PITNEY BOWES Purchase Order No.
P.O. Box 856390 Terms
Louisville, KY 40285-6390 Due Date 8/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2013 1908435AU 1 $240.00
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
Date Officer
i
Pitney Bowes
Term rental invoice# 1908435-AU13
August 13, 2013
Account name Invoice Summary - Schedule # 401
Carmel Utilities
Term rental charges $384.00
.......................................................................................................................................................
Acct number Sales tax $0.00
1908435 Total due September 6, 2013 $384.00
Invoice number
1908435-AU13 Please see reverse side for invoice details.
If you have any questions regarding your account, please call the telephone number
Payment Options listed on this invoice.
Online Account Management Your last payment of$384.00 was credited to your account on Aug 9, 2013.
Register for MyAccount la
-' www.pb.com/myaccount.Click Any payments received after Aug 6, 2013 may not be reflected on this invoice.
View and Pay Bills for online Make check payable to Pitney Bowes.
payments.
a_ Questions about your Leasing Statement? Why not ask Sophie,our new On-Line
Pay by Phone Virtual Agent?You can visit Sophie 24 hours a day or choose to Chat with an agent
1-800-288-2357 from 8:00 AM -8:00 PM EST.GO TO:www.pb.com/support
For Questions? Thank you for choosing Pitney Bowes.
ask
Sophie
Pitney Bowes Virtual Agent
„y4
Go to:www.pb.com/support or call:
1-800-288-2357 8 a.m to 6 p.m. EST I/
l
Auoid late charged Mail your payment with the eotipon below and allover up to 7 10 days foe matt wind processtngittme
Page 1 of 2 TAX ID 06-0495050 4 Tear off here 001299 X
Term rentalinvoice
Pitney Bowe�7 August 13,2013
r
Pitney Acct number Invoice number
1908435 1908435-AU13
Details of term rental charges
Charges for schedule 401
Equipment description: Charges for the period:Jul 30,2013 to Aug 30,2013
Mailing system Equipment location: 760 3rd Ave SW,Carmel IN
Model number: Term rental charges $384.00
AZBB Total for schedule 401 $384.00 0
Model number: t"
c'
APSE Total charges $384.00 0
Meter model: Serial number: o
1W00 1376944 g
0
0
a
o.
Important information
To order supplies from Pitney Bowes,call:1-800-243-7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement,current o
For questions,call: as of the date of this invoice unless otherwise agreed to in writing by the parties. o
Equipment purchase 1-800-322-8000 c�
This term rental invoice represents the amount you currently owe Pitney Bowes for the CD
Rental 1-800-288-2357
Leasing 1-800-288-2357 Pitney Bowes equipment and services.
. ..
Service '1-800-522-0020
Postage By Phone®account 1-800-243-7800 Overnight checks should be mailed to:
Purchase Power®account 1-800-243-7800 Pitney Bowes
Attn:Box 371887
Email:mybills.supportfdpb.com 500 Ross Street Suite 154-0470
or go to:www.pb.com/contact-us Pittsburgh,PA 15262-0001
Returns
Check your agreement with us for our return policy on equipment,postage meters and software that you have
purchased,licensed,leased or rented from Pitney Bowes.
Page 2 of 2
VOUCHER # 136246 WARRANT # ALLOWED
244000 IN SUM OF $
PITNEY BOWES
PO BOX 371887
PITTSBURGH, PA 15250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1908435AW1 01-7360-07 $144.00
t
Voucher Total $144.00
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
244000
PITNEY BOWES Purchase Order No.
PO BOX 371887 Terms
PITTSBURGH, PA 15250 Due Date 8/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2013 1908435AU 1 $144.00
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
Date Officer
MOO' Pitney Bowes
Term rental invoice# 201 8273-AU13
August 13, 2013
Account name Invoice Summary - Schedule # 407
City Of Carmel
Clerk Treasurers Term rental charges $410.00
........................... . . ....................................................................................................................
Sales tax $0.00
Acct number ** Previous balance requested not to be shown by Lessee **
2018273
Total due September 6, 2013 $410.00
Invoice number
2018273-AU13 Please see reverse side for invoice details.
If you have any questions regarding your account, please cat[the telephone number
Payment Options listed on this invoice.
Online Account Management
g4q`j, Register for MyAccount fd Your last payment of$410.00 was credited to your account on Aug 9, 2013.
www.pb.com/myaccount.Click Any payments received after Aug 6, 2013 may not be reflected on this invoice.
View and Pay Bills for online Make check payable to Pitney Bowes.
payments.
`- Pay by Phone Questions about your Leasing Statement? Why not ask Sophie,our new On-Line
1-800-288-2357 Virtual Agent?You can visit Sophie 24 hours a day or choose to Chat with an agent
from 8:00 AM -8:00 PM EST.GO TO:www.pb.com/support
For Questions? Thank you for choosing Pitney Bowes.
ask
M- Sophie
Pitney Bowes Virtual Agent
Go to:www.pb.com/support or call:
1-800-288-2357 8 a.m to 6 p.m.EST
Avoid late;charges-Mail your payment with the coupon tietow and allow up to? 10 dabs for may!and pracessttg...t'
m.....e
Page 1 of 2 TAX ID 06-0495050 4 Tear off here 001432 X
Term rental invoice
AILL Pitney Bowes August 13,2013
, 7 .7 Acct number Invoice number
2018273 2018273-AU13
Details of term rental charges
Charges for schedule 407
Equipment description: Charges for the period:Jul 30,2013 to Aug 30,2013
Mailing system Equipment location: 1 Civic Sq,Carmel IN
Model number: Term rental charges $410.00
AZBB Total for schedule 407 $410.00 0
Model number: C,
1FWV Total charges $410.00 0
Meter model: Serial number: o
1W00 1368327 0
0
0
N
M
Important information
To order supplies from Pitney Bowes,call:1-800-243-7824 °
pp Y This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement,current o
For questions,call: as of the date of this invoice unless otherwise agreed to in writing by the parties. o
Equipment purchase 1-800-322-8000 M
This term rental invoice represents the amount you currently owe Pitney Bowes for the
Rental 1-800-288-2357 0
Leasing 1-800-288-2357 Pitney Bowes equipment and services.
Service 1-800-522-0020
Postage By Phone®account 1-800-243-7800 Overnight checks should be mailed to:
Purchase Power®account 1-800-243-7800 Pitney Bowes
Email:mybills.supportrdpb 5
.com Attn:0 Box 371887
500 Ross Street Suite 154-0470
or go to:www.pb.com/contact-us Pittsburgh,PA 15262-0001
Returns
Check your agreement with us for our return policy on equipment,postage meters and software that you have
purchased,licensed,leased or rented from Pitney Bowes.
Page 2 of 2
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995)
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))
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
IN SUM OF $
6"2
41
ON ACCOUNT OF APPROPRIATION FOR
5�M I *T
0 Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
R;.
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Pitney Bowes
Terra rental invoice# 3968112-AU13
August 13, 2013
Account name Invoice Summary - Schedule # 402
City Of Carmel Of
Term rental charges $43.00
Community Services
.......................................................................................................................................................
Sales tax $0.00
Acct number Total due September 6,2013 $43.00
3968112
Invoice number Please see reverse side for invoice details.
3968112-AU13 If you have any questions regarding your account, please call the telephone number
Listed on this invoice.
Payment Options
Your last payment of$43.00 was credited to your account on Aug 9, 2013.
Online Account Management
Register for MyAccount fd Any payments received after Aug 6, 2013 may not be reflected on this invoice.
-' www:pb.com/myaccount.Click -Make check payable to"PiineyBowes.
View and Pay Bills-for online
payments. Questions about your Leasing Statement? Why not ask Sophie,our new On-Line
Virtual Agent?You can visit Sophie 24 hours a day or choose to Chat with an agent
1-800 0--288-2357
t�f Pay Phone from 8:00 AM -8:00 PM EST.GO TO:www.pb.com/support
Thank you for choosing Pitney Bowes.
For Questions?
ask
Sophie
Pitney Bowes Virtual Agent
Go to:www.pb.com/support or call:
1-800-288-2357 8 a.m to 6 p.m. EST
Avoid latecharges Ma.it your:payment with;;the coupon below anal allow up to? 10 days formail and processing time.
Page 1 of 2 TAX ID 06-0495050 4 Tear off here 002557 X
Term rental invoice
9 P it�py B0WeS August 13,2013
r ` �eiir v •7 Acct number Invoice number
3968112 3968112-AU13
Details of term rental charges
Charges for schedule 402
Equipment description: Charges for the period:.lul 30,2013 to Aug 30,2013
Mailing system Equipment location: One Civic Square,Carmel IN
Model number: Serial number: Term rental charges $43.00
MP04 0503447 Total for schedule 402 $43.00 0
Model number: Serial number: 04
7P00 3976012 Total charges $43.00 0
Meter model: Serial number: o
P700 3976012 o
0
0
LO
LO
Additional equipment on file. N
0
Important information
CD
To order supplies from Pitney Bowes,call:1-800-243-7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement,current
For questions,call:
as of the date of this invoice unless otherwise agreed to in writing by the parties.
0
Equipment purchase 1-800-322-8000
Rental This term rental invoice rerresents the nmoun[you currently owe PitneY Bowes for the
Leasing 1-800-288-2357 Pitney Bowes equipment and services.
Service 1-800-522-0020
Postage By Phone®account 1-800-243-7800 Overnight checks should be mailed to:
Purchase Power®account 1-800-243-7800 Pitney Bowes
Attn:Box 371887
Email:mybills.support[apb.com 500 Ross Street Suite 154-0470
or go to:www.pb.com/contact-us Pittsburgh,PA 15262-0001
Returns
Check your agreement with us for our return policy on equipment,postage meters and software that you have
purchased,licensed,leased or rented from Pitney Bowes.
Page 2 of 2
VOUCHER NO. WARRANT NO.
Pitney Bowes, Inc ALLOWED 20
IN SUM OF $
P.O. Box 371887
Pittsburg, PA 15250-7896
$43.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 3968112-Au13 43-530.03 $43.00
I hereby certify that the attached invoice(s), or
1 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
M day, August 26, 2013
Director
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))
08/13/13 3968112-Au13 Meter Rental $43.00
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
11 IF
Pitney Bowes
Term rental inv®ice## 2278380-AU13
August 13, 2013
Account name Invoice Summary - Schedule # 404
City Of Carmel Fire
Department Term rental charges $52.00
Sales tax $0.00
Acct number Total due September 6, 2013 $52.00
2278380
Invoice number Please see reverse side for invoice details.
2278380-AU13 If you have any questions regarding your account, please call the telephone number
listed on this invoice.
Payment Options
Your last payment of$52.00 was credited to your account on Aug 9, 2013.
Online Account Management
�IT:p Register for MyAccount fa Any payments received after Aug 6, 2013 may not be reflected on this invoice.
www.pb.com/myaccount.Click Make check payable to Pitney Bowes.
View and Pay Bills for online
payments. Questions about your Leasing Statement? Why not ask Sophie,our new On-Line
, Virtual Agent?You can visit Sophie 24 hours a day or choose to Chat with an agent
�f Pay by Phone from 8:00 AM -8:00 PM EST.GO TO:www.pb.com/support
1-800-288-2357
Thank you for choosing Pitney Bowes.
For questions?
ask
_ - Sophie
Pitney Bowes Virtual Agent
Go to:www.pb.com/support or call:
1-800-288-2357 8 a.m to 6 p.m.EST
Avoid late charges-,M R your payment with the coupon betow and.a..tlow up to 7 10:days far mail a.nd processing time.`'
Page 1 of 2 TAX ID 06-0495050 4 Tear off here 001671 X
Term rental invoice
p- Pitney Bowes August 13,2013
Ir- ®1�i Bowes Acct number Invoice number
2278380 2278380-AU13
Details of term rental charges
Charges for schedule 404
Equipment description: Charges for the period:Jul 30,2013 to Aug 30,2013
Mailing system Equipment location: 2 Civic Square,Carmel IN
Model number: Serial number: Term rental charges $52.00
MP04 1581630 Total for schedule 404 $52.00 0
Model number: Serial number:
7P00 3885435 Total charges $52.00 0
Meter model: Serial number: °o
P700 3885435 0
0
0
E_
Additional equipment on file.
0
Important information °
To order supplies from Pitney Bowes,call:1-800-243-7824 This transaction is governed by the terms and conditions of the applicable Pitney Bowes Term Rental agreement,current
For questions,call:
as of the date of this invoice unless otherwise agreed to in writing by the parties.
0
Equipment purchase 1-800-322-8000
Rental 1-600-298-2357 This term rental invoice represents the amount you currently owe-PitneyBowesfiorthe—
-
Leasing 1-800-288-2357 Pitney Bowes equipment and services.
Service 1-800-522-0020
Postage By Phone®account 1-800-243-7800 Overnight checks should be mailed to:
Purchase Power®account 1-800-243-7800 Pitney Bowes
Attn:Box 371887
Email:mybilLs.supportfapb.com 500 Ross Street Suite 154-0470
or go to:www.pb.com/contact-us Pittsburgh,PA 15262-0001
Returns
Check your agreement with us for our return policy on equipment,postage meters and software that you have
purchased,licensed,leased or rented from Pitney Bowes.
Page 2 of 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pitney Bowes
IN SUM OF $
P.O. Box 371887
Pittsburgh, PA 15250
$52.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 2278380-AU13 I 43-530.03 I $52.00 1 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 , UG 2013
Fire Chief
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
Nhom, 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))
2278380-AU 13 $52.00
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