224527 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 363911 Page 1 of 1
ONE CIVIC SQUARE HUNTINGTON NATIONAL BANK
+ ! CARMEL, INDIANA 46032 EQUIPMENT FINANCE DIVISION CHECK AMOUNT: $40,020.00
? PO BOX 701096 CHECK NUMBER: 224527
CINCINNATI OH 45270-1096
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4465003 401186 40, 020 . 00 AMBULANCES
lei INVOICE
Huntington DATE OF INVOICE 09/17/2013
The Huntington National Bank INVOICE NUMBER 401 186
PO Box 701096
Cincinnati,OH 45270-1096
r� Customer Service is available at
1-866-329-7286
62463-000005-001
CITY OF CARMEL
ATTN: DIANA CORDRAY
1 CIVIC SQ
CARMEL IN 46032-2584
INVOICE SUMMARY
Contract Due Contract Sales/Use Late
Number Description Date Payment Tax Charges Total Due
101-0073438-010 AMBULANCES 11/01/2013 $40,020.00 $40,020.00
Rental
IMPORTANT MESSAGES
We appreciate your business.
U
0
0
0
CD0
a
a
PLEASE DETACH LOWER PORTION AND RETURN WITH THE ENCLOSED ENVELOPE.
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
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
IN SUM OF $
.x 76 I v�6
2,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
b 7U ,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
oq 20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund