HomeMy WebLinkAbout225683 11/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00350980 Page 1 of 1
ONE CIVIC SQUARE VERIZON WIRELESS CHECK AMOUNT: $2,822.60
ro; CARMEL, INDIANA 46032 P.0.BOX 25505
LEHIGH VALLEY PA 18002-5505 CHECK NUMBER: 225683
CHECK DATE: 11/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4344100 9712977813 98 . 52 885691434-00001
1110 4344100 9713395484 523 . 88 980914159-00001
1120 4344100 9713395512 1, 020 . 36 980946612-00001
2200 4344100 9713576650 772 . 74 685729475-00001
911 4344000 9713601625 407 . 10 980755496-00001
\,--'verkonwiretess
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number j Date Due
ACWORTH,GA 30101 o e .• o o r o o,
Invoice Number 9712977813
20001079 02 MB 0.402 "AUTO TO 0 6609 46033-331420 1 E MICH0910 Quick Bill Summary Sep 10—Oct 09
�Illlil�l�i�l�l�lll�lll��lllinilll�l�iilllllliiil�lii�ll�llill�i
CITY OF CARMEL Previous Balance(see back for details) $98.45
ATTN:KEN MILLER Payment—Thank You —$98.45
12120 BROOKSHIRE PKWY
CARMEL,IN 46033-3314 Balance Forward $.00
Monthly Charges $93.63
Usage and Purchase Charges
Voice $.00
Messaging $.00
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $4.89
Taxes,Governmental Surcharges&Fees $.00
Total Current Charges $98.52
Total Charges Due by November 04, 2013 $98.52
Pay from Wireless Pay on the Web Questions:
m :ee • ® e • o �
verjLo wireless
Invoice Number Account Number Date Due Page
y
E. 9712977813 885691434 00001> 11/04/,13
.. w...
Get Minutes Used Get Data Used Get Balance
Jkr if .. . •� 1:'+`: '.•. g &9'3l fir,'
._ 3
p �p
® Explanation of Charges Payments
® Verizon Wireless'Surcharges Previous Balance $98.45
® Verizon Wireless' Surcharges include (i) a Regulatory Charge
® (which helps defray various government charges we pay including Payment—Thank You
government number administration and license tees); (ii) a Payment Received 09/27/13 —98.45
® Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$98.45
® the government to support universal service; and (iii) an Balance Forward $.��
® Administrative Charge, which helps defray certain expenses we
® incur, including charges we or our agents pay local telephone
® companies for delivering calls from our customers to their
® customers, fees and assessments on our network facilities and
® services, and costs and charges associated with proceedings
® related to cell sites, local number portability, and other
government mandates. Please note that these are Verizon
® Wireless charges,not taxes.These charges,and what's included,
® are subject to change from time to time.
® Taxes,Governmental Surcharges and Fees
®® Includes sales, excise and other taxes and governmental
surcharges and tees that we are required by law to bill
customers. These taxes, surcharges and tees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances.The charge is the
greater of S5 or 1.5%per month,or as permitted by law.
Verizon Wireless`Other Charges and Credits
Includes charges for products and services,and credits owing.
xCorrespondence Address Verizon Wireless Attn CorrespondenceTeam PO B;ox 5029�Wallfngford, CT06492i °.a
�r .., ., fie°
VOUCHER NO. WARRANT NO.
ALLOWED 20
Veizon Wireless
Accounts Receivable IN SUM OF $
P.O. Box 25505
Lehigh Valley, PA 18002-5505
$98.52
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 9712977813 I 43-441.00 I $98.52 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
Thursday, October 24, 2013
Director, Brookshir Golf Club
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))
10/09/13 9712977813 Phone $98.52
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
V,-1verizonmreiess
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number I Date Due
ACWORTH,GA 30101 , •:e •. e t o 0
Invoice Number 19713601625
20000382 03 AB 0.631 ""AUTO T30662046032-2584031 E MICH2O10 Quick Bill Summary Sep 21 —Oct 20
IIIIII�IIIIIIIIIIIIIIIII�III„IIII,lllli�ll�l�lll�lli�ll,,,lli,ll
HAMILTON COUNTY DRUG Previous Balance(see back for details) $406.78
TASK FORCE Payment–Thank You –$406.78
3 CIVIC SQ
CARMEL,IN 46032-2584 Balance Forward $.00
Monthly Charges $390.21
Usage and Purchase Charges
Voice $.00
Messaging $.00
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $16.89
Taxes,Governmental Surcharges&Fees $.00
Total Current Charges $407.10
Total Charges Due by November 15, 2013 $407.10
Pay from Wireless Pay on the Web Questions:
verizo 4wireless
Invoice Number Account Number Date Due Page
RIV 5„ 97 3601625 980755496-00001--,11/15/1,3 2 of
MR,Get Minutes Used Get Data Used _ Get Balance
T%E MOM
Explanation of Charges Payments
Verizon Wireless'Surcharges Previous Balance $406.78
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment—Thank You
government number administration and license fees); (ii) a Payment Received 10/11/13 —406.78
® Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$406.78
® the government to support universal service; and (iii) an Balance Forward $.00
Administrative Charge, which helps defray certain expenses we
incur, including charges we or our agents pay local telephone
® companies for delivering calls from our customers to their
® customers, fees and assessments on our network facilities and
services, and costs and charges associated with proceedings
related to cell sites, local number portability, and other
government mandates. Please note that these are Verizon
Wireless charges,not taxes.These charges,and what's included,
® are subject to change from time to time.
® Taxes,Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances.The charge is the
greater of S5 or 1.5%per month,or as permitted by law.
Verizon Wireless'Other Charges and Credits
Includes charges for products and services,and credits owing.
;Corresp6 de 6 Addres°s Verizon Wireless Attn ,Correspondence Team PO Box 5029.Wallingford CT 06492
4 .. _..... .,_�___.,_.� __:____,__�,� ___
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF $
P.O. Box 25505
Lehigh Valley„ PA 18002-5505
$407.10
ON ACCOUNT OF APPROPRIATION FOR
Project 2013-911 Task 2013-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 I 9713601625 I 43-440.00 I $407.10 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
Thursday, October 31, 2013
t
Major
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))
10/31/1 3 9713601625 $407.10
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
VERIZON WIRELESS
PO BOX 25505
LEHIGH VALLEY, PA 18002-5505
CARMEL CLAY SCHOOLS 1�T
CARMEL, IN 46033 NO. 339594
CONTROL# PO# INVOICE# DESCRIPTION DATE AMOUNT
007955=9098 8/15 SERVICE 8/21/13` 2,39760
DETACH AND RETAIN THIS PORTION FOR YOUR RECORDS
TOTAL AMOUNT » » 2,397.60
1
II IIII'Gi� CTRLI ENO'I 11 3 3 9594 111r -I6n6i; II liir,�llill 16ii1,....�IIII I , lilll 1'UY` "IV�I Illlol eil III I:,,I;I ylip, IIII 1i 111'.,ilf
4 .IIII II'C. APPROVED BY;tSTATEiBOARD'!'!OFII ACCOUNTS'.I i11,.sl VIII III 1,111�.1'+ I G�1 Illlr'll IIC� '.. ':II
.�,. ,I. I 7 'ryI �- �,
"T IIIII'::i;.` FOR CARMEL CLAYiIiSCHOOLSr,'1993;..11 k16p II II.I�II��:':. IIII;�.�IIIIII�''3', �"Illll'1�1�.. ILI ?I.1..4iV� I l 1,ply�,'HU n��'�IIIU
411' II u41 I II II, I{IV�II Ik'. '� nt1 gton National lBank, l l.11y.
4u y luf IIIG -, i II a III 11111 II I II':ill •:Id 41 M r III
_ :1 i t 41f I 1 61 u)i� ,
°� VIII�� ��CA1211�EIL Cd�AY SCE®OLS N®:.339594
9illlliulld 1111" ti��llll�r�''llll� ARMEL,:IN46033
nlI
Is ngallli ���4y�'I `IIII luylPIIIi°IIII Pl�SY'ONLY»»»» TWO THOUSAND.THREE.HUNDRED NINETY SEVEN AND 60/100
�I. IIIh IIIIu i.Ilu �6 II III k
-
III��
rr, I' III+1 I al T + r DATE .AMOUNT�-.(USD). _
�pl, ,rGl I'll IPAY TO THE'ORDER OF
4II IIuI:. MIX a�111'IIII;il11 ru`-'rll' !l!11'x �. _ - -9/10/1'3' *****
I l $, 2;397.60
11iw.UERIZON',W"LESS i
l%�,` fX if '.uIkPOIBOX 25505 TEIS CHECK VOID`TW Y AFTER
yt I I. Illy yll III Nn}- DEC. 3 OF-YEA F-IS E
III 1111° IIPr III�.X114 Illsyu7l Il,ill4� � _ ,
ro
n LEHIGH VALLEY PA 11001-5515
u S �a.li Ir. dl -��li'n it it"I. I �� Irl l '11111 1 111111 -
tl I'• ltl R r IIII II IIII y II II f
((I IIII: illll I,�I,.'ill Ipu 1a I' I,",II X'uh I I I, mlll i III lli�'I 111;l
TREASURER - !
V"
a ' -BORDER CONTAINS MICROPRINTING
��� 339594111 0:0 7 40000 781: 0 1400 9 48 38 91i°
\ ®VVergopwireless
Manage Your Account&View Your Usage Details 1 Account Number Date Due
P.O.BOX 4002 1
ACWORTH,GA 30101 , o :e• o a e o
Invoice Number 19713395484
Quick Bill Summary Sep 17—Oct 16
50000031 BX BOXS 6616 1 E MICH1610 '
Previous Balance(see back for details) $3,363.57
CITY OF CARMEL
CARMEL POLICE DEPT Payment—Thank You —$2,942.65
3 CIVIC SQ Adjustments —$420.95
ACCTS PAYABLE T ANDERSON Credit Balance —$.03
CARMEL,IN 46032-2584
Monthly Charges $2,919.03
Usage and Purchase Charges
Messaging $.54
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $1.94
a , Taxes,Governmental Surcharges&Fees $.00
Change To Your Service Total Current Charges $2,921.51
Thank you for your wireless business.
You recently made a change to your
service. Your new bill will reflect usage Total Charges Due by November 11, 2013 $2,921.48
from your last bill and service
adjustments resulting from the
plan/feature change.
Pay from Wireless I Pay on the Web Questions:
V,---'veriZon fireless
Invoice Number Account Number Date Due Page
. .,...... 4 ,, 97wT3�395484yv 980914159 00001; 11/1�1'/132f103A4
Get Minutes Used Get Data Used Get Balance
OfN r .
Explanation of Charges Payments and Adjustments
Verizon Wireless'Surcharges Previous Balance $3,363.57
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment—Thank You
government number administration and license fees); (ii) a Payment Received 10/11/13 —2,942.65
Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$2,942.65
the government to support universal service; and (iii) an Adjustments
Administrative Charge, which helps defray certain expenses we
incur, including charges we or our agents pay local telephone Balance Transfer on 10/01/13 —395.00
companies for delivering calls from our customers to their Balance Transfer on 10/01/13 —25.95
customers, fees and assessments on our network facilities and
services, and costs and charges associated with proceedings Total Adjustments —$420.95
related fo cell sites, local number portability, and other Credit Balance -$.03
government mandates. Please note that these are Verizon
Wireless charges,not taxes.These charges,and what's included,
are subject to change from time to time.
Taxes,Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Understanding Your Prorated(partial month)Charges
Prorated charges occur when you add new service,or make a
change to your existing service,in the middle of your bill cycle.
Prorated charges are calculated by determining the daily charge,
and then by multiplying the daily charge by the number of days
the service was used.
If a plan change is effective as of a date during the bill cycle,your
proration will include a credit for unused days on the old plan,
and a charge for the days used on your new plan.
s Correspondence Address Vernon Wrreless Attn Corres ondence Team PO Box 5029 Wallin ford, CT 06492
� �� __ �... p.. . , . �, , , 9 __ E w,�
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless
IN SUM OF $
P.O. Box 25505
Lehigh Valley, PA 18002-5505
$523.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-441.00 ($2,397.60) I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 9713395484 43-441.00 $2,921.48
materials or services itemized thereon for
which charge is made were ordered and
received except
Thurs ay October 31, 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))
09/10/13 less check#339594 ($2,397.60)
10/16/13 9713395484 monthly payment $2,921.48
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
V,--1Ver1Zonwireless
P.O.BOX 4002 Manage Your Account&View Your Usage Details Account Number Date Due
ACWORTH,GA 30101 o o e 1 1 e e e B
Invoice Number 19713576650
Quick Bill Summary Sep 21 —Oct 20
30000028 04 SP 1.520 "SNGLP T2 2 6620 46032-258401 1 E MICH2O10
Il�lll�llllllilllliil�ll�lllill�ll�illlll�l�ill�l�lll�li��l����li
Previous Balance(see track for details) $1,792.54
CITY OF CARMEL
ENGINEERING Payment—Thank You —$792.17
1 CIVIC SO Balance Forward Due Immediately $1,000.37
CARMEL,IN 46032-2584
Monthly Charges $745.38
Usage and Purchase Charges
Voice $.00
Messaging $.16
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $27.20
Taxes,Governmental Surcharges&Fees $.00
Total Current Charges Due by November 15,2013 $772.74
Total Amount Due $1,773.11
CP
��s�31-123A
Sg,
� O Zp13 0
Pay from Wireless Pay on the Web Questions:
�IverILoAwireiess
Invoice Number Account Number Date Due Page
x 9713576650 685729475 X00001 :Past Due 2 f 28
3.„«..„ .3,n«8'3` ,,,�...a. .i r... ...,...,..w,. ..,&. :_ ....«,...........`s3�s_ ,..._......, ,.5........ .- `Y..,..a ...ME, -.w.a.;.:.,,-mss_ �.,x.,--a�....a..... ,e ..«..
Get Minutes Used Get Data Used Get Balance
is/ 4 'e. '+FW 'vl
,'.
Explanation of Charges Payments
Verizon Wireless'Surcharges Previous Balance $1,792.54
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment—Thank You
® government number administration and license fees); (ii) a Payment Received 10/11/13 —792.17
® Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$792.17
® the government to support universal service; and (iii) an Balance Forward Due Immediately $1,000.37
Administrative Charge, which helps defray certain expenses we y
incur, including charges we or our agents pay local telephone
companies for delivering calls from our customers to their
® customers, fees and assessments on our network facilities and
services, and costs and charges associated with proceedings
® related to cell sites, local number portability, and other
® government mandates. Please note that these are Verizon
Wireless charges,not taxes.These charges,and what's included,
® are subject to change from time to time.
Taxes,Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances.The charge is the
greater of S5 or 1.5%per month,or as permitted by law.
Verizon Wireless'Other Charges and Credits
Includes charges for products and services,and credits owing.
,i,a,u„,CorrespondencdiAddress ,Verizon,Wireless Attn Correspondence Team PO Boz 5029:Wallingford,FCT 06492
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
Verizon Wireless Purchase Order No.
POB 25505 Terms
LeHigh Valley, PA 18002-5505 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
10/20/2013 9713576650 cell phones $ 772.74
Total $ 772.74
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
VOUCHER NC WARRANT NO.
Verizon Wireless ALLOWED 20
POB 25505 IN SUM OF$
LeHigh Valley, PA 18002-5505
$ 772.74
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 9713576650 2200-44100 $ 772.74 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
�G!� 11/4/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
V,�-'VePf iwireless
Manage Your Account&View Your Usage Details Account Number Date Due
P.O.BOX 4002
ACWORTH,GA 30101 o e :0
Invoice Number 19713395512
Quick Bill Summary Sep 17 —Oct 16
40000001 07 SP 2.120 "SNGLP T1 1 6616 46032-754302 1 E MICH1610
iln„.
Previous Balance(see back for details) $2,034.96
CARMEL FIRE DEPARTMENT
2 CIVIC SQ Payment—Thank You —$1,044.55
CARMEL,IN 46032-7543 Balance Forward Due Immediately $990.41
Monthly Charges $1,019.66
Usage and Purchase Charges
Messaging $.02
Data $.00
Verizon Wireless'Surcharges
and Other Charges&Credits $.68
Taxes,Governmental Surcharges&Fees $.00
Total Current Charges Due by November 11,2013 $1,020.36
Total Amount Due $2,010.77
Pay from Wireless Pay on the Web Questions:
V,--'ver Lopvvireless
Invoice Number Account Number Date Due Page
Pasu of 3n 9 9713395512 &9809466E12 00001 e T � �+ z" ashy
Elk—
Get Minutes Used Get Data Used Get Balance
''^ahl ytM Jy z 1
WIN
Explanation of Charges Payments
Verizon Wireless'Surcharges Previous Balance $2,034.96
Verizon Wireless' Surcharges include (i) a Regulatory Charge
(which helps defray various government charges we pay including Payment—Thank You
government number administration and license fees); (ii) a Payment Received 10/11/13 —1,044.55
Federal Universal Service Charge (and, if applicable, a State
Universal Service Charge)to recover charges imposed on us by Total Payments —$1,044.55
the government to support universal service; and (iii) an Balance Forward Due Immediate) 990.41
Administrative Charge, which helps defray certain expenses we y $
incur, including charges we or our agents pay local telephone
companies for delivering calls from our customers to their
customers, fees and assessments on our network facilities and
services, and costs and charges associated with proceedings
related to cell sites, local number portability, and other
government mandates. Please note that these are Verizon
Wireless charges,not taxes.These charges,and what's included,
are subject to change from time to time.
Taxes,Governmental Surcharges and Fees
Includes sales, excise and other taxes and governmental
surcharges and fees that we are required by law to bill
customers. These taxes, surcharges and fees may change from
time to time without notice.
Late Fee Information
A late payment applies for unpaid balances.The charge is the
greater of$5 or 1.5%per month,or as permitted by law.
Verizon Wireless'Other Charges and Credits
Includes charges for products and services,and credits owing.
1 orresponde a Address Version Wireless Attn Correspondence Team PO B,z 5029 Wallingford CT 06492
.k ��. ��.,,. . �w,� t._»r x�.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Verizon Wireless = A
IN SUM OF $
P.O. Box 25505
Lehigh Valley, PA 18022
$1,020.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 9713395512 I 43-441.00 I $1,020.36 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
NOV 4 2i01g,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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))
9713395512 $1,020.36
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