225855 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 355490 Page 1 of 1
ONE CIVIC SQUARE I U P P S CHECK AMOUNT: $911.70
CARMEL, INDIANA 46032 PO BOX 66898
INDIANAPOLIS IN 462666898 CHECK NUMBER: 225855
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CHECK DATE: 11/512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4341999 42389 911 . 70 OTHER PROFESSIONAL FE
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CARMEL CLAY COMMUNICATIONS CENTER
JANET ARNONE Invoice Number: 42389
31 1ST AVE NW Invoice Date: 10/31/13
CARMEL,IN 46032 Customer No: ID2401
Payment Terms: Netdue in 30 days
3RD QUARTER
(JULY 1 -SEPTEMBER 30,2013)
Description Total Tickets Amount
Quarterly Per Ticket Fee(@ $0.90/ticket) 1,013 911.70
Please remit payment to: IUPPS
P.O. Box 66898
Indianapolis, IN 46266-6898
Please refer to either your Customer No. or the Invoice No.on your check
Please address questions to: Karen Braun
1-317-893-1405
Invoice Total 911.70
PO Box 219-Greenwood IN 46142.877.230.0495-FAX: 877 230.0496-www.1ndiana 811.org
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))
10/31/13 42389 $911.70
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
IUPPS IN SUM OF $
P.O. Box 66898
Indianapolis, IN. 46266
$911.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1115 I 42389 I 43-419.99 I $911.70
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
Monday, November 04, 2013
i rect
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund