HomeMy WebLinkAbout229837 03/12/14 ��,q..
`�'V �';"� CITY OF CARMEL, INDIANA VENDOR: 359016
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.i, e i':• ONE CIVIC SQUARE KAREN BREEDLOVE CHECK AMOUNT: S*"""""'250.00*
` '� CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 229837
'a�,�roN.�'?� CARMEL IN a6032 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30314 250.00 OTHER EXPENSES
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Cleaning Invoice
Week Date Fee Place
2-24-2014 125.00 Water Dist Office
3-03-2014 125.00 Water Dist Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131 st Street
Carmel, IN 46074
(317) 733-2845
Total Due: 250.00
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Michelle Bree love
520 Super Star Ct
Carmel, IN 46032
317-374-1542 �
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VOUCHER # 134276 WARRANT # ALLOWED
T5962 IN SUM OF $
BREEDLOVE, MICHELLE
CARMEL WATER DISTRIBUTION
,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR �
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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30314 01-6360-06 $250.00 �
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Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (f2ev 1995)
ACCOUiVTS PAYABLE VOUCHER
C1TY 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
T5962
BREEDLOVE, MICHELLE Purchase Order No.
CARMEL WATER DISTRIBUTION Terms
, Due Date 2/26/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/2014 30314 $250.00
,
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 5-11-90-1.6
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Date Officer