HomeMy WebLinkAbout237045 09/10/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 364992
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEYCHECK AMOUNT: $*****4,400.00*
CARMEL, INDIANA 46032 Box 71362 CHECK NUMBER: 237045
PHILADELPHIA PA 1 91 76-1 362 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90279040 4,400.00 OTHER EXPENSES
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
DOWN PAYMENT(BILL) REQUEST
Bill#: 90279040
Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344
Billing Contact:Tonja Clark Phone: 317.6002723 Date: 08/14/2014
Due Date: 10/13/2014
Remit Payment To: - United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: CITY OF CARMEL UTILITIES
30 WEST MAIN STREET SUITE 220 Additional forms of payment may be accepted. Please
CARMEL IN 46032 email gdatta@usgs.gov or call 703-648-7605 for
additional information.
To pay through Pay.gov go to https://www.pay.gov. Checks must be made payable to
U.S. Geological Survey. Please detach the top portion
or include bill number on all-remittances.-__
Amount of Payment: $
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
08/14/2014 Expenditures incurred for bi-annual water-level 1 4,400.00 1 4,400.00
measurements from a network of observation wells
and operation of one continuous recording
water-level well in Carmel, Indiana. Annual billing
per agreement. FY14 annual invoice: Oct 1, 2013 to
Sep 30, 2014
14EMNF0000023
- Amount Due this Bill: 4,400.00
Accounting Classification:
Sales Order: 39181
Sales Office: GENF
Customer: 6000001344
Accounting#: 10341999
TIN: 356000912
VOUCHER # 141699 WARRANT # ALLOWED
74580 IN SUM OF $
USGS - DEPT OPTNE INTEWOR
Ien-"
fo L,�- 71
At%1f, /)�kh IA
Carmel Water Utility 18176
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1
90279040 01-6310-08 $4,400.00
Voucher Total $4,400.00
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
74580
USGS- DEPT OF THE INTERIOR Purchase Order No.
Water Resources Division Terms
5957 Lakeside Blvd Due Date 9/4/2014
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2014 90279040 $4,400.00
i
I
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