HomeMy WebLinkAbout239685 12/03/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 359016
ONE CIVIC SQUARE KAREN BREEDLOVE CHECKAMOUNT: $*******500.00*
CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 239685
CARMEL IN 46032 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 111514 500.00 OTHER EXPENSES
Cleaning Invoice
_Week Date Fee Place
11.08.14 250.00 Water Dist. Office
11.15.14 250.00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 500.00
i�i Michelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1542
VOUCHER # 142342 WARRANT # ALLOWED
T5962 IN SUM OF $
BREEDLOVE, MICHELLE
CARMEL WATER DISTRIBUTION
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
111514 01-6360-06 $500.00 �
i
i
I
Voucher Total $500.00
•i
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
T5962
BREEDLOVE, MICHELLE Purchase Order No.
CARMEL WATER DISTRIBUTION Terms
Due Date 11/19/2014
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
11/19/201, 111514 $500.00
f �
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