HomeMy WebLinkAbout240237 12/16/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 359016
CHECKAMOUNT: $*******250.00*
ONE CIVIC SQUARE KAREN BREEDLOVECARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 240237
CARMEL IN 46032 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 121314 250.00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
12-13-2014 250.00 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
I",--Al
re Breedlove
2e0 Super Star Ct
Carmel, IN 46032 {
317-374-1542 `�j
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VOUCHER # 142493 WARRANT# i ALLOWED
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T5962 'j IN SUM OF $
BREEDLOVE, MICHELLE
CARMEL WATER DISTRIBUTION
Carmel Water Utility ,
ON ACCOUNT OF APPROPRIATION FOR
SI
'Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
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121314 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 (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 12/9/2014
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2014 121314 $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 5-11-10-1.6
Date Officer