242303 02/17/15 r^y' CITY OF CARMEL, INDIANA VENDOR: 355490
® iY ONE CIVIC SQUARE I U P P S CHECK AMOUNT: $*****1,804.50*
CARMEL, INDIANA 46032 DEPT 78745 CHECK NUMBER: 242303
PO sox 78000 CHECK DATE: 02/17/15
DETROIT MI 48278-0745
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 50487 1,804.50 OTHER EXPENSES
®w what's below.
Call before you dig.
CARMEL UTILITIES Invoice Number: 50487
PAUL PACE Invoice Date: 1/30/15
3450 WEST 131ST STREET Customer No: ID2400
WESTFIELD, IN 46074
Payment Terms:Net Due in 30 days
MONTHLY
(DECEMBER 1 -31, 2014)
Description Total Tickets Amount
Monthly Per Ticket Fee (@ $0.90/ticket) 2,005 1,804.50
Please remit payment to: IUPPS
DEPT 78745 P. O.BOX 78000
DETROIT, MI 48278-0745
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 1,804.50
PO Box 219•Greenwood IN 46142-877.230.0495-FAX: 877 230.0496-www.lndiana 811.org
Prescribed by State Boardof Accounts
F°"""°.3°'`RPv.'9g5' ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or 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
Mo. Day Yr. Signature Title
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.
2 11311.5-
Mo.
131.5Mo. Day Yr. yOfficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT,
NO.
355149) CARMEL, INDIANA
- �� Favor Of
S
Ciro -1 19?N5 PD box 18D DO
Am Lt $-a1$- b'f45
Total Amount of Voucher $
5 Deductions
GI
i
Amount of Warrant $ (, DDq 5D
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
i
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325