HomeMy WebLinkAbout242417 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 364992
4
!; ® ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEYCHECK AMOUNT: $....*4,100.00*
:. CARMEL, INDIANA 46032 BOX 71362 CHECK NUMBER: 242417
�;_roN ?• PHILADELPHIA PA 19176-1362 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 R4350900 32627 90287905 4,100.00 ENGINEERING FEES
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Page:1
DOWN PAYMENT (BILL) REQUEST
Bill #: 90287905
Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344
Billing Contact: Tonja Clark Phone: (317) 600-2723 Date: 09/12/2014
Due Date: 11/11/2014
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia; PA 19176-1362 2naU —R4?,S O t 00
Payer: TOWN OF CARMEL
Mr. Mike McBride Additional forms of payment may be accepted. Please
1 CIVIC SQUARE email gdatta@usgs.gov or call 703-648-7605 for
P.O. BOX 1399 additional information.
CARMEL IN 46032
To a throe h Pa ov o to htt s://www. a ov. Checks must be made payable to
pay g y y g p p�y'g 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
09/12/2014 Expenses incurred for the operation and 1 4,100.00 1 4.100.00
maintenance of streamflow gaging staiton on
Williams Creek at 96th Street in Hamilton County
for the period of October 1, 2013 to September 30,
2014
14EMNF0000005
Amount Due this Bill: 4.100.00
Accounting Sales Order: 37472 Classification: �101 t ,3y
Sales Office: GENF
Customer: 6000001344
M RECEIVED
Accounting#: 10353414 SEP 2014
r
CARMEL A�
TSN: 356000972 CITY ENGINEER
:
�61C'&.., Z�aLV
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 service rendered, by whom,
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
United States Geological Survey Purchase Order No. -
POB 71362 Terms
Philadelphia, PA 19176-1362 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
9/12/2014 90287905 2014 Streamflow gaging station shared cost $ 4,100.00
Total $ 4,100.00
1 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.
,20
Clerk-Treasurer
VOUCHER NO WARRANT NO.
United States Geological Survey ALLOWED 20
POB 71362 IN SUM OF $
Philadelphia, PA 19176-1362
$ 4,100.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
32627 90287905 2200-R4350900 $ 4.100.00 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
t
2/16/2015
Signature
City Engineer
Cost Distribution ledger classification if Title W
claim paid motor vehicle highway fund