HomeMy WebLinkAbout242690 03/03/15 Cqq
vc .� CITY OF CARMEL, INDIANA VENDOR: 359016
j; d it ONE CIVIC SQUARE KAREN BREEDLOVE CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 242690
CARMEL IN 46032 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 22615 250.00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
2.20.2015 125.00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist. Office
3450 W 131s' Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
ich 11 reedlove
7255 estimony Ave
3D
Carmel, In 46033 -- -
317-281-1463
6
Cleaning Invoice
Week Date Fee Place
2.26. 2015 125 .00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist. Office
3450 W 131fst Street
Cannel, IN 46074
(317) 733-2845
Total Due: 125.00
4.Miclle; Breedlove
7255 Testimony Ave
3D
Cannel, In 46033
317-281-1463
2
VOUCHER # 151061 WARRANT# ALLOWED
T5962 IN SUM OF $
BREEDLOVE, MICHELLE
CARMEL WATER DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1,
J
22615 01-6360-06 $250.00
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Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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.
i
Payee
T5962
BREEDLOVE, MICHELLE Purchase Order No.
CARMEL WATER DISTRIBUTION Terms
Due Date 2/24/2015
Invoice Invoice Description
Date Number (or note attached-invoice(s) or bill(s)) Amount
2/24/2015 22615 $250.00
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.
Date fficer