243399 03/18/15 �"rc4gM
CITY OF CARMEL, INDIANA VENDOR: 359016
w it ONE CIVIC SQUARE KAREN BREEDLOVE CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 243399
CARMEL IN 46032 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 030615 125.00 OTHER EXPENSES
601 5023990 031215 125.00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
3.6.2015 125.00 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: 125.00
M,R
Mich lle Breedlove
7255 Testimony Ave
3D
Carmel, In 46033
317-281-1463
8
Cleaning Invoice
Week Date Fee Place
3.12. 2015 125.00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Cannel Water Dist. Office
3450 W 131,r Street
Cannel, IN 46074
(317) 733-2845
Total Due: 125.00
4r t
P-2-)
Mic elle Breedlove
7255 Testimony Ave
3D
Carmel, In 46033
31.7-281-1463
2
VOUCHER # 151134 WARRANT # ALLOWED
359016 IN SUM OF $
BREEDLOVE, MICHELLE
DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
V (Z5•Db
I
i
Voucher Total
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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 3/9/2015
Invoice Invoice Description
Date Number (or note attached'invoice(s) or bill(s)) Amount
3/9/2015 ADOBE $110.15
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 icer