243216 03/18/15 \� CITY OF CARMEL, INDIANA VENDOR: 365043
® ; ONE CIVIC SQUARE THE GROUNDWATER FOUNDATION CHECK AMOUNT: $.......1 10.00*
CARMEL, INDIANA 46032 3201 PIONEERS BLVD SUITE 105 CHECK NUMBER: 243216
Fy,�roN LINCOLN NE 68502-5693 CHECK DATE: 03118/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1241 110.00 OTHER EXPENSES
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Invoice
Date Invoice#
3/6/2015 1241
Bill To
City of Carmel Water Utility
Jaimie Foreman
3450 W. 131st Street
Carmel,rN 46074
Purchase Order#: TGF Order No. Ship Date Terms Check#
3/6/2015
Description Qty Rate Amount
Ripple Creator Membership 35.00 35.00
Groundwater Guardian Renewing Community 75.00 75.00
Administrative Fee 2015
Subtotal $110.00
Sales Tax (0.0%) $0.00
Total Invoice $110.00
Payments/Credits $0.00
{ „ Balance Due $110.00
A qualified charitable 501(c)(3)organization. FEIN#36-3413351
3201 Pioneers Blvd Ste 105 Lincoln, NE 68502-5963 1 www.groundwater.org
Phone: 402-434-2740 Fax:402-434-2742 Toll free: 1-800-858-4844
VOUCHER # 151141 WARRANT# ALLOWED
365043 IN SUM OF $
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THE GROUNDWATER FOUNDATION
3201 PIONEERS BLVD
SUITE 105 l�
LINCOLN, NE 68502-5693
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Carmel Water Utility
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ON ACCOUNT OF APPROPRIATION FOR
j Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
1
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1241 01-6750-02 $110.00
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Voucher Total $110.00
Cost distribution ledger classification if
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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.
Payee
365043
THE GROUNDWATER FOUNDATION Purchase Order No.
3201 PIONEERS BLVD Terms
SUITE 105 Due Date 3/9/2015
LINCOLN, NE 68502-5693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2015 1241 $110.00
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 0 ther