HomeMy WebLinkAbout244193 04/15/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 359016
ONE CIVIC SQUARE KAREN BREEDLOVE CHECKAMOUNT: $*******250.00*
CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 244193
CARMEL IN 46032 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4315 125.00 OTHER EXPENSES
601 5023990 4915 125.00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
4.3.2015 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
Mich Ile Breedlove
7255 Testimony Ave
3D
Carmel, In 46033
317-28171463 J
12
i
Cleaning Invoice
J
Weelc Date Fee Place
4.9. 2015 125.00
Water Dist. Office
Please Remit to:
Michelle Breedlove _
Backflow Prevention -Cross-Connection Control
Carmel Water Dist. Office
3450 W 13 ht Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
4Miclle Breedlove
7255 Testimony Ave
3D
Carmel, In 46033
317-281-1463
2
r
VOUCHER # 151461 WARRANT# ALLOWED
i
359016 I IN SUM OF $
BREEDLOVE, MICHELLE
DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
f
4
•.i
Board members
PO* INV# ACCT# AMOUNT j Audit Trail Code
4315 01-6360-06 $125.00
41?15 11
�i
Voucher Total _ i ,
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 4/7/2015
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
4/7/2015 4315 $125.00
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
Al
Date Officer