244789 04/29/15 Cq"
CITY OF CARMEL, INDIANA VENDOR: 357344
ONE CIVIC SQUARE ROYALTY COMPANIES CHECK AMOUNT: $*****1,800.00*
i' CARMEL, INDIANA 46032 1000 D AVENUE CHECK NUMBER: 244789
SEYMOUR IN 47274 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12840 1,800.00 OTHER EXPENSES
INVOICE
Invoice Number: 12840
Invoice Date: 4/17/15
Royalty Companies of Indiana, Inc. Page: 1
1000 D Avenue
Seymour, IN 47274
Voice: 812-523-8392
Fax: 812-523-7553
Bill To:
Carmel Wast Water Treatment Plant
Attn: Paul Amone
9609 Hazel Dell Parkway
Indianapolis, IN 46280 Customer Phone:
Customer ID: Carmel Waste Water
�bustorner PO Payment Tums` Sales Rep ID _ Due Date
S14975 Due Upon Completion Johnson Shawn 5/17/15
Description Amount
Re-flashed 3 vent curbs with EPDM at high roof on building D 1,800.00
Subtotal 1,800.00
We will gladly accept Mastercard or Visa Sales Tax
for a 3%fee added to the invoice amount. Total Invoice Amount 1,800.00
Payment/Credit Applied
TOTAL 1,800.00
Overdue invoices are subject to late charges.
VOUCHER # 155368 WARRANT # ALLOWED
357344
IN SUM OF $
ROYALTY COMPANIES
1000 D AVENUE
SEYMOUR, IN 47274
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
12840 01-7362-06 $1,800.00 i
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Voucher Total $1,800.00
Cost distribution ledger classification if
claim paid under vehicle highway fund i
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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
357344
ROYALTY COMPANIES Purchase Order No.
1000 D AVENUE Terms
SEYMOUR, IN 47274 Due Date 4/21/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/21/2015 12840 $1,800.00
1
i
1
,y-
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 Officer