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HomeMy WebLinkAbout246540 06/17/15 ��.�qq" CITY OF CARMEL, INDIANA VENDOR: 362511 J ® f. .i, ��!• ONE CIVIC SQUARE SPRING LAKE ESTATES HOA CHECK AMOUNT: $*******810.00* :� ?�. CARMEL, INDIANA 46032 PO Box 1104 CHECK NUMBER: 246540 yr, co CARMEL IN 46080-1104 CHECK DATE: 06/17/15 �roN DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 410 810.00 ORGANIZATION & MEMBER Spring Lake Estates HOA Invoice Po Box 1104 Carmel, IN 46082-1104 Invoice#: 410 Invoice Date: 6/1/2015 Due Date: 7/1/2015 Z2do _ y 3 s 5 Bill To: 3 o o Project: City of Carmel P.O. Number: Engineering Department One Civic Square Carmel, IN 46032 -Date Dbscription —Amow.s_ - 6/1/2015 Semiannual HOA Membership (Lot 11) 270.00 6/1/2015 Semiannual HOA Membership (Lot 28) 270.00 6/1/2015 Semiannual HOA Membership (Lot 29) 270.00 nco JUN2013 CD QApWL Total $810.00 Payments/Credits $0.00 Balance Due $810.00 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Spring Lake Estates Homeowners Association Purchase Order No. POB 1104 Terms Carmel, IN 46082-1104 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 6/1/2015 410 Semiannual HOA Membership Dues $ 810.00 Total $ 810.00 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. ,20 Clerk-Treasurer VOUCHER NO WARRANT NO. Spring Lake Estates Homeowners Association ALLOWED 20 POB 1104 IN SUM OF $ Carmel, IN 46082-1104 $ 810.00 ON ACCOUNT OF APPROPRIATION FOR Board Members Po#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 410 2200-4355300 $ 810.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 6/15/2015 Sig ature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund