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247106 07/13/15 0CITY OF CARMEL, INDIANA VENDOR: 061152 Yui ONE CIVIC SQUARE CLAY TWP REGIONAL WASTE DISTRIC-PHECK AMOUNT: $*****5,182.95* 9 <roN r`; CARMEL, INDIANA 46032 PO BOX INDIANAPO LIS SKCHECK IN 46240-0638 CHECK DATE: 07/13/15 1 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4348500 28.94 0101006272502 1091 4348500 521.72 0101016210101 1091 4348500 4,007.49 4000400010100 1125 4348500 62.14 0143006091230 1125 4348500 104.18 0341578281126 1125 4348500 20.15 1015000014110 2201 4348500 265.35 2000240134001 601 5023990 85.31 4000500034500 601 5023990 87.67 4000500134500 r The Mission,of the DL-VV to paivide a h,gt3 4604..11aw of ective Mnhry seer selvr�to oLrcomrnurirt(- D Clay Township Regional Waste District P.O.EOx 4063$ Tya462440638 �+ (T(+�� ��31.7.8.44.9200 JUL 4g 2015 Customer MONON CARMEL CLAY PARKS Service Address: 1430 96TH ST E Account Number 0143006091230 ^" Billing Date 07/06/2015 07A2/1000:303 0000419 20150701 KGOKLO CLAY EPD 1 a DOM KGOKL00000.159541 U7 �'��'lll�ll'III'I�II�'II��IIII�III'lll��lll�lll'I'I�"'I'�IIIII�I Customer Message CARMEL CLAY PARKS&REC MONON 1411 E. 116TH STREET x e CARMEL IN 46032-7611 Previous Balance $57.43 Period From: 06/06/2015 Payments -$57.43 Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description :Meter,Number, Cons.(t0000anons) Amount Metered Comm Primary- 1 1/2 In Meter 60353811 7.00000 A 62.14 NMI� .�.,, . . $62.14. Declare freedom for your drains and avoid clogs or costly repairs The- Districts) 0G program explains rWhy Fats,Oils and Grease.should never go Due Date: 07/20/215; " clown=the-drain Butdk you know other food;items,such as cake frosting, i „ , . .. food or"meat scraps coffee grounds antl dairy products can also cause senous`drain problems?Please refer to our"vrebsite www CT Wo'org,for s more information on the FO:G program "` a e $62.14 Retain tlNs.porilai far your-reoG ds F 7;?e M,.+s§ion of.b`?e DrJr,'ct tdpfow, a fT gt,quafr�}r cost= 1' �` e;;ectr)�serrf�ry seer servrr�(n ourcorrtrnurrity Clay Township Regional Waste District } } } CTRWO PO..Box4>7638. �� 41. 1 4 Ind!an3pnhs,lIv 46240.0638 . QG P 317.844.9200 T'(7ED Customer CARMEL CLAY PARK&REC Service Address: 3100 116TH ST W JUL Q 6 2015 Account Number 0341578281126 Billing Date 07/06/2015 0711211000:303 000011120150701 KGOKLO CLAY EPD 1 U DOM KGOKL00000.150511 UT 'I'Il�ll�llll�liirll�lll�l��lrIII'Ili�ill�lr��li��llr�l��llll�'I' Customer Message CARMEL CLAY PARK&REC 1411 E. 116TH ST. a CARMEL IN 46032-7611 Previous Balance $104.18 Period From: 06/06/2015 Payments -$104.18 Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Descrintion •Meter,Number`: Cons.(1000 gallons) Amount Metered Comm Primary-2 In Meter 60268700' 12.00000 A 104.18 'S 3 Inipartant Iniorniatron �_.. . 7 $104.18 Declare freedom for your chains :and avoid clogs or costly repairs Thea Dlstnct's FOG program explains why,Fats,_Oils and Grease should never go pue Date. 07/20/2015 down,the drain Buted- you know other food items such as cake frosting, � food or meatscraps,coffee grounds;and dairy products can also cause; p senousd'rain probiems�Please refer,to our�ivebsite wwwCTRUVD org,for f $1 Q t I 418 ?, more rnformatton on the FOG program z 4.-.w,;,,_. .,a..::u".::t ..w.-,,,_.e«....,,..,-..,..,,.,.._..2.:s?..:.... .............._........x...�.,_ .....»`...,�. .-.. ....__'^ 02-9xa.2-2750{1MP) Retain th4i,portloi>I`for your:records 14 r a •j -1 The Mj�sionof.theQistrct-60irid- h;gijy1mi4,C&t- � $ effectrue saritury sewer service to ot�rcoranrunrty Clay Township Regional Waste District CTRWo t'0 Eo c 4D638. 1 4 ¢ indianapaM IN 46240-61568'! I 7�r 'D -. , 31.7894:92DD �G 4AW JUL 06 2 15 Customer CARMEL CLAY PARK&REC Service Address: 1411 116TH ST E Account Number 1015000014110 Billing Date 07/06/2015 07/12/1009:30 3 0000115 20750701 KG010_9 CLAY EDD I.DOM KGOKL90000.159561 U7 Customer Message CARMEL CLAY PARK&REC 1411 E. 116TH ST. CARMEL IN 46032-7611 Previous Balance $18.15 Period From: 06/06/2015 Payments -$18.15 Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description Meter:;Number', Cons.(1000 gallons) Amount Metered Comm Primary-5/8 In Meter 35379081" 4.00000 A 20.51 E1 W3i $20.51 i. Deciare,freedom for your"arains and avoid ologs or costly repairs The _Distnct"s FOG program explains why�Fats,Oils and Grease should never go DueRafer 07/20/2015 own thedrain.,Bufdid you.knowotierfood,items,such as,cake frosting d food is craps coffee groundsand dairy products can also causer r �� senous drain problems?Please refer to our website www CTRWD org,fore a $20.51 more information oi�the FOG prograt Re;aIntheportionforyoiu4'0 wid6 F, The Missrorr:of.the'Dtstricf fu Fl difk0 a'Ngh g0ky;:cost- e;fectivQmtery sewer sivito ourcornmuruty Clay Township Regional Waste DP.' t+ m, 5 r .,cTawo P.Q..Box.40E39Mia axis 92o0N462400638 JUL �g 2015 Customer CARMEL CLAY PARKS Service Address: 1235 CENTRAL PARK DRE Account Number 0101006272502 Billing Date 07/06/2015 07/17110 00:303 OD00416 40150701 KGOKLO CLAY EPD I.DOM KGOKL90000'150541 UT Ill�lllrii�IIII��III'I'�IIIII�"I�'I�I�II'lll"I'I�I�'�I'�I�"�'� Customer Message CARMEL CLAY PARKS 1411 E 116TH ST CARMEL IN 46032-7611 - Previous Balance $28.94 Period From: 06/06/2015 Payments -$28.94 Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description �,�,Meter Number, Cons.(1000 cianons) Amount Metere Comm Primaryy Fog- 1 In Meter 9101006272 0.00000 E 28.94 Irprt 2iormatlen�� 9 _ 8 94 Declare freedom for.your drains and avoid clogs or costly repairs The; I Districts FOG program explains why Fats soils and Grease should never go Due Date. 07/20/2015 tlown the dram But;6 you'know otherfootl ifems rsuch as,cake frosting, food'or meat scraps coffee'grounds:and dairyproducts can also cause serious Bram problems? Please referao our website www CTRWD or for e 1"m'ore information on the FOG program $28.94 02-ixJ9-Z7s'0(12l,09� RitaintMs.paiionfaryourrew,dr a T,1e Mrsron of tf eDutnrf fa prourr,�a h,gt,yaatrfy cost LO:15 Clay Township Regional Waste D strictg TR'NDP.0.Bo4i}6 8 2IVII� in �ndianarolis,IN 4624o-,0as JUL 4� � . � �75317244:9200 Customer CARMEL CLAY PARKS Service Address: 1235 CENTRAL PARK DR E Account Number 0101016210101 Billing Date 07/06/2015 0711211000.O3 0000{17 20150701 KGOKLO CLAY EPD 1 oz DOIA KGOKLO0000'150541 UT Customer Message CARMEL CLAY PARKS 1411 E 116TH ST CARMEL IN 46032-7611 Previous Balance $559.47 Period From: 06/06/2015 Payments -$559.47 Period To: 07/06/2015 Adjustments $0.00 .,..:.;.... Total Past Due $0.00 Service Descriotion Meter .Number°,. Cons.(1000 aanons) Amount Metered Comm Primary Fog-2 In Meter 6089,7458 189.00000 A 521.72 W` ru " nt to#or ation s ? $521.72 Declare freedom,foF your drains and avoid clogs or costly repairs The- DlstncYsOG program explains whyFats,Oils and Grease should never go Due Dafe:.. 07/20/2015: down'the drain.But did you know other food"items,succi`as cake frosting -,food or meat scraps,coffee groundsand dairy products can also cause senous drain problems?Please refer to our website www CTRVND org for $521.72 njore mformatson.on the FOG program "r� s Retalnth!s.poitionlaryoil ie=6 r The Mission at:the DW^ ct trf rroiricre` f„gt,quYifit};•oost ���, ,,,,� efectrt�sanrtdry sewer seivrce�ourcommc�rufy . CTRWoClay Township Regional Waste aisle -� i`.T�•1 6 -Eos-'406M' 317,844.9200 di OlisIN 46240.0638 JUL 06 2015 Customer CARMEL CLAY CENTRAL Service Address: 1235 CENTRAL PARK DRE _ Account Number 4000400010100 Billing Date 07/06/2015 0711 VII 00:30 3 0000113 20150701 KGOKLO CLAY FPD 1 a DOIA KGOKL00000.150511 UT II'�IIIIII'��I�liil.��"II�IIII�I'I"IIIII�IIII'�I'Irlll�"I��I�� Customer Message CARMEL CLAY CENTRAL PARK 1411 E 116TH ST Yet CARMEL IN 46032-7611 Previous Balance $1,381.93 Period From: 06/06/2015 Payments -$1381.93 Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description Meter,Nurnber', Cons.(1000 gallons) Amount Metered Comm Primary Fog-2 In Meter 59392985 0.00000 A 4007.49 59392986:: 143.00000 50863133 4.00000 § ' C61}QYt�I� 11Uldi1IQtlfi $401�7.49 n s., } Declare freedom for your drams..arid avoid clogs or costly repairs The: D,stncts.FOG program explains why Fats Oils and Grease•should nevergo - DueDaie.; 07/20/2015 down the.drain Butdid yourknow,other food rtems such as cake frosting, `food or•meat scrapscoffee grounds and dairy products can also cause senous dram problems?Please refer to our website www CTRWD org,f0", $4007.49 mgrs information on#re"-FOG program a 4 o2-+xes_zrsota2rn9f Retain th's portion foryour reoads ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. 061152 Clay Twp Regional Waste District Terms PO Box 40638 Date Due Indianapolis, IN 46240-0638 i Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/6/15 143006091230 1430 E 96th St- South Trailhead 6-Jun $ 62.14 7/6/15 341578281126- 3100 W 116th St-West Park $ 104.18 7/6/15 1015000014110 1411 E. 116th St.-Adm. $ 20.51 7/6/15 101006272502 1235 Central Park E. Dr.- Monon Center $ 28.94 7/6/15 101016210101 1235 Central Park E. Dr.- Monon Center $ 521.72 7/6/15 4000400010100 1235 Central Park E. Dr.-6 meters $ 4,007.49 Total $ 4,744.98 with IC 5-11-10-1.6 ,20 Clerk-Treasurer i Voucher No. Warrant No. 061152 Clay Twp Regional Waste District Allowed 20 PO Box 40638 Indianapolis, IN 46240-0638 I'nSum of$ I $ 4,744.98 ON ACCOUNT OF APPROPRIATION FOR 101 General &109 Monon Center PO# INVOICE NO. CCT#/TITL AMOUNT Board Members Deptept## 1125 143006091230 4348500 $ 62.14 I hereby certify that the attached invoice(s), or 1125 341578281126 4348500 $ 104.18 bill(s)is(are)true and correct and that the 1125 1015000014110 4348500 $ 20.51 materials or services itemized thereon for 1091 101006272502 4348500 $ 28.94 which charge is made were ordered and 1091 101016210101 4348500 $ 521.72 received except 1091 4000400010100 4348500 $ 4,007.49 i July 9,2015 Signature $ 4,744.98 Accounts Payable Coordinator .Cost distribution ledger classification if Title claim paid motor vehicle highway fund The Mission of the District-to provide a high quality,cost- effective sanitary sewer service to our community. Clay Township Regional Waste District �A H •cTRwD• P.O.Box40638 Monthly Statement Indianapolis,IN 46240-0638 A�ox� , 317.844.9200 Customer CARMEL ST DEPT Service Address: 3400 131ST ST W Account Number 2000240134001 Billing Date 07/06/2015 07/1V1009303 0007531 20150701 KGOKL102 LLAYSTMT I.DOM KGOKL100DW 159541 UT , Customer Message CARMEL ST DEPT 3400 W 131 ST ST CARMEL IN 46074-8267 Previous Balance $277.15 Period-From:--06/06/201.5- -- - -- ------ --- --- --- — ---Payment.,-----------$277.-l-6— Period -Payments- - -$277.-1-5--------- Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons. (1000 gallons) Amount Metered Comm Primary-2 In Meter 60121546 4.00000 A 265.35 60334360 10.00000 60360195 2.00000 Important Information w` $265.35 Declare freedom for your drains...and avoid clogs or costly repairs-The District's FOG program explains why Fats,Oils and Grease should never go Due Date ® 07/20/2015 down the drain. But did you know other food items,such as cake frosting, 'food or meat scraps,coffee grounds and dairy products can also cause serious drain problems?Please refer to our website,www.CTRWD.org,for ' more information on the FOG program. 265.35 02-1 xog-2750(12/09) Retain this portion for your records \�9'PNA •HA4,14P� REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT P.O. BOX 40638 CTRWD p� INDIANAPOLIS, IN 46240-0638 (317) 844-9200 r V 5 RFGIO'lAl\1P5�� Visit our website: www.ctrwd.org PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order.You may pay your sewer bill in person or put it in our drive-up drop box. Please do not staple or fold the payment stub or check. Do not pay by cash in the mail or the drop box. Our office is located at 10701 N College Ave. Suite A, Indianapolis, IN 46280. CREDIT CARD: For your convenience you may pay by credit card in our office or on our website, under key services on the homepage. AUTO DEBIT:This option-will draft-the amount due for your sewer service from your checking account ori the clue date each month.The form can be downloaded from our website or we can mail the form to you. CUSTOMER SERVICE: If you have additional questions concerning your bill, please call our office at(317) 844-9200, or visit our office Monday through Friday, 8:00 a.m.to 4:30 p.m. NON-PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee will be added to your account. ADDITIONAL INFORMATION: A-Actual meter readings E-When printed after a meter reading (previous or current) indicates an estimated reading CR-Credit amount B-Balanced billing applies to our residential customers only.Your monthly statements will be based on your average winter consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly usage of 7,000 gallons per month. Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02-1x09-2750R1(9/14) VOUCHER NO. WARRANT NO. ALLOWED 20 Clay Township Regional Waste District IN SUM OF$ P. O. Box 40638 Indianapolis, IN 46240-0638 $265.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I I 43-485.00 I $265.35 1 hereby certify that the attached invoice(s), or 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 0 oa" a July 09, 015 UabtCnrnmissioner Street Commissioner Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/08/15 $265.35 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 20 Clerk-Treasurer The Mission of the District-to provide a high quality,cost- o�A. ,, effective sanitary sewer service to our community. Clay Township Regional Waste District •CTRWD• P.O.Box 40638 Ivl®t1�h�y Statement Indianapolis,IN 46240-0638 �A 317.844.9200 Customer CARMEL WATER FACILITY Service Address: 3450 131 ST ST W #B Account Number 4000500134500 Billing Date 07/06/2015 07/1211009:303 W0753320150701 KGOKL.102 CLAYSTMT I=DOM KGOn 10000'159511 UT Customer Message CARMEL WATER FACILITY 3450 W 131 STREET#B ..t CARMEL IN 46074-8267 Previous Balance $85.31 - —- ---- Payments -$85:3`i------—�--- Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons. (1000 gallons) Amount Metered Comm Michigan Rd-2 In Meter 60491814 5.00000 A 87.67 ImportantInformation $87.67 Declare freedom for your drains...and avoid clogs or costly repairs.The Districts FOG program explains why Fats,Oils and Grease should never go Due Date ® 07/20/2015 down the drain. But did you know other food items,such as cake frosting, food or meat scraps,coffee grounds and dairy products can also cause iserious drain problems?Please refer to our website,www.CTRWD.org,for program.ro r more information on the FOG am. $87.67 02-1x09-2750(12109) Retain this portion for your records _.. . . ._ -- _- .. .- -G+ �_I -_ -- Djn_.._hrirn enfirg cfafomont tnlhon navina in nPrcon-- -- -Please return this portion with paymenfwhen.Davina-�- - — -- - - - N •rygrt��lTO REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT y P.O. BOX 40638 CTRWD• INDIANAPOLIS, IN 46240-0638 (317) 844-9200 5 Visit our website: www.ctrwd.org ��p AEGIONA�v�PS{� PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order.You may pay your sewer bill in person or put it in our drive-up drop box. Please do not staple or fold the payment stub or check. Do not pay by cash in the mail or the drop box. Our office is located at 10701 N College Ave. Suite A, Indianapolis, IN 46280. CREDIT CARD: For your convenience you may pay by credit card in our office or on our website, under key services on the homepage. AUTO DEBIT:This option will draft the amount due for your sewer_service from your checking account on the due date each month.The form can be downloaded from our website or we can mail the form to you. CUSTOMER SERVICE: If you have additional questions concerning your bill, please call our office at(317) 844-9200, or visit our office Monday through Friday, 8:00 a.m.to 4:30 p.m. NON-PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee will be added to your account. ADDITIONAL INFORMATION: A-Actual meter readings E-When printed after a meter reading (previous or current) indicates an estimated reading CR-Credit amount B-Balanced billing applies to our residential customers only.Your monthly statements will be based on your average winter consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly usage of 7,000 gallons per month. Approved by State Board of Accounts for.Clay.Township Regional Sewer District, 2009 02-1x09-2750R1(9/14) The Mission of the District-to provide a high quality,cost- . effective sanitary sewer service to our community. Clay Township Regional Waste District Monthly ° •CTRWD• RO.Box 40638 Monthly Statement, Indianapolis,IN 46240-0638 „ a 317.844.9200 A!➢pHy Customer CARMEL WATER FACILITY Service Address: 3450 131 ST ST W #A Account Number 4000500034500 Billing Date 07/06/2015 07/12/10 09303 000753220150701 KGOKLI02 CLAYSTMT 1-DOM KGOKL10000'159571 UT lll'1'�IIIIIIIIII��I'1111'ISI'II'II�I�����IIIII��III�II"���I�II' Customer Message CARMEL WATER FACILITY 3450 W 131 STREET#A CARMEL IN 46074-8267 LIN Previous Balance $85.31 —- ---Period-From: 06/06/-20-1-5---- -- ----- ----- -- — -- _-- — - -- raymenis $85.3 — Period To: 07/06/2015 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons. (1000 gallons) Amount Metered Comm Michigan Rd-2 In Meter 60491813 4.00000 A 85.31 Important information $85.31 Declare freedom for your drains—and avoid clogs or costly repairs.The District's FOG program explains why Fats,Oils and Grease should never go Due Date ® 07/20/2015 down the drain.But did you know other food items,such as cake frosting, food or meat scraps,coffee grounds and dairy products can also cause serious drain problems?Please refer to our website,www.CTRWD.org,for ' $$5.31 more information on the FOG program. ' ' '• ' Retain this portion for your records . . oF\��WA •HAfg. yc+ REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT P.O. BOX 40638 CTRWD. ? INDIANAPOLIS, IN 46240-0638 < (317) 844-9200 r 5 Visit our website: www.ctrvvd.org 0 ' �h7a gEGIONA���A�� PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order.You may pay your sewer bill in person or put it in our drive-up drop box. Please do not staple or fold the payment stub or check. Do not pay by cash in the mail or the drop box. Our office is located at 10701 N College Ave. Suite A, Indianapolis, IN 46280. CREDIT CARD: For your convenience you may pay by credit card in our office or on our website, under key services on the homepage. AUTO DEBIT:This option will draft the amount due for your sewer service from your checking account on the due date each month.The form can be downloaded from our website or we can mail the form to you. CUSTOMER SERVICE: If you have additional questions concerning your bill, please call our office at(317) 844-9200, or visit our office Monday through Friday, 8:00 a.m. to 4:30 p.m. NON-PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee will be added to your account. ADDITIONAL INFORMATION: A-Actual meter readings E-When printed after a meter reading (previous or current) indicates an estimated reading CR-Credit amount B-Balanced billing applies to our residential customers only.Your monthly statements will be based on your average winter consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly usage of 7,000 gallons per month. Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02-149-2750R,(9114) -� •'—.�_ .il - r i a—�.s.>,u��-.is.W�—� 1_ _..ice a�'r'rty. —e._mss._-�mac�-� _ � _ _ -_ _ �11i VOUCHER # 152402 WARRANT# ALLOWED 061152 IN SUM OF $ CLAY TOWNSHIP REGIONAL WASTE PO BOX 40638 i INDIANAPOLIS, IN 46240-0638 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code .i 40005001345 01-6360-06 $87.67 �1obc5to3`I 5 '� 5. s4 'i :i ,j . i Voucher Total 4 8 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 061152 CLAY TOWNSHIP REGIONAL WASTE-40638 Purchase Order No. PO BOX 40638 Terms INDIANAPOLIS, IN 46240-0638 Due Date 7/8/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/8/2015 4000500134! $87.67 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