247514 07/15/15 of CAA r
CITY OF CARMEL, INDIANA VENDOR: 307600
® I ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $****25,504.00*
., CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK NUMBER: 247514
200 WEST WASHINGTON ROOM 212 CHECK DATE: 07/15/15
INDIANAPOLIS IN 46204
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 37300 12,752.00 OTHER EXPENSES
651 5023990 37301 12,752.00 OTHER EXPENSES
INDIANA STATE BOARD OF ACCOUNTS
INVOICE
CARMEL-WASTEWATER UTILITY
ONE CIVIC SQUARE
CARMEL IN 46032-1739
Invoice Number: 37301
DISBURSING OFFICER COUNTY BILLING DATE
CARMEL-WASTEWATER UTILITY Hamilton 05/28/2015
I .D. Number: 29 002 02
BILLING TRANSACTIONS FOR 04/29/2015 TO 05/28/2015
29 002 02 CARMEL-WASTEWATER UTILITY
61690 ANNUAL 2013 BILLING $12, 752 . 00
---- - --------
BALANCE DUE AS OF 05/28/2015 $12 , 752 . 00
I hereby certify that the foregoing is a true and correct statement of the
costs of examination and the above designated official is hereby authorized
to issue his warrant without appropriation therefor, payable to the Treasurer
of State of Indiana in payment of the above claim.
Q .Q. Z.��
State Examiner
For amounts due from taxing units, county auditor will obtain reimbursement
by deduction from the next semi-annual settlement of taxes .
PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO
TREASURER OF STATE AND MAIL TO:
State Board of Accounts, 302 West Washington Street, Room E418,
Indianapolis, IN 46204
IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this
invoice, contact Ann Kelley at 317-232-2514 .
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
307600
TREASURER OF STATE Purchase Order No.
STATE BOARD OF ACCOUNTS Terms
302 W WASHINGTON, RM E418 Due Date 7/6/2015
INDIANAPOLIS, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 37301 $12,752.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance wit=;q� er
Date
VOUCHER # 155842 WARRANT # ALLOWED
307600 IN SUM OF $
TREASURER OF STATE
STATE BOARD OF ACCOUNTS
302 W WASHINGTON, RM E418
INDIANAPOLIS, IN 46204
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
37301 01-7670-08 $12,752.00
Voucher Total $12,752.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
INDIANA STATE BOARD OF ACCOUNTS
INVOICE
CARMEL-WATER UTILITY
ONE CIVIC SQUARE
CARMEL IN 46032
Invoice Number: 37300
DISBURSING OFFICER COUNTY BILLING DATE
CARMEL-WATER UTILITY Hamilton 05/28/2015
I .D. Number: 29 002 01
BILLING TRANSACTIONS FOR 04/29/2015 TO 05/28/2015
29 002 01 CARMEL-WATER UTILITY
61689 ANNUAL 2013 BILLING $12 , 752 . 00
-- - ----- - -- - -
BALANCE DUE AS OF 05/28/2015 $12 , 752 . 00
I hereby certify that the foregoing is a true and correct statement of the
costs of examination and the above designated official is hereby authorized
to issue his warrant without appropriation therefor, payable to the Treasurer
of State of Indiana in payment of the above claim.
�►�`�-
State Examiner
For amounts due from taxing units, county auditor will obtain reimbursement
by deduction from the next semi-annual settlement of taxes .
PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO
TREASURER OF STATE AND MAIL TO:
State Board of Accounts, 302 West Washington Street, Room E418 ,
Indianapolis, IN 46204
IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this
invoice, contact Ann Kelley at 317-232-2514 .
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
307600
TREASURER OF STATE Purchase Order No.
STATE BOARD OF ACCOUNTS Terms
302 W WASHINGTON, RM E418 Due Date 7/6/2015
INDIANAPOLIS, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2015 37300 $12,752.00
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
Date Officer
e
VOUCHER # 152326 WARRANT # ALLOWED
307600 IN SUM OF $
TREASURER OF STATE
STATE BOARD OF ACCOUNTS
302 W WASHINGTON, RM E418
INDIANAPOLIS, IN 46204
Carmel !Nater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
37300 01-6670-08 $12,752.00
Voucher Total $12,752.00
Cost distribution ledger classification if
claim paid under vehicle highway fund