250527 10/20/15 aAq ( CITY OF CARMEL, INDIANA VENDOR: 061152
ONE CIVIC SQUARE CLAY TWP REGIONAL WASTE DISTRIC-PHECK AMOUNT: $*******148.77*
CARMEL, INDIANA 46032 PO 80X 40638 CHECK NUMBER: 250527
INDIANAPOLIS IN 46240-0638 CHECK DATE: 10/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4348500 75.62 0376122604988
1120 4348500 73.15 2000130154000
The Mission of the District-to provide a high quality,cost-
U.H, effective sanitary sewer service to our community.
Clay Township Regional Waste District
b •CTRWD' P.O.Box 40638 �A
IVIonhly5a@eC1t
Indianapolis,IN 46240-0638
317.844.9200
Customer FIRE STATION#46
Service Address: 540 136TH ST W Account Number 2000130154000
Billing Date 10/06/2015
07112110 0930 3 0000651 20151001 KJOH5101 CLAYSTMT 10.DOM KJOH510000'159591 UT
IIIII1"I�111'II��II"�I11�1'1'11111111111111111���11111�111�1�1� Customer Message
FIRE STATION#46
2 CIVIC SQUARE a
CARMEL IN 46032-2584
Previous_Balance $75.62
Period From: 09/06/2015 — -- - - J--- - - �-�- - --- - Payments —__-- -$75.62--__-
Period To: 10/06/2015 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons. (1000 gallons) Amount
Metered Comm Primary Fog - 1 In Meter 48889163 ' 6.00000 A 73.15
48889164 5.00000
Important Information.: $73.15
The District has recently begun smoke testing. If your area will be tested,
there will be a notice on your door and signs at the entrance to your :6ueDate 10/20/2015
subdivision. If you have any concerns,contact our office at(317)844-9200.
There is additional information about the process on our website,www.ctrwd.org.Our office will be closed on Tuesday November 3,2015 for - $73.15
Election Day.
----- - - - -- - - — -- - — 02-1x09-2750(12/09)
Retain this portion for your records
o�\�o�ANp H4,�ulToyn REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
•CTRWD• ��` INDIANAPOLIS, IN 46240-0638
(317)844-9200
� o\y
Visit our website: www.ctrwd.org
sh7a flFGIOHAI`lAy� .. - ..
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
-CTRWD• RO.Box40638 Monthly Statement
s Indianapolis,IN 46240-0638
�A 317.844.9200
Customer FIRE STATION#42
Service Address: 3610 106TH ST W Account Number 0376122604988
Billing Date 10/06/2015
0711211009:303 0000450 70151001 KJOH5101 CLAYSTMT 1-DOM KJOH510000'159541 UT
II'll'II�III�I�II'l'll'I'ISI'Illll'l'II'�"'Illlllll�llll�'�'I'II Customer Message
FIRE STATION#42
2 CIVIC SQUARE x c
CARMEL IN 46032-2584
Previous Balance _ _ --$70.67-
Period
$70.67Period From: 09/06/2015 Payments -$70.67
Period To: 10/06/2015 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons. (1000 gallons) Amount
Metered Comm Mich Rd Fog- 1 In Meter 10856168 6.00000 A 75.62
10856207 6.00000
Important Information $75.62
The District has recently begun smoke testing. If your area will be tested,
there will be a notice on your door and signs at the entrance to your Due Date ® 10/20/2015
subdivision. If you have any concems,contact our office at(317)844-9200.
There is additional information about the process on our website,
www.ctrwd.org.Our office will be closed on Tuesday November 3,2015 for s $75,62
Election Day.
- 02-1x09-2750(12/09)
Retain this portion for your records
REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P O. BOX 40638
CTRWD• c INDIANAPOLIS, IN 46240-0638
(317) 844-9200
U
L tiQ
fg °y
GIONP��VA� Visit our website: www.ctrwd.org
sem` RF - -
PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order.You may pay
your sewer bill in person or put it in our drive-up drop box. Please do not staple or fold the payment stub or check. Do not
pay by cash in the mail or the drop box. Our office is located at 10701 N � p College Ave. Suite A Indianapolis,
9 ,
IN 46280.
CREDIT CARD: For your convenience you may pay by credit card in our office or on our website, under key services on
the homepage.
AUTO DEBIT:This option will draft the amount due for your sewer service from your checking-account on-the due-date each - -
month.The form can be downloaded from our website or we can mail the form to you.
CUSTOMER SERVICE: If you have additional questions concerning your bill, please call our office at(317)844-9200, or
visit our office Monday through Friday, 8:00 a.m.to 4:30 p.m.
NON-PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th
of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee will be
added to your account.
ADDITIONAL INFORMATION:
A-Actual meter readings
E-When printed after a'meter reading (previous or current) indicates an estimated reading
CR-Credit amount
B-Balanced billing applies to our residential customers only.Your monthly statements will be based on your average winter
consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly
usage of 7,000 gallons per month.
Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02-U09-2750RI(9n4)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Twp. RWD
IN SUM OF$
P.O. Box 40638
Indianapolis, IN 46240
$148.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0376122604988 43-485.00 $75.62 1 hereby certify that the attached invoice(s), or
1120 2000130154000 43-485.00 $73.15 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
OCT 19 2015
Fire Chief
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
1 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
0376122604988 42 $75.62
2000130154000 46 $73.15
I
I
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