HomeMy WebLinkAbout250929 10/28/15 +�r_CAgM
�( ;� CITY OF CARMEL, INDIANA VENDOR: 060000
I. CHECK AMOUNT: $******"956.17"
• ® ONE CIVIC SQUARE CARMEL UTILITIES
,. �q, CARMEL, INDIANA 46032 WATER&SEWER UTILITIES CHECK NUMBER: 250929
9��JpN ` CARMEL IN 46032 CHECK DATE: 10/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4348500 29.90 0792648000
2201 4348500 289.24 1022323900
2201 4348500 20.34 1032414800
2201 4348500 616.69 1102158301
City of Invoice
Carmel Utilities Account Number
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due Date
www.carmelutilities.com (317) 571-2442 11/07115
Mon-Fri 8am-5pm Amount Due
After Due Date
® o
558
CARMEL STREET DEPT
136TH & RG LN RDBT
3400 W 131 ST ST
WESTFIELD, IN 46074-8267
Service Period Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (29.90)
09/08/15 10/08/15 52337139 148 154
WATER 6 29.90
a
Please refer to your account number above when contacting our offices at(317)571-2442.
0
0 Retain.thisportion for your records.
PAYMENTS: Payments are due at the Carmel Utilities office on the due date printed on the bill. Be sure to write your account number on
checks or money orders. Carmel Utilities charges a$33 fee for checks returned for nonpayment. Customers can pay in the following ways:
• Mail the payment and return stub in the envelope provided to the 21 d,"-.ven tie SW
Carmel Utilities office. Allow sufficient postal delivery time as your
account will be assessed penalties if it is not received in our offices by Carmel
the due date. a ti n utififie.
D ,� Office
• Bring your payment and return stub to the Carmel Utilities offices at Q, 30)A1 Iviain St
30 W. Main Street during normal business hours. N j
• Drop your enveloped payment and return stub in one of our payment DR 2nd floor
drop-boxes.:,(See map) Lurie Bldg
• Sign up for bank drafting. We will send your usual billing each month Parking Lot
Drop Box
with a notation "BANK DRAFT ON DUE DATE". No more check Range Line Rd North—°-
writing and it's always on time!
RATES:
• MINIMUM CHARGE-The basis of this charge is the size of the meter serving the property location.
• CURRENT USAGE-The amount of water consumed in a billing period.
• SUMMER SEWER RELIEF(Residential Property) -The customer is billed for sewer usage in the months of May through October based
on the average usage for the previous months November through April. This is to adjust for the volume of water measured through the
water meter but used on lawns and other areas external to the service address and not passing through the sewer lines to be processed.
• NEW CUSTOMER FEE-There is a one-time service fee for new accounts of$20. The water meter will be read on the beginning service
date and each month thereafter.
ESTIMATES - Occasionally bills must be estimated when a meter is inaccessible usually due to extreme weather conditions. Canute!
Utilities estimates bills only when unable to obtain readings. If plantings or structures of any kind block access to the meter pit, the
readings may be estimated until the obstruction is removed.
DELINQUENT NOTICE: A delinquent notice will be sent to any account with an outstanding balance over 45 days. This notice is a final
reminder prior to termination of service. Should you receive such a notice be sure to contact our offices immediately to verify our records it
you have made payment. If payment is not received by the due date on this notice, your water service will be terminated and you will be
charged a service fee. Ask to speak with our Delinquent Account Representative if you need assistance in resolving this debt.
HIGH USAGE: Leaks or malfunctions in toilets, water softeners, faucets, ice makers, humidifiers, and lawn sprinklers cause high usage. To
test for leaks, read your meter before going to bed and again in the morning before using any water. If the meter's reading has changed and
no water was knowingly used, a problem may exist. Toilets are most often the cause. Check to see if water is running into the tank overflow;
if it is, there is a problem. If not, add food color to the tank and check the bowl an hour later. If the dye has seeped into the bowl or is not
visible in the tank, a leak exists. If the problem continues, or you cannot find the leak, consult a qualified person to make the necessary
repairs. Carmel Utilities is not responsible for service lines from the water meter to the service address.
Meter Pit/Service Lines: Residential customers
The property owner owns the meter pit and service lines to the residence. Carmel Water Utilities is responsible for water service lines from
the water main to the meter pit. The meter pit, lid,and casting are the homeowner's responsibility. All plumbing from the meter pit to the
home is the responsibility of the homeowner, including any house side valves and meter yoke. All repairs to the house side plumbing and
any associated costs are the homeowner's responsibility. If there is a curb stop, all plumbing past the curb stop is the responsibility of the
homeowner. All repairs and associated costs after the curb stop are the homeowner's responsibilty. Carmel Utilities maintains ownership of
the meter and any radio equipment.
From time to time you may receive notice from us of a need to provide a service repair to the meter pit. Usually this is a request to keep
grass or any other matter from covering or interfering with the meter pit lid or a request to replace damaged parts. Your response within 30
days of the date of the notice is needed in order to have accurate readings of your water meter. At no time should planting or structure be
placed on the meter pit.
y _ Ap proved b State Board of Accounts for the Cit of Carmel 2008
Cifyof Invoice
Carmel Utilities Account Number 1032414800
P.O. Box 109 Carmel, IN 46082-0109
Amount Due $20.34
Customer Service
Due Date
www.carmelutilities.com (317) 571-2442 _ ____11/07/_15
Mon-Fri 8am-5pm Amount Due
After Due Date $20.34
858
CARMEL STREET DEPT W 141ST& DITCH RDBT
3400 W 131 ST ST
CARMEL, IN 46074-8267
PeriodService Meter Meter
Number
PAYMENT RECEIVED, THANK YOU (20.34)
09/04/15 10/08/15 51187503 879 879
WATER 0 20.34
s
LL Please refer to your account number above when contacting our offices at(317)571-2442.
U
Retain this ortion for your records.
PAYMENTS: Payments are due at the Carmel Utilities office on the due date printed on the bill. Be sure to write your account number on
checks or money orders. Carmel Utilities charges a$33 fee for checks returned for nonpayment. Customers can pay in the following ways:
• Mail the payment and return stub in the envelope provided to the 3rd AVenue SW
Carmel Utilities office. Allow sufficient postal delivery time as your c)
account will be assessed penalties if it is not received in our offices by Q Carmel
the due date. 0 utilities
•
Bring your payment and return stub to the Carmel Utilities offices at - se vfmtdnst
30 W. Main Street during normal business hours. 1t'
• Drop your enveloped payment and return stub in one of our payment ® o 2nd Floor
drop=boxes:,--(See map) Lurie Bldg
• Sign up for bank drafting. We will send your usual billing each month Parking Lot
Drop Box
with a notation "BANK DRAFT ON DUE DATE". No more check Range Line Pd North--->-
writing and it's always on time!
RATES:
• MINIMUM CHARGE-The basis of this charge is the size of the meter serving the property location.
• CURRENT USAGE-The amount of water consumed in a billing period.
• SUMMER SEWER RELIEF (Residential Property) -The customer is billed for sewer usage in the months of May through October based
on the average usage for the previous months November through April. This is to adjust for the volume of water measured through the
water meter but used on lawns and other areas external to the service address and not passing through the sewer lines to be processed.
• NEW CUSTOMER FEE-There is a one-time service fee for new accounts of$20. The water meter will be read on the beginning service
date and each month thereafter.
• ESTIMATES - Occasionally bills must be estimated when a meter is inaccessible usually due to extreme weather conditions. Carmel
Utilities estimates bills only when unable to obtain readings. If plantings or structures of any kind block access to the meter pit, the
readings may be estimated until the obstruction is removed.
DELINQUENT NOTICE: A delinquent notice will be sent to any account with an outstanding balance over 45 days. This notice is a final
reminder prior to termination of service. Should you receive such a notice be sure to contact our offices immediately to verify our records if
you have made payment. If payment is not received by the due date on this notice, your water service will be terminated and you will be
charged a service fee. Ask to speak with our Delinquent Account Representative if you need assistance in resolving this debt.
HIGH USAGE: Leaks or malfunctions in toilets, water softeners, faucets, ice makers, humidifiers, and lawn sprinklers cause high usage. To
test for leaks, read your meter before going to bed and again in the morning before using any water. If the meter's reading has changed and
no water was knowingly used, a problem may exist. Toilets are most often the cause. Check to see if water is running into the tank overflow;
if it is, there is a problem. If not, add food color to the tank and check the bowl an hour later. If the dye has seeped into the bowl or is not
visible in the tank, a leak exists. If the problem continues, or you cannot find the leak, consult a qualified person to make the necessary
repairs. Carmel Utilities is not responsible for service lines from the water meter to the service address.
Meter Pit/Service Lines: Residential customers
The property owner owns the meter pit and service lines to the residence. Carmel Water Utilities is responsible for water service lines from
the water main to the meter pit. The meter pit,lid,and casting are the homeowner's responsibility. All plumbing from the meter pit to the
home is the responsibility of the homeowner, including any house side valves and meter yoke.All repairs to the house side plumbing and
any associated costs are the homeowner's responsibility. if there is a curb stop, all plumbing past the curb stop is the responsibility of the
homeowner. All repairs and associated costs after the curb stop are the homeowner's responsibilty.Carmel Utilities maintains ownership of
the meter and any radio equipment.
From time to time you may receive notice from us of a need to provide a service repair to the meter pit. Usually this is a request to keep
grass or any other matter from covering or interfering with the meter pit lid or a request to replace damaged parts. Your response within 30
days of the date of the notice is needed in order to have accurate readings of your water meter. At no time should planting or structure be
placed on the meter pit.
Approved by State Board of Accounts for the City of Carmel,2008
City of
Carmel Utilities Account Number 1102158301
P.O. Box 109 Carmel, IN 46082-0109
Amount Due $616.69
Customer Service Due'Date 11/07/15
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due $616.69
After Due Date
CARMEL STREET DEPT R012 - o
3400 W 131ST ST CONSOLIDATED BILLING
CARMEL, IN 46074-8267
Readings••
..- • -•
Number
Meter Meter PAYMENT RECEIVED, THANK YOU (616.69)
09/03/15 10/09/15 60121546 774 779
WATER 5 $82.83
Total Location Charges For: 3400 W 131 ST ST#C $82.83
09/03/15 10/09/15 60334360 2112 2125
WATER 13 $82.83
Total Location Charges For: 3400 W 131 ST ST#B $82.83
09/03/15 10/09/15 60360195 459 462
WATER 3 $82.83
FIRE LINE $19.29
STORM WATER $320.33
Total Location Charges For: 3400 W 131 ST ST#A $422.45
09/09/15 10/08/15 51311485 648 654
WATER 6 $28.58
Total Location Charges For: 136TH&TOWNE RDBT $28.58
0
U
Retain this portion for your records.
PAYMENTS: Payments are due at the Carmel Utilities office on the due date printed on the bill. Be sure to write your account number on
checks or money orders. Carmel Utilities charges a$33 fee for checks returned for nonpayment. Customers can pay in the following ways:
• Mail the payment and return stub in the envelope provided to the 3rd Avenue Sw
Carmel Utilities office. Allow sufficient postal delivery time as your
account will be assessed penalties if it is not received in our offices by Carmel
the due date. m n utilities
• Bring your payment and return stub to the Carmel Utilities officesat v sowmce,st
30 W. Main Street during normal business hours.
Drop your enveloped payment and return stub in one of our payment Vl `� 2nd Floor
drop-boxes. (See map) k W Lurie Bldg
Sign up for bank drafting. We will send your usual billing each month Parking Drop Box Lot
with a notation 'BANK DRAFT .ON DUE DATE". No more check Range Line Rd. North—
writing and it's always on time!
RATES:
• MINIMUM CHARGE-The basis of this charge is the size of the meter serving the property location.
• CURRENT USAGE-The amount of water consumed in a billing period.
SUMMER SEWER RELIEF(Residential Property) -The customer is billed for sewer usage in the months of May through October based
on the average usage for the previous months November through April. This is to adjust for the volume of water measured through the
water meter but used on lawns and other areas external to the service address and not passing through the sewer lines to be processed.
• NEW CUSTOMER FEE-There is a one-time service fee for new accounts of$20. The water meter will be read on the beginning service
date and each month'thereafter.
• ESTIMATES - Occasionally bills must be estimated when a meter is inaccessible usually due to extreme weather conditions. Carmel
Utilities estimates bills only when unable to obtain readings. If plantings or structures of any kind block access to the meter pit, the
readings may be estimated until the obstruction is removed.
DELINQUENT NOTICE: A delinquent notice will be sent to any account with an outstanding balance over 45 days. This notice is a final
reminder prior to termination of service. Should you receive such a notice be sure to contact our offices immediately to verify our records it
you have made payment. If payment is not received by the due date on this notice, your water service will be terminated and you will be
charged a service fee. Ask to speak with our Delinquent Account Representative if you need assistance in resolving this debt.
HIGH USAGE: Leaks or malfunctions in toilets, water softeners, faucets, ice makers, humidifiers, and lawn sprinklers cause high usage. To
test for leaks, read your meter before going to bed and again in the morning before using any water. If the meter's,reading has changed and
no water was knowingly used, a problem may exist. Toilets are most often the cause. Check to see if water is running into the tank overflow;
if it is, there is a problem. If not, add food color to the tank and check the bowl an hour later. If the dye has seeped into the bowl or is not
visible in the tank, a leak exists. If the problem Continues, or you cannot find the leak, consult a qualified person to make the necessary
repairs. Carmel Utilities is not responsible for service lines from the water meter to the service address.
Meter Pit/Service Lines: Residential customers
The property owner owns the meter pit and service lines to the residence. Carmel Water Utilities is responsible for water service lines from
the water main to the meter pit. The meter pit,lid,and casting are the homeowner's responsibility. All plumbing from the meter pit to the
home is the responsibility of the homeowner, including any house side valves and meter yoke.All repairs to the house side plumbing and
any associated costs are the homeowner's responsibility. If there is a curb stun,all plumbing past the curb stop is the responsibility of the
homeowner. All repairs and associated costs after the curb stop are the homeowner's responsibilty. Carmel Utilities maintains ownership of
the meter and any radio equipment.
From time to time you may receive notice from us of a need to provide a service repair to the meter pit. Usually this is a request to keep
grass or any other matter from covering or interfering with the meter pit lid or a request to replace damaged parts. Your response within 30
days of the date of the notice is needed in order to have accurate readings of your water meter. At no time should planting or structure be
placed on the meter pit.
Approved by State Board of Accounts for the City of Carmel,2008
City ��
Carof
mel Utilities Ao®Q umber 1102158301
P.O. Box 109 Carmel, IN 46082-0109
Amount Due $616.69
Custorlce Due Date 11/07/15
www.carmelutilities.com 5 442
-Fri 8am-5pm Amount Due $616.69
®Q After Due Date
CARMEL STREET DEPT R012 - o m -
3400 W 131ST ST CONSOLIDATED BILLING
CARMEL, IN 46074-8267
PeriodService J Meter Meter Readings
• • Number • •
PAYMENT RECEIVED, THANK YOU (616.69)
PREVIOUS BALANCE FOR ALL LOCATIONS $0.00
CURRENT BILLING FOR ALL LOCATIONS $616.69
TOTAL AMOUNT DUE $616.69
AMOUNT DUE AFTER 11/07/15 $616.69
a
U
Retain this portion for your records.
l
PAYMENTS: Payments are due at the Carmel Utilities office on the due date printed on the bill. Be sure to write your account number on
checks or money orders. Carmel Utilities charges a$33 fee for checks returned for nonpayment. Customers can pay in the following ways:
• Mail the payment and return stub in the envelope provided to the 3rd Avenue SVV
Carmel Utilities office. Allow sufficient postal delivery time as your
account will be assessed penalties if it is not received in our offices byQ cannel
the due date. o uol�t
nr
• Bring your payment and return stub to the Carmel Utilities offices at Office St
LV
30 W. Main Street during normal business hours. _'
...„Dr'op;your enveloped payment and return stub in one of our payment t� o ^� 2nd Floor
drop-boxes. (See map) Lurie Bldg
• Sign up for bank drafting. We will send your usual billing each month Parking Lot
Drop Box _
with a notation "BANK DRAFT ON DUE DATE". No more check Range Line Rd North
writing and it's always on time!
RATES:
MINIMUM CHARGE-The basis of this charge is the size of the meter serving the property location.
• CURRENT USAGE-The amount of water consumed in a billing period.
• SUMMER SEWER RELIEF (Residential Property) -The customer is billed for sewer usage in the months of May through October based
on the average usage for the previous months November through April. This is to adjust for the volume of water measured through the
water meter but used on lawns and other areas external to the service address and not passing through the sewer lines to be processed.
NEW CUSTOMER FEF_-There is a one-time service fee for new accounts of$20. The water meter will be read on the beginning service
date and each month thereafter.
• ESTIMATES - Occasionally bills must be estimated when a meter is inaccessible usually due to extreme weather conditions. Carmel
Utilities estimates bills only when unable to obtain readings. If plantings or structures of any kind block access to the meter pit, the
readings may be estimated until the obstruction is removed.
DELINQUENT NOTICE: A delinquent notice will be sent to any account with an outstanding balance over 45 days. This notice is a final
reminder prior to termination of service. Should you receive such a notice be sure to contact our offices immediately to verify our records if
you have made payment. If payment is not received by the due date on this notice, your water service will be terminated and you will be
charged a service fee. Ask to speak with our Delinquent Account Representative if you need assistance in resolving this debt.
HIGH USAGE: Leaks or malfunctions in toilets, water softeners, faucets, ice makers, humidifiers, and lawn sprinklers cause high usage. To
test for leaks, read your meter before going to bed and again in the morning before using any water. If the meter's reading has changed and
no water was knowingly used, a problem may exist. Toilets are most often the cause. Check to see if water is running into the tank overflow;
if it is, there is a problem. If not, add food color to the tank and check the bowl an hour later. If the dye has seeped into the bowl or is not
visible in the tank, a leak exists. If the problem continues, or you cannot find the leak, consult a qualified person to make the necessary
repairs. Carmel Utilities is not responsible for service lines from the water meter to the service address.
Meter Pit/Service Lines: Residential customers
The property owner owns the meter pit and service lines to the residence. Carmel Water Utilities is responsible for water service lines from
the water main to the meter pit. The meter pit,lid,and casting are the homeowner's responsibility. All plumbing from the meter pit to the
home is the responsibility of the homeowner, including any house side valves and meter yoke.All repairs to the house side plumbing and
any associated costs are the homeowner's responsibility. If there is a curb stop,all plumbing past the curb stop is the responsibility of the
homeowner. All repairs and associated costs after the curb stop are the homeowner's responsibilty. Carmel Utilities maintains ownership of
the meter and any radio equipment.
From time to time you may receive notice from us of a need to provide a service repair to the meter pit. Usually this is a request to keep
grass or any other matter from covering or interfering with the meter pit lid or a request to replace damaged parts. Your response within 30
days of the date of the notice is needed in order to have accurate readings of your water meter. At no time should planting or structure be
placed on the meter pit.
Approved by State Board of Accounts for the City of Carmel,2003
City of
Carmel Utilities Account Number 1022323900
P.O. Box 109 Carmel, IN 46082-0109
Amount Due $289.24
Customer Service Due Date 11/07/15
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due $289.24
After Due Date
CARMEL STREET DEPT
3400 W 131 ST ST CONSOLIDATED BILLING
CARMEL, IN 46074-8267
PeriodService Meter Meter Readings
Number. . .
PAYMENT RECEIVED, THANK YOU (225.34)
09/04/15 10/08/15 51504191 546 561
WATER 15 $56.35
Total Location Charges For: W MAIN&DITCH RDBT $56.35
09/03/15 10/07/15 52683734 152 152
WATER 0 $20.34
Total Location Charges For: 141ST&TOWNE $20.34
09/03/15 10/07/15 49672623 1011 1070
WATER 59 $212.55
Total Location Charges For: 136TH&DITCH RDBT $212.55
PREVIOUS BALANCE FOR ALL LOCATIONS $0.00
CURRENT BILLING FOR ALL LOCATIONS $289.24
TOTAL AMOUNT DUE $289.24
AMOUNT DUE AFTER 11/07/15 $289.24
0
s
U
Retain this portion for your records.
l
PAYMENTS: Payments are due at the Carmel Utilities office on the due date printed on the bill. Be sure to write your account number on
checks or money orders. Carmel Utilities charges a$33 fee for checks returned for nonpayment. Customers can pay in the following ways:
Mail the payment and return stub in the envelope provided to the 3rd Avenue SW
Carmel Utilities office. Allow sufficient postal delivery time as your, Q
account will be assessed penalties if it is not received in our offices by a Carmel
the due date. M utilities
• Bririg your payment and return stub to the Carmel Utilities offices at 30 IN
Office
1 n St
30 W. Main Street during normal business hours.
'> .Drop your enveloped payment and return stub in one of our payment a 2rdFloor
drop-boxes. (See map) Lurie Bldg
• Sign up for bank drafting. We will send your usual billing each month Parking Lot
Drop Box
with a notation "BANK DRAFT ON DUE DATE". No more check Range Line P,d North�-
writing and it's always on time!
RATES:
• MINIMUM CHARGE-The basis of this charge is the size of the meter serving the property location.
• CURRENT USAGE-The amount of water consumed in a billing period.
• SUMMER SEWER RELIEF (Residential Property) -The customer is billed for sewer usage in the months of May through October based
on the average usage for the previous months November through April. This.is to adjust for the volume of water measured through the
water meter but used on lawns and other areas external to the service address and not passing through the sewer lines to be processed.
• NEW CUSTOMER FEE-There is a one-time service fee for new accounts of$20. The water meter will be read on the beginning service
date and each month thereafter.
• ESTIMATES - Occasionally bills must be estimated when a meter is inaccessible usually due to extreme weather conditions. Carmel
Utilities estimates bills only when unable to obtain readings. If plantings or structures of any kind block access to the meter pit, the
readings may be estimated until the obstruction is removed.
DELINQUENT NOTICE: A delinquent notice will be sent to any account with an outstanding balance over 45 days. This notice is a final
reminder prior to termination of service. Should you receive such a notice be sure to contact our offices immediately to verify our records if
You have made payment. If payment is not received by the due date on this notice, your water service will be terminated and you will be
charged a service fee. Ask to speak with our Delinquent Account Representative if you need assistance in resolving this debt.
HIGH USAGE: Leaks or malfunctions in toilets,water softeners, faucets, ice makers, humidifiers, and lawn sprinklers cause high usage. To
test for leaks, read your meter before going to bed and again in the morning before using any water. If the meter's reading has changed and
no water was knowingly used, a problem may exist. Toilets are most often the cause. Check to see if water is running into the tank overflow;
if it is, there is a problem. If not, add food color to the tank and check the bowl an hour later. If the dye has seeped into the bowl or is not
visible in the tank, a leak exists. If the problem continues, or you cannot find the leak, consult a qualified person to make the necessary
repairs. Carmel Utilities is not responsible for service lines from the water meter to the service address.
Meter Pit/Service Lines: Residential customers
The property owner owns the meter pit and service lines to the residence. Carmel Water Utilities is responsible for water service lines from
the water main to the meter pit. The meter pit,lid,and casting are the homeowner's responsibility. All plumbing from the meter pit to the
home is the responsibility of the homeowner, including any house side valves and meter yoke. All repairs to the house side plumbing and
any associated costs are the homeowner's responsibility. If there is a curb stop, all plumbing past the curb stop is the responsibility of the
homeowner. All repairs and associated costs after the curb stop are the homeowner's responsibilty. Carmel Utilities maintains ownership of
the meter and any radio equipment.
From time to time you may receive notice from us of a need to provide a service repair to the meter pit. Usually this is a request to keep
grass or any other matter from covering or interfering with the meter pit lid or a request to replace damaged parts. Your response within 30
days of the date of the notice is needed in order to have accurate readings of your water meter. At no time should p!anting or structure be
placed on the meter pit.
Approved by Stale Board of Accounts for the City of Carmel,2003
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Utilities
IN SUM OF$
P. O. Box 109
Carmel, IN 46082
$956.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 43-485.00 $905.93 1 hereby certify that the attached invoice(s), or
2201 43-485.00 $50.24 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
� t
Fri 3, 2015
Streqt 0 W-Mioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
10/20/15 $905.93
10/21/15 $50.24
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