251811 11/24/15 CAq
CITY OF CARMEL, INDIANA VENDOR: 060000
{; ONE CIVIC SQUARE CARMEL UTILITIES CHECK AMOUNT: $*******852.12*
CARMEL, INDIANA 46032 WATER&SEWER UTILITIES CHECK NUMBER: 251811
9�'iron CARMEL IN 46032 CHECK DATE: 11/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4348500 156.16 1022323900
2201 4348500 609.61 1102158301
2201 4348500 44.20 1712423900
2201 4348500 42.15 1792580200
iof
Cty of el Utilities Account Number 1102158301
P.O. Box 109 Carmel, IN 46082-0109
Amount Due $609.61
Customer Service12/08h 5
www.carmelutilities.com (317) 571-2442 D,uelDate
Mon-Fri Sam-5pm Amount Due $609.61
After Due Date
CARMEL STREET DEPT R012 o o a
3400 W 131ST ST CONSOLIDATED BILLING
CARMEL, IN 46074-8267
Service
Period Meter Meter Readings
..- Amount Bifled,
Num.-
PAYMENT RECEIVED, THANK YOU (616.69)
10/09/15 11/10/15 60121546 779 783
WATER 4 $82.83
Total Location Charges For: 3400 W 131 ST ST#C 7 $82.83
10/09/15 11/10/15 60334360 2125 2136
WATER 11 $82.83
Total Location Charges For: 3400 W 131 ST ST#B $82.83
10/09/15 11/10/15 60360195 462 465
WATER 3 $82.83
FIRE LINE $19.29
STORM WATER $320.33
Total Location Charges For: 3400 W 131 ST ST#A $422.45
10/08/15 11/06/15 51311485 654 657
WATER 3 $21.50
Total Location Charges For: 136TH&TOWNE RDBT $21.50
0
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 Q Carrel
the due date. = ufuiees
• Bring your payment and return stub to the Carmel Utilities offices at - 30 tv Made St
30 W..Main Street during normal business hours. 2
• Drop your enveloped payment and return stub in one of our payment d' N ^' 2nd Fioar
drop-boxes. (See map) Ilk ° Lurie Bldg
• Sign up for bank drafting. We will send your usual billing each month PDroop
ingot
LBox
D .. i.
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 fines 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 montb_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 outstandingbalance 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 ON
Carmel Utilities Ar� umber 1102158301
P.O. Box 109 Carmel, IN 46082-0109J\#`f
`` _
Amount Due $609.61
www.carmelutilities.com 5 442 'Due Rafe 12/08/15 '
tVni-Fri 8am-5pm Amount Due $609.61
VOAfter Due Date
CARMEL STREET DEPT R012 " o
3400 W 131ST ST CONSOLIDATED BILLING
CARMEL, IN 46074-8267
�IIIIIIIIIIIIIIIIIIIIIIIIIIIII111'IIII'11I111Il�llllllllllllll
PeriodService
Meter Meter .• •
.•' Amount BOled
• • •e • •
PAYMENT RECEIVED, THANK YOU (616.69)
PREVIOUS BALANCE FOR ALL LOCATIONS $0.00
CURRENT BILLING FOR ALL LOCATIONS $609.61
TOTAL AMOUNT DUE $609.61
AMOUNT DUE AFTER 12/08/15 $609.61
0
s
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 n
account will be assessed penalties if it is not received in our offices by Q Gprmel
the due date.: Offiutilities
Bring your payment and return stub to the Carmel Utilities offices atkO o y 30: Main sl
30 W: Main Street during normal business hours. N
• Drop your enveloped payment and return stub in one of our payment '�. 2nd floor
drop-boxes. (See map) „ Lurie Bldg
• Sign up for bank drafting. We will send y 9
our usual billin each month PDropkinLot
Drop Box
with a notation "BANK DRAFT ON DUE DATE". No more check
P.an e Line Rd Nordi--
writing and it's always on time! a
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 extrerne 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 Deli nquent.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 tobed and again in the morning before using any water.. If the meter's reading has changed and
no water was knowingly used, a_prohlem may exist. Toilets are most often.the cause. ,Check to"see„if water is'runninoJnto'the.tank overflow;
if it is, there is a problem. If not, add food color to the tank and check the-bowl an hour latera 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 PitlS4vice 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 Citv of Carmel,200E
City of
� armel Utilities Account Number
1022323900
P.O. Box 109 Carmel, IN 46082-0109
Amount Due $156.16
Customer Service Due Date 12/08/15.
www.carmelutilities.com (317) 571-2442
Mon-Fri Sam-5pm Amount Due $156.16
After Due Date
CARMEL STREET DEPT
3400 W 131ST ST CONSOLIDATED BILLING
CARMEL, IN 46074-8267
Period Meter Meter Readings
Numbe-r--
PAYMENT RECEIVED, THANK YOU (289.24)
10/08/15 11/06/15 51504191 561 566
WATER 5 $26.22
Total Location Charges For: W MAIN&DITCH RDBT $26.22
10/07/15 11/04/15 52683734 152 152
WATER 0 $20.34
Total Location Charges For: 141ST&TOWNE $20.34
10/07/15 11/04/15 49672623 1070 1100
WATER 30 $109.60
Total Location Charges For: 136TH&DITCH RDBT $109.60
PREVIOUS BALANCE FOR ALL LOCATIONS $0.00
CURRENT BILLING FOR ALL LOCATIONS $156.16
TOTAL AMOUNT DUE $156.16
AMOUNT DUE AFTER 12/08/15 $156.16
a
s
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 S�r'v
Carmel Utilities office. Allow sufficient postai delivery time as your """
' c,
account will be assessed penalties if it is not received in our offices by 1 a Carmel
the'due date. Utilities
{ Offi ce
• Bring your payment and return stub to the Carmel Utilities offices at _, cy+tf,,;n;t
30 W. Main Street during normal business hours. ' ry
• Drop your enveloped payment and return stub in one of our payment IV 7d Floor of{Qor
drop-boxes. (See map) ; ° Lurie afdg
• 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 Lina R i 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
Qty.of Invoice
Carmel Utilities Account Number
P.O. Box 109 Carmel, IN 46082-0109 1712423900
Amount Due 44.20
Customer Service Due Date
www.carmelutilities.com (317) 571-2442 12/03/15
Mon-Fri 8am-5pm Amount Due
After Due Date $44.20
1271
CARMEL STREET DEPT W 116TH&SPRINGMILL RDB
3400 W 131 ST ST
CARMEL, IN 46074-8267
.. -
PAYMENT RECEIVED, THANK YOU (48.92)
10/02/15 10/30/15 57710396 8432 8436
WATER 44.20
WATER 4 44.20
0
LL Please refer to your account number above when contacting our offices at(317)571-2442.
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.a,,enuQStV
Carmel Utilities office. Allow sufficient postal delivery time as your
account will be assessed penaities if it is not received in our offices by a Carmel
m
the due date. Utilities
ice
• Bring your payment and return stub to the Carmel Utilities offices at 2 30 Vt Wu in St
30 W. MainStreet during normal business hours. a
• Drop your enveloped payment and return stub in one of our payment Z ?r,d door
drop-boxes." (See map) tt;rie eitig
• Sign up for bank drafting. We will send your usual billing each month narking Lot
Drop sox
with a notation "BANE: DRAFT ON DUE DATE". No more check Range tine Pd Nor'ch �
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•quaiified person to make the necessary
repairs. Carmel Utilities is not responsible for service lines from the water meter to the service address.
Rueter 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 fines from
the water main to the meter pit. The meter pit,fart,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 curbstop, 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
}. Invoice
Carmel Utilities Account Number
P.O. Box 109 Carmel, IN 46082-0109
Amount Due 1792580200
Customer Service Due Date
www.carmelutilities.com (317) 571-2442 12/03/15
Mon-Fri 8am-5pm Amount Due
After Due Date $42.15
474
CARMEL STREET DEPT 96TH & DITCH RDBT
3400 W 131 ST ST
CARMEL, IN 46074-8267
Service-Period Meter. MeterAmount -.
Number
PAYMENT RECEIVED, THANK YOU (45.70)
10/02/15 11/02/15 51676948 186 197
WATER 11 42.15
0
LL Please refer to your account number above when contacting our offices at(317)571-2442.
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.venueSVV
Carmel Utilities office. Allow sufficient postal delivery time as your
account will be assessed penalties it it is not received in our offices by Carmel
the due date. r, Utilities
• Bring.your payment and return stub to the Carmel Utilities offices at ° a 30 Office1 t St
30 W. Main Street during normal business hours. )
• Drop.your.enveloped payment and return stub in one of our payment n 2nd Flocr.
drop-voxes. ;See map) „`" �' Lurie Bldg
• Sign up for bank drafting. We will send your usual billing each month Parking tot
with a notation "RANI; DRAFT ON DUE DATE". No more check D101)Box
writing and it's always on time! Range line Rd North—�
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 ovens 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 homeowners 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
VOUCHER NO. WARRANT NO.
Carmel Utilities ALLOWED 20
IN SUM OF$
P. O. Box 109
Carmel, IN 46082
$852.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 43-485.00 $86.35 1 hereby certify that the attached invoice(s), or
2201 43-485.00 $765.77 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
Frid No ber 2 , 015
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))
11/19/15 $86.35
11/19/15 $765.77
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