HomeMy WebLinkAbout251875 1 1 /30/15 ��p" CITY OF CARMEL, INDIANA VENDOR: 254004
® 2,j ONE CIVIC SQUARE DUKE ENERGY CHECK AMOUNT: $*****3,390.13*
�. ;q CARMEL, INDIANA 46032 PO Box 1326 CHECK NUMBER: 251876
9,;;�_� CHARLOTTE NC 28201-1326 CHECK DATE: 11/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 49.04 61703271013
651 5023990 101.69 89303276018
+W.C4q�
q`/ ,• CITY OF CARMEL, INDIANA VENDOR: 254004
j; ® ONE CIVIC SQUARE V V 0000 1 DDD CHECK AMOUNT: $*********0.00*
s. ;,?�; CARMEL, INDIANA 46032 V V 0 0 t D D CHECK NUMBER: 251875
'+:,;roN•�. vv 0 0 I D D CHECK DATE: 11/30/15
V 0000 1 DDD
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4348000 1,034.13 41603278010
1125 4348000 155.72 13103278010
1125 4348000 20.65 18103743016
1125 4348000 86.03 28103743011
1125 4348000 9.03 31903277010
1125 4348000 761.93 42603287015
1125 4348000 144.91 52603287010
1125 4348000 15.00 72803771015
1208 4348000 15.00 73903828010
2201 4348000 15.15 11203687011
2201 4348000 161.30 29203822012
2201 4348000 15.44 36103734015
2201 4348000 155.03 39203822018
2201 4348000 25.97 41903744012
2201 4348000 13.47 71603731012
651 5023990 256.39 21103050020
651 5023990 40.75 22103050026
651 5023990 148.77 24403307013
651 5023990 64.22 295032750.13
651 5023990 70.03 39303276010
651 5023990 30.48 57303050010
Page 1 of 2
City Of Carmel Duke Energy 1-877-499-7859 2810-3743-01-1
Carmel Clay Parks For Account Services,please contact
1235 Central Park Dr E Jessica Jackman
Misc:Shelter
Carmel IN 46032
8
PO Box 1326 Payments after Nov 24 not included Bill prepared on Nov 24,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 23,2015
_�:rx�; Asx.���x xv�:x�: ��•�,�- �:�sox
t..
Elec 039451247 Oct 23 Nov 23 31 28043 28721 1 678 0.00
Usage- 678 kWh Amt Due-Previous Bill $61.23
Duke Energy-Rate CSNO $86.03 Payment(s)Received 61.23c
Current Electric Charges Balance Forward —Tu6
Current Electric Charges 86.03
Current Amount Due $$�6
RECEIVEli-
NOV 2 5 2015
IE
Average Cost: $0.1269 per kWh Dec 16,2015 $86.03 $88.61
('DUKE Visit us at www.duke-energy.com
ENERGY
f�DUKE To view information printed on the back of your bill please click or
ENERGY. go to www.duke-enersy.com/indiana/billing/back-of-bill.asp Pa e 2 of 2
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City Of Carmel 1235 Central Park Dr E 2810-3743-01-1
Carmel Clay Parks Misc:Shelter
Carmel IN 46032
WORE
Electric% DukeEnergy%
Meter- 039451247 Rate CSNO -Commercial Service
Multipliers- 1 Connection Charge $9.40
kWh Usage- 678 Energy Charge
300 kWh @ $0.08240900 24.72
Oct 23-Nov 23 378 kWh @ $0.07287300 27.55
31 Days Rider 60-Fuel Adjustment
678 kWh @ $0.01028500 6.97
Rider 61 -Coal Gasification Adj
678 kWh @ $0.01348900 9.15
Rider 62-Pollution Cntl Adj
678 kWh @ $0.00423800 2.87
Rider 63-Emission Allowance
678 kWh @ $0.00008400 0.06
Rider 66-A-Energy Eff Adj
678 kWh @ $0.00021600 0.14
Rider 66-DSM Ongoing
678 kWh 0.00000000 0.00
Rider 67-Cinergy Merger Credit
678 kWh @-$0:00060.300cr 0.41 cr
Rider 68-Midwest Ind Sys Oper Adj
678 kWh @ $0.00229400 1.56
Rider 70-Reliability Adjustment
678 kWh @ $0.00061300 0.42
Rider 71 -Clean Coal Adjustment
678 kWh @ $0.00531600 3.60 $86.03
00 $86.03
trM $86.03
feekWh Electric Usage
1.000-
800
600
400-
200
0
J M M
Calculations based on most recent 12 month history
Total Usage 6,828
Average Usage 569
NO DEC JAN FEB MA AP MA JUN JUL AU SEP OC NOV
Electric 69 66 69 67 59 551 501 46 4b/l 585 450 678
(�DUKE Visit us at www.duke-energy.com
ENERGY
Page 1 of 2
City Of Carmel Duke Energy 1-800-521-2232 1810-3743-01-6
Carmel Clay Parks
1235 Central Park Dr E
Misc:Lighting
Carmel IN 46032
iy tjx
PO Box 1326 Payments after Nov 24 not included Bill prepared on Nov 24,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 23;2015
x
Elec 038130351 Oct 23 Nov 23 31 4288 4383 1 95 0.00
Usage- 95 kWh Amt'Due-Previous Bill $19.22
Duke Energy-Rate CSNO $20.65 Payment(s)Received 19.22c
Current Electric Charges $75 Balance Forward —Tdb
Current Electric Charges 20.65
Current Amount Due $ 5
MD
Nov
Average Cost: $0.2174 per kWh Dec 16,2015 $20.65 $21.27
&DUKE Visit us at www.duke-energy.com
ENERGY
(�DUKE To view information printed on the back of your bill please click or
V ENERGY go to www.duke-enerev.com/indiana/billing/back-of-bill.asp Pape 2 of 2
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City Of Cannel 1235 Central Park Dr E 1810-3743-01-6
Carmel Clay Parks Misc:Lighting
Carmel IN 46032
Electric Duke Energy
Meter- 038130351 Rate CSNO -Commercial Service
Multipliers- 1 Connection Charge $9.40
kWh Usage- 95 Energy Charge
95 kWh @ $0.08240900 7.83
Oct 23-Nov 23 Rider 60- Fuel Adjustment
31 Days95 kWh @ $0.01028500 0.98
Rider 61 -Coal Gasification Adj
95 kWh @ $0.01348900 1.28
Rider 62-Pollution Cntl Adj
95 kWh @ $0.00423800 0.40
Rider 63-Emission Allowance
95 kWh @ $0.00008400 0.01
Rider 66-A-Energy Eff Adj
95 kWh 9 $0.00021600 0.02
Rider 66-DSM Ongoing
95 kWh 0.00000000 0.00
Rider 67-Cinergy Merger Credit
95 ft @ -$-0.00060300cr 0.06cr
Rider 68-Midwest Ind.Sys Oper Adj
95 kWh @ $0.00229400 0.22
Rider 70- Reliability Adjustment
95 kWh @ $0.00061300 0.06
Rider 71 -Clean Coal Adjustment
95 kWh @ $0.00531600 0.51 $20.65
M, $20.65
S<.•
kWh Electric Usage
50120 150-
1
N90
60
30
0
J M 1 J
Calculations based on most recent 12 month history
Total Usage 1,093
Average Usage 91
NO DEC' JAN FEB MA AP MA JUN JUL AU SEP OC NOV
Electric 10 1 12 10 9 1 71 6 7 7 8 8 95
('DUKE Visit us at www.duke-energy.com
ENERGY
Page 1 of 2
Carmel Clay Parks&Recreation Duke Energy 1-800-774-1202 1310-3278-01-0
City Of Carmel
North Trailhead
1251 Rohrer Rd
Carmel IN 46032
.............
t tS=
PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 16,2015
s..
Elec 104856636 Oct 16 Nov 13 28 80736 82091 1 1,355 0.00
: -'M, i
Usage- 1,355 kWh Amt Due-Previous Bill $22.65
Duke Energy-Rate CSNO $155.72 Payment(s) Received 22.65c
Current Electric Charges $76M Balance Forward —7- b
Current Electric Charges 155.72
Current Amount Due $T5b.m
JLC_a•.CEI V A.D
NOV 17 2015
BY:
Average Cost: $0.1149 per kWh Dec 8,2015 $155.72
tDUKE
ENERGY Visit us at www.duke-energy.com
('DUKE To view information printed on the back of your bill please click or
ENERGY go to www.duke-energy.com/indiana/billing/back-of-bill.asp Pa e 2 of 2
Carmel Clay Parks&Recreation 1251 Rohrer Rd 1310-3278-01-0
City Of Carmel Carmel IN 46032
North Trailhead
5.
Electric Duke Energy
Meter- 104856636 Rate CSNO -Commercial Service
Multipliers- 1 Connection Charge $9.40
kWh Usage- 1,355 Energy Charge
300 kWh @ $0.08240900 24.72
Oct 16-Nov 13 700 kWh @ $0.07287300 51.01
28 Days 355 kWh @ $0.06169600 21.90
Rider 60-Fuel Adjustment
1,355 kWh @ $0.01028500 13.94
Rider 61 -Coal Gasification Adj
1,355 kWh @ $0.01348900 18.28
Rider 62-Pollution Cntl Adj
1,355 kWh @ $0.00423800 5.74
Rider 63- Emission Allowance
1,355 kWh @ $0.00008400 0.11
Rider 66-A-Energy Eff Adj
1,355 kWh 9 $0.00021600 0.30
Rider 66- DSM Ongoing
1,355 k11h 0.00000000 0.00
Rider 67-Cinergy Merger Credit
1,355 kWh @ $0.00060300cr 0.82cr
Rider 68-Midwest Ind Sys Oper Adj
1,355 kWh @ $0.00229400 3.11
Rider 70-Reliability Adjustment
1,355 kWh @ $0.00061300 0.83
Rider 71 -Clean Coal Adjustment
1,355 kWh @ $0.00531600 7.20 $155.72
$155.72
'�
�
kWh Electric Usage
4,500-
3,600--
2,700-
1,800-
,5003,6002,7001,800
all -
900-
0-
000 4i --
M
Calculations based on most recent 12 month history
Total Usage 14,675
Average Usage 1,223
NOVI DECJAN FEB MAR AP MAY JUN JUL AU SEP OC NOV
Electric 1,82 1,762 4,20 2,45 2,3 1,95 19 1 1 2 4 112 1,355
('DUKE Visit us at www.duke-energy.com
ENERGY
Page 1 of 2
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Carmel Clay Parks&Recreation Duke Energy 1-800-521-2232 3190-3277-01-0
t .,
.. •
PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10
Qty 1 Usage-78 kWh Amt Due-Previous Bill $9.03
Duke Energy Payment(s) Received 9.03c
1 @ Rate SUOL $9.03 Balance Forward 0.00
Current OL Charges $-M Current OL Charges 9.03
Current Amount Due 9.03
x.
RAW
Outdoor Lighting(OL) Duke Energy
Quantity- 1 Rate SUOL -Unmetered Outdoor Ltg Sry
Lumens- 22,000
Type- High Press Sodium Energy Charge
kWh Usage- 78 Energy Charge $3.54
Oct 15-Nov 13 Lighting Maint Charge 4.50
29 Days Rider 60- Fuel Adjustment 0.80
Rider 61 -Coal Gasification Adj 0.02
Rider 62-Pollution Cntl Adj 0.08
Rider 63-Emission Allowance 0.01
Rider 66-A-Energy Eft Adj 0.01
Rider 67-Cinergy Merger Credit 0.08cr
Rider 68-Midwest Ind Sys Oper Adj 0.04
Rider 70- Reliability Adjustment 0.01
Rider 71 -Clean Coal Adjustment 0.10 $9.03
$9.03 RECEIVED
NOV 17 2015
BY:
Dec 8,2015 $9.03
(�DUKE Visit us at www.duke-energy.com
ENERGY
C('DUKE To view information printed on the back of your bill please click or
ENERGY go to www.duke-energy.com/indiana/billing/back-of-bill.asp Page 2 of 2
Ohm
Carmel Clay Parks&Recreation 3190-3277-01-0
kWh Electric Usage
too
osod080--
61-
40
20
0
J M
Calculations based on most recent 12 month history
Total Usage 936
Average Usage 78
NO DE JAN FEB MAR AP MA JUN +,LAUGSEP OC NOV
Electric 7 7 7 78 7 7 7 78
('DUKE Visit us at www.duke-energy.com
ENERGY
Page 1 of 1
Carmel Clay Parks&Recreation Duke Energy 1-800-521-2232 7280-3771-01-5
500 146Th St W
Misc:Ped Bridge
Carmel IN 46032
PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 16,2015
n 9111
� __..
Elec 108118472 Oct 16 Nov 13 28 100 100 80 0 0.00
=LSNO $
..z; . rzxUsage- 0Amt Due-Previous Bill $15.00
Duke Energy-RPayment(s) Received 15.00cCurrent Electric Balance Forward �b
Current Electric Charges 15.00
Current Amount Due $fid
Electric Duke Energy
Meter- 108118472 Rate LSNO -Low Load Factor Sec Srv.
Multipliers- 80 Connection Charge $15.00 $15.00
kWh Usage- 0
Billed Kvar- 0.00
Oct 16-Nov 13
28 Days
a ., $15.00i -
JRE
NOV 17 2015
FY-
Dec 8,2015 $15.00 $15.45
(�DUKE Visit us at www.duke-energy.com
ENERGY
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.
254004 Duke Energy Terms
PO Box 1326 Date Due
Charlotte, NC 28201-1326
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5710-3301-01-9 Inlow Park-6310 131st St E 5-Nov
11/24/15 2810-3743-01-1 Central.Park Shelter 26-Q(lt, $ 86.03
11/24/15 1810-3743-01-6 Central Park Street lighting 26-Oct $ 20.65
11/16/15 1310-3278-01-0 North Trailhead- 1251 Rohrer Rd 16-Nov $ 155.72
11/16/15 3190-3277-01-0 Carey Grove Pk- 14001 N Carey Rd 16-Nov $ 9.03
11/16/15 7280-3771-01-5 Pedestrian bridge- 500 146th St W 16-Nov $ 15.00
8740-3794-02-1 Wiilfong Pavilion Founders Park 28-Oct
1550-3287-02-9 Central Park- Dog Park- 1507 116th St E 26-Oct
TOTAL $ 286.43
120
Clerk-Treasurer
a
Voucher No. Warrant No.
254004 Duke Energy Allowed 20
PO Box 1326
Charlotte, NC 28201-1326
In Sum of$
$ 286.43
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 5710-3301-01-9 4348000 $ - i hereby certify that the attached invoice(s), or
1125 2810-3743-01-1 4348000 $ 86.03 bill(s)is(are)true and correct and that the
1125 1810-3743-01-6 4348000 $ 20.65 materials or services itemized thereon for
1125 1310-3278-01-0 4348000 $ 155.72 ::which charge is made were ordered and
1125 3190-3277-01-0 4348000 $ 9.03 received except
1125 7280-3771-01-5 4348000 $ 15.00
1125 8740-3794-02-1 4348000 $ -
1125 1550-3287-02-9 4348000 $ -
November 25, 2015
Signature
$ 286.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Page 1 of 2
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Carmel Clay Parks&Recreation Duke Energy 1-800-774-1202 5260-3287-01-0
1427 116Th St E
Carmel IN 46032
PO Box 1326 Payments after Nov 24 not included Bill prepared on Nov 24,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 23,2015
JA
Elec 063601950 Oct 23 Nov 23 31 12923 14331 1 1,408 0.00
r, takIF�YG ,. -
Usage- 1,408 kWh Amt Due-Previous Bill $122.28
Duke Energy- Rate RSNO $144.91 Payment(s) Received 122.28c
Current Electric Charges $moi Balance Forward —To
Current Electric Charges 144.91
Current Amount Due $-T4M
ID
NG'✓ 5 2015
RMIMsurs-as:,nMn
Average Cost: $0.1029 per kWh Dec 16,2015 $144.91
(�DUKE Visit us at www.duke-energy.com
ENERGY
(�DUKE To view information printed on the back of your bill please click or
ENERGY go to www.duke-enerizv.com/indiana/billins/back-of-bill.aso Pacle 2 of 2
a.
Carmel Clay Parks&Recreation 1427 116Th St E 5260-3287-01-0
Carmel IN 46032
c
mac•%
Electric Duke Energy
Meter- 063601950 Rate RSNO -Residential Service
Multipliers- 1 Connection Charge $9.40
kWh Usage- 1,408 Energy Charge
300 kWh @ $0.09294500 27.88
Oct 23-Nov 23 700 kWh @ $0.05417800 37.92
31 Days 408 kWh @ $0.04446400 18.14
Rider 60-Fuel Adjustment
1,408 kWh @ $0.01028500 14.48
Rider 61 -Coal Gasification Adj
1,408 kWh @ $0.01267300 17.84
Rider 62-Pollution Cntl Adj
1,408 kWh @ $0.00358100 5.04
Rider 63- Emission Allowance
1,408 kWh @ $0.00008400 0.12
Rider 66-A- Energy Eff Adj
1,408 kWh 9 $0.00323700 4.56
Rider 66- DSM Ongoing
1,408 kWh 0.00000000 0.00
Rider 67-C-inergy Merger Credit_
1,408 kWh 9 $0.00052600cr 0.74cr
Rider 68-Midwest Ind Sys Oper Adj
1,408 kWh @ $0.00203000 2.86
Rider 70-Reliability Adjustment
1,408 kWh @ $0.00044500 0.63
Rider 71 -Clean Coal Adjustment
1,408 kWh @ $0.00481700 6.78 $144.91
kWh Electric Usage,
$144.91
2,500-
2,000
1,500
1,000
500
0
iomIai
Calculations based on most recent 12 month history
Total Usage 16,063
Average Usage 1,339
NO DEC JAN FEB MAR AP MA JUN JUL AUGSEP OC NOV
FJectric 94 1,04 9 99 1,0 1,04 1,10 1,806 1,79 2,04 1,675 1,129 1,408
('DUKE Visit us at www.duke-energy.com
ENERGY
Page 1 of.3
Carmel Clay Parks&Recreation Duke Energy 1-800-774-1202 4260-3287-01-5
1411 116Th St E
Carmel IN 46032
. ;_
PO Box 1326 Payments after Nov 24 not included Bill prepared on Nov 24,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 23,2015
Elec 108036629 Oct 23 Nov 23 31 11806 12023 40 8,680 0.00
Usage- 8,680 kWh Amt Due-Previous Bill $385.69
Duke Energy-Rate RSNO $734.58 Payment(s) Received 385.69c
Current Electric Charges $ $ Balance Forward To
Current Electric Charges 734.58
Current OL Charges 27.35
NEW r Current Amount Due $76i?33
Qty 2 Usage-184 kWh
Duke Energy
1 @ Rate SOLU $18.20
1 @ Rate SUOL 9.15 �.�CFIVFD
Current OL Charges
— NOV 2 5 '201,5
Y.
Average Cost: $0.0846 per kWh Dec 16,2015 $761.93
�'
��DUKE Visit us at www.duke-energy.com
ENERGY
i
C(�DUKE To view information printed on the back of your bill please click or
ENERGY go to www.duke-energy.com/indiana/billing/back-of-bill.aso Pa e 2 of 3
acre
Carmel Clay Parks&Recreation 1411 116Th St E 4260-3287-01-5
Carmel IN 46032
Electric Duke Energy
Meter- 108036629 Rate RSNO -Residential Service
Multipliers- - 40 Connection Charge $9.40
kWh Usage- 8,680 Energy Charge
300 kWh @ $0.09294500 27.88
Oct 23-Nov 23 700 kWh @ $0.05417800 37.92
31 Days 7,680_ kWh @ $0.04446400 341.48
Rider 60 Fuel Adjustment
8,680 kWh @ $0.01028500 89.27
Rider 61 -Coal Gasification Adj
8,680 kWh @ $0.01267300 110.00
Rider 62-Pollution Cntl Adj
8,680 kWh @ $0.00358100 31.08
Rider 63- Emission Allowance
8,680 kWh @ $0.00008400 0.73
Rider 66-A-Energyy Eff Adj
8,680 kWh @ $0.00323700 28.10
Rider 66-DSM Ongoing
8,680 kWh 0.00000000 0.00
Rider 67-Cinergy Merger Credit
8,680 kWh @ $0.00052600cr 4.57cr
Rider 68-Midwest Ind Sys Oper Adj
8,680 kWh @ $0.00203000 17.62
Rider 70-Reliability Adjustment
8,680 kWh @ $0.00044500 3.86
Rider 71 -Clean Coal Adjustment
8,680 kWh @ $0.00481700 41.81 $734.58
: .. $734.58
Outdoor Lighting(OL) Duke Energy
Quantity- 1 Rate SOLU -Outdoor Lighting Sry
Lumens- 30,000
Type- High Press Sodium Energy Charge
kWh Usage- 104 Lighting Maint Charge $3.21
Oct 23-Nov 23 Lighting Equip Charge 8.95
31 Days Energy Charge 4.72
Rider 60-Fuel Adjustment 1.07
Rider 61 -Coal Gasification Adj 0.02
Rider 62- Pollution Cntl Adj 0.10
Rider 63-Emission Allowance 0.01
Rider 66-A-Energy Eff Adj 0.02
Rider 67-Cinergy Merger Credit 0.10cr
Rider 68-Midwest Ind Sys Oper Adj 0.05
Rider 70-Reliability Adjustment 0.02
Rider 71 -Clean Coal Adjustment 0.13 18.20
Outdoor Lighting(OL) Duke Energy
Quantity- 1 Rate SUOL -Unmetered Outdoor Ltg Sry
Lumens- 8,000
Type- Mercury Vapor Energy Charge
kWh Usage- 80 Energy-Charge $3.63
Oct 23 Nov 23 Lighting Maint.Charge 4.50
31 Days Rider 60 Fuel�Adjustment 0.82--
Rider 61 -Coal Gasification Adj 0.02
Rider 62-Pollution Cntl Adj 0.08
Rider 63-Emission Allowance 0.01
Rider 66-A-Energy Eff Adj 0.02
Rider 67-Cinergy Merger Credit O.08cr
Rider 68-Midwest Ind Sys Oper Adj 0.04
Rider 70-Reliability Adjustment 0.01
Rider 71 -Clean Coal Adjustment 0.10 9.15
$27.35
('DUKE Visit us at www.duke-energy.com
ENERGY
(�DUKE To view information printed on the back of your bill please click or
ENERGY go to www.duke enerl v.com/Indiana/billint=/back-of-bill.aso Pa e 3 of 3
_ "Ll
Carmel Clay Parks&Recreation 1411 116Th St E 4260-3287-01-5
Carmel IN 46032
kWh Electric Usage
20,000
16,000
12,000
8,000
4,000
0
M
Calculations based on most recent 12 month history
Total Usage 105,088
Average Usage 8,757
NO DEC JAN FEB MA AP INA JUNJUL AUG SEP OC NOV
Electric 8,9 12,82 15,7 16, 10, 6,5 5,02 6,224 6,024 6,664 5.5841 4,22 8,864
I
('DUKE Visit us at www.duke-energy.com
ENERGY,
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.
254004 Duke Energy Terms
PO Box 1326 Date Due
Charlotte, NC 28201-1326
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
0600-3660-01-8 Monon Greenway Tunnel lights 30-Oct
7470-3295-01-4 Meadow Lark Park Outdoor.lights 30-Oct
1650-3050-01-7 Monori Trail Crossing Flashers NA for-onlid&stater 28-Oct -
0990-3736-01-9 Founders Park- 11675 Hazel Dell Pkwy 30-Oct
11/24/15 5260-3287-01-0 Maintenance- 1427 116th St. E 26-Oct $ 144.91
3890-3290-02-9 River Heritage Park- 11813 River Ave. 30-Oct
11/24/15 4260-3287-01-5 Administration - 1411 116th St E 26-Oct $ 761.93
1660-3622-01--8 Central Park Lagoon Aeration pumps 30-Oct
6010-3608-01-8 MCC- East side 30-Oct
5010-3608-01-2 MCC-West side
30-Oct
TOTAL $ 906.84
20_
Clerk-Treasurer
Voucher No. Warrant No.
254004 Duke Energy Allowed 20
PO Box 1326
Charlotte, NC 28201-1326
In Sum of$
$ 906.84
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund/109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 0600-3660-01-8 4348000 $ - I hereby certify that the attached invoice(s), or
1125 7470-3295-01-4 4348000 $ - bill(s)is(are)true and correct and that the
1125 1650-3050-01-7 4348000 $ - materials or services itemized thereon for
1125 0990-3736-01-9 4348000 $ - which charge is made were ordered and
1125 5260-3287-01-0 4348000 $ 144.91 received except
1125 3890-3290-02-9 4348000 $ -
1125 4260-3287-01-5 4348000 $ 761.93
1125 1660-3622-01-8 4348000 $ -
�0� 6010-3608-01-8 4348000 $ -
1„091 : 5010-3608-01-2 4348000 $ - November 25, 2015
Signature
$ 906.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT page 1 of 1
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City Of Carmel Duke Energy 1-800-521-2232 7390-3828-01.0
891 3Rd Ave SW
Carmel IN 46032
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PO Box 1326 Payments after Nov 03 not included Bill prepared on Nov 03,2015
Charlotte NC 28201-1326 Last payment received Oct 13 Next meter reading Dec 03,2015
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Usage- 0 kWh 0.00 kVar Amt Due- Previous Bill $7,100.79
Duke Energy- Rate LSNO $ 15.00 Payment(s) Received 5,541.61cr
Current Electric Charges 15.00 Balance Forward 1W4 -'
Current Electric Charges
Current Amount Due 1, r
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Nov 25,2015
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VOUCHER NO. WARRANT NO.
ALLOWED 20
DUKE ENERGY
PO BOX 1326
IN SUM OF$
CHARLOTTE, NC 28201-1326
$15.00
ON ACCOUNT OF APPROPRIATION FOR'
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
11.25.15 43-480.00 $15.00
hereby certify that the attached invoice(s), or
1208 101
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
Monday, November 23, 2015
��
/ `
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 Date Invoice# Description -Amount .
Dept. Fund# (or note attached invoice(s)or bill(s))
11/25/15 11.25.15 Energy Center 7390-3828-01-0 $15.00
1208 101
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
PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT
Page 1of1
-------------------------------
City Of Carmel Duke Energy 1-800'621-2232 1120'3687'01'1
Street Department
2301 131 St St W
Misc: Rab Lights
Carmel |N4GO32
POBox 132G Payments after Nov 19 not included Bill prepared unNov)e.uo1s
Charlotte NO282O1 1326 Last payment received Nov 10 Next meter reading Dec 1o.uo1a
Beo 104882898 Oct 21 Nov 18 28 22191 22318 1 127 0.00
Usage- 127 kWh Amt Due- Previous Bill $14.78
Duke Energy-Rate SMLC $15.15 Payment(s) Received 14.78ci
Current Electric Charges 1-5.16 Balance Forward 0.00
Current Electric Charges 15.15
Current Amount Due
PLEASE NOTE:Your next scheduled meter reading date isuSaturday.
'
Average Cost: $0.1193 per kWh Dec 11,2015 $15.15
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City Of Carmel Duke Energy 1-800-521-2232 2920-3822-01-2
Street Department
748 136Th St W
Misc:Strt Light
Carmel IN 46032
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PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 16,2015
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Elec 094277995 Oct 16 Nov 13 28 6859 8271 1 1,412 0.00
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Usage- 1,412 kWh Amt Due- Previous Bill $ 173.60
Duke Energy- Rate CSNO $ 161.30 Payment(s) Received 173.60cr
Current Electric Charges $161.30 Balance Forward 0.00
Current Electric Charges 161.30
Current Amount Due $161.30
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City Of Carmel Duke Energy 1-800-521-2232 3920-3822-01-8
Street Department
746 136Th St W
Misc:Strt Light
Carmel IN 46032
PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 16,2015
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Elec 093881957 Oct 16 Nov 13 28 5895 7243 1 1,348 0.00
.......................................................... .................................................................................................................
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Usage- 1,348 kWh Amt Due- Previous Bill $ 170.17
Duke Energy- Rate CSNO $155.03 Payment(s) Received 170.17cr
Current Electric Charges $155.03 Balance Forward 0.00
Current Electric Charges 155.03
Current Amount Due $155.03
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Average Cost: $0.1150 per kWh Dec 8,2015 $155.03 $159.68
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City Of Carmel Duke Energy 1-800-521-2232 4190-3744-01-2
Street Dept
Dir Shelborne Rd
131St St
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PO Box 1326 Payments after Nov 17 not included Bill prepared on Nov 17,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 17,2015
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Elec 108041230 Oct 17 Nov 16 30 7553 .7693 1 140 0.00
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Usage- 140 kWh Amt Due- Previous Bill $23.83
Duke Energy- Rate CSNO $25.97 Payment(s) Received 23.83cr
Current Electric Charges 25.97 Balance Forward 0.00
Current Electric Charges 25.97
Current Amount Due V25.97
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City Of Carmel Duke Energy 1-800-521-2232 3610-3734-01-5
Street Department
Dir Shelborne Rd
126Th St
PO Box 1326 Payments after Nov 17 not included Bill prepared on Nov 17,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 17,2015
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Elec 104875653 Oct 17 Nov 16 30 9490 . 9624 1 134 0.00
Usage- 134 kWh Amt Due- Previous Bill $14.64
Duke Energy- Rate SMLC $15.44 Payment(s) Received 14.64cr
Current Electric Charges 15.44 Balance Forward 0.00
Current Electric Charges 15.44
Current Amount Due $15.44
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PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT
Page 1 of 1
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City Of Carmel Duke Energy 1-800-521-2232 7160-3731-01-2
Street Department
Dir Shelborne Rd
121 St St
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PO Box 1326 Payments after Nov 17 not included Bill prepared on-Nov 17,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 17,2015
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Elec 086760630 Oct 19 Nov 16 28 236 326 1 90 0.00
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Usage- 90 kWh Amt Due- Previous Bill $13.55
Duke Energy- Rate SMLC $13.47 Payment(s) Received 13.55cr
Current Electric Charges 13.47 Balance Forward 0.00
Current Electric Charges 13.47
Current Amount Due V13.47
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Average Cost: $0.1497 per kWh Dec 9,2015 $13.47
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VOUCHER NO. WARRANT NO.
Duke Energy ALLOWED 20
IN SUM OF$
P. O. Box 1326
Charlotte, NC 28201-1326
$386.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
2201 43-480.00 $331.48 1 hereby certify that the attached invoice(s), or
2201 43-480.00 $54.88 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
M ,ay, o b , 2015
Str§LftbQpffjtmj6rjioner
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))
11/25/15 $331.48
11/25/15 $54.88
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
y�# PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 Of 1
.....
City Of Carmel Duke Energy. 1-800-774-1202 3930-3276-01-0
901 Range Line Rd N For Account Services,please contact
Carmel IN 46032 B& I Group at Ext 0000
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PO Box 1326 Payments after Nov 13 not included Bill prepared on Nov 13,2015
Charlotte INC 28201-1326 Last payment received Nov 10 Next meter reading Dec 15,2015
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Elec 098340182 Oct 15 Nov 11 27 34796 35327 1 531 0.00
Usage- 531 kWh Amt Due- Previous Bill $75.26
Duke Energy-Rate CSNO $70.03 Payment(s) Received 75.26cr
Current Electric Charges 70.03 Balance Forward 0.00
Current Electric Charges 70.03
Current Amount Due 70.03
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Average Cost: $0.1319 per kWh Dec 7,2015 $70.03
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PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 1
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City Of Carmel Duke Energy 1-877-499-7859 8930-3276-01-8
Carmel Utilities For Account Services,please contact
901 Range Line Rd N Jessica Jackman
Carmel IN 46032
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PO Box 1326 Payments after Nov 13 not included Bill prepared on Nov 13,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 15,2015
Elec 106153980 Oct 15 Nov 11 27 96725 97547 1 822 0.00
Usage- 822 kWh Amt Due-Previous Bill $122.44
Duke Energy-Rate CSNO $101.69 Payment(s) Received 122.44cr
Current Electric Charges $101.69 Balance Forward 0.00
Current Electric Charges 101.69
Current Amount Due $101.69
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Average Cost: $0.1237 per kWh Dec 7,2015 $101.69
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VOUCHER# 156688 WARRANT# ALLOWED
254004 IN SUM OF $
DUKE/PSI ENERGY i
PO BOX 9001076
Louisville, KY 40290-1076
I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR I
,I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
'I
89303276018 01-736H-08 $101.69
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Voucher Total
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
254004
DUKE/PSI ENERGY Purchase Order No.
PO BOX 9001076 Terms
Louisville, KY 40290-1076 Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201: 8930327601f $101.69
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
Date O ff ia r
} .......
` PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 1
.:l..::::;:.::;;;::..'.'j.. :::: �::::::i' ::S::::iii::::=:£ :::':: <: :':::':':':::2: :;::}?t,::,::::;'::?';;::d::.;:.'''.*.Y : :: .... : :::::....`:::::':. ;:;%::.;:;;:-:;y.:,:?:::::
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City Of Carmel Duke Energy 1-877-499-7859 2110-3050-02-0
Carmel Utilities For Account Services,please contact
815 Range Line Rd N Jessica Jackman
Carmel IN 46032
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PO Box 1326 Payments after Nov 13 not included Bill prepared on Nov 13,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 15,2015
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Elec 108023896 Oct 15 Nov 11 27 816 841 100 2,500 5.00
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Usage- 2,500 kWh Amt Due- Previous Bill $108.36
Duke Energy- Rate SWP $256.39 Payment(s) Received 108.36cr
Current Electric Charges $256.39 Balance Forward 0.00
Current Electric Charges 256.39
J E0 Current Amount Due $256.39
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Average Cost: $0.1026 per kWh Dec 7,2015 $256.39
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City Of Carmel Duke Energy 1-877-499-7859 2440-3307-01-3
Carmel Utilities For Account Services,please contact
14113 Gray Rd N Jessica Jackman
Carmel IN 46033
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PO Box 1326 Payments after Nov 06 not included Bill prepared on Nov 06,2015
Charlotte NC 28201-1326 Last payment received Oct 26 Next meter reading Dec 08,2015
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Elec 108085629 Oct 07 Nov 05 29 67127 68421 1 1,294 6.22
Usage- 1,294 kWh Amt Due-Previous Bill $323.76
Duke Energy- Rate SWP $148.77 Payment(s) Received 323.76cr
Current Electric Charges $148.77 Balance Forward 0.00
Current Electric Charges 148.77
Current Amount Due $148.77
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Average Cost: $0.1150 per kWh Nov 30,2015 $148.77
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City Of Carmel Duke Energy 1-877-499-7859 2950-3275-01-3
Carmel Utilities For Account Services,please contact
13698 Spring Mill Blvd Jessica Jackman
-Carmel IN 46032
PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte. NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 14,2015
Elec 108026101 Oct 13 Nov 11 29 39087 39557 1 470 1.98
........ .....
Usage- 470 kWh Amt Due- Previous Bill $63.41
Duke Energy-Rate SWP $64.22 Payment(s) Received 63.41c
Current Electric Charges _64.22 Balance Forward 0.00
Current Electric Charges 64.22
Current Amount Due V64.22
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Average Cost: $0.1366 per kWh Dec 8,2015 $64.22
DUKE
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7CityOf Carmel Duke Energy 1-877-499-7859 6170-3271-01-3
Carmel Utilities For Account Services,please contact
13998 Silver Stream Dr Jessica Jackman
Carmel IN 46032
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PO Box 1326 Payments after Nov 13 not included Bill prepared on Nov 13,2015
Charlotte NC.28201-1326 Last payment received Nov 10 Next meter reading Dec 11,2015
.#3Will!
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Elec 108029934 Oct 10 Nov 10 31 10680 11002 1 322 1.38
bia................................................... fwfe8itlfri':' «: :::::::::<:<:::::<:>:::<><:::<:::::«:::<:::::::::::::>::>::::::::::::::::::::: ;:::>>::>::<::>::::.
Usage- 322 kWh Amt Due-Previous Bill $96.81
Duke Energy- Rate SWP $49.04 Payment(s) Received 96.81cr
Current Electric Charges 49.04 Balance Forward 0.00
Current Electric Charges 49.04
Current Amount Due 49.04
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PLEASERETURNTHETOPPORTION-WITHYOURPAYMENT
Page 1 of 1
------------
,....:.
City Of Carmel Duke Energy 1-877-499-7859 2210-3050-02-6
Carmel Utilities For Account Services,please contact
4879 Woodfield Dr Jessica Jackman
Carmel IN 46033
PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 14,2015^
Elec 108036934 Oct 14 Nov 11 28 19901 20142 1 241 1.29
.................................................. ................................................................................................................
Usage- 241 kWh Amt Due- Previous Bill $45.63
Duke Energy- Rate SWP $40.75 Payment(s) Received 45.63cr
Current Electric Charges 40.75 Balance Forward 0.00
Current Electric Charges 40.75
Current Amount Due F40.75
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Average Cost: $0.1691 per kWh Dec 8,2015 $40.75
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PLEASE RETURN THE TOP PORTIONWITH-YOUR-PAYMENT
Page I of 2
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City Of Carmel Duke Energy 1-877-499-7859 5730-3050-01-0
Carmel Utilities For Account Services,please contact
889 Bridle Cir Jessica Jackman
Carmel IN 46032
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PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 16,2015
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Elec 108080123 Oct 16 Nov 13 28 8119 8260 1 141 0.67
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Usage- 141 kWh Amt Due- Previous Bill $31.07
Duke Energy-Rate SWP $30.48 Payment(s) Received 31.07cr
Current Electric Charges 30.48 Balance Forward 0.00
Current Electric Charges 30.48
Current Amount Due -30.48
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Average Cost: $0.2162 per kWh Dec 8,2015 $30.48
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VOUCHER # 156704 WARRANT # ALLOWED
254004 IN SUM OF $
DUKE/PSI ENERGY
PO BOX 9001076 i
Louisville, KY 40290-1076
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
21103050020 01-7151-05 $256.39
JqI03-30-7013 01--7160-03
0199OD-75a0
61-703a-io13 01-1150-025 �1We0�{
�910 30sooa6 O D --760-o 3 LID,"7 5
573o3o5oojo 01 --715o-d3 O,yg
Voucher Total
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
254004
DUKE/PSI ENERGY Purchase Order No.
PO BOX 9001076 Terms
Louisville, KY 40290-1076 Due Date 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201! 2110305002( $256.39
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
PLEASERETURNTHETOPPORTIONWITHYOURPAYMENT Page 1 of 2
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City Of Carmel Duke Energy 1-800-774-1202 4160-3278-01-0
Fire Department
540 136Th St W
Carmel IN 46032
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PO Box 1326 Payments after Nov 16 not included Bill prepared on Nov 16,2015
Charlotte NC 28201-1326 Last payment received Nov 10 Next meter reading Dec 16,2015
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Elec 106960197 Oct 15 Nov 12 28 27263 27550 40 11,480 29.20
Usage- 11,480 kWh 29.20 kW Ami Due- Previous Bill $ 1,222.99
11.80 kVar Payment(s) Received 1,222.99cr
Duke Energy- Rate HSNO $1,034.13 Balance Forward 0.00
Current Electric Charges 1,03 -13 ,Current Electric Charges 1,034.13
Current Amount Due 1,034.13
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Average Cost: $0.0901 per kWh Dec 8,2015 $1,034.13
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DUKE ENERGY
Pacie2of2
City Of Carmel 540 136Th St W 4160 3278-01-0
Fire Department Carmel IN 46032
»>>
Electric Duke Energy
Meter- 106960197 Rate HSNO -High Load Factor Sec Stv
Multipliers- 40 Connection Charge $15.00
kWh Usage- 11,480
Demand Read- 00.73 Demand Charge
Actual kW- 29.20 29.20 kW @$14.06000000 410.55
s Billed Kvar- 11.80 Energy 480 akWh @ $0.01683000 193.21
Power Factor- 92.7' KVAR Charge
11.80 Kvar 0 $0.24000000 2.83
Oct 15-Nov 12 Rider 60- Fuel Adjustment
28 Days 11,480 kWh 0 $0.01028500 118.07
Rider 61 -Coal Gasification Adj
- -- -- ---- - --- --- -29.20--kW--C&-_$�5.51.965200---------1.61-.1-7 T ------
Rider 62- Pollution Cntl Adj
29.20 kW @ $1.71739000 50.15
Rider 63- Emission Allowance
11,480 kWh @ $0.00008400 0.96
Rider 66-A- Energy Eff Adj
11,480 kWh 9 $0.00021600 2.48
Rider 66- DSM Ongoing
11,480 kWh 0.00000000 0.00
Rider 67-Cinergy Merger Credit
11,480 kWh 0 $0.00033300cr 3.82cr
Rider 68-Midwest Ind Sys Oper Adj
11,480 kWh @ $0.00153800 17.66
Rider 70- Reliability Adjustment
11,480 kWh 0 $0.00050000 5.74
Rider 71 -Clean Coal Adjustment
29.20 kW @ $2.05932300 60.13 $1,034.13
............
1`otal ► € €<F1tre [ >' >
$1,034.13
kWh Electric Usage
20,000
16,00
12,000
8,00
4,00
-Mi MMI -0-7 �
Calculations based on most recent 12 month history
Total Usage 164,760
Average Usage 13,730
NOV DEC JAN FEB MA AP MA JUN JU AU SEP OC NOV
Electric 12,92 13,84 13,68 10,76 10,92 11,12 12,60 16,64 16,80 17,12 15,52 14,08 11,480
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ti
VOUCHER NO. WARRANT NO. i
ALLOWED 20
Duke Energy
i. IN SUM OF $
i
P.O. Box 1326
Charlotte, NC 28201-1326 °
i
$1,034.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 4160-3278-01-0 43-480.00 $1,034.13 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
'r
NOV 9 A
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
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))
4160-3278-01-0 46 $1,034.13
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