252852 12/17/15 ly y,C.lq�f
a/ \ CITY OF CARMEL, INDIANA VENDOR: 355490
ONE CIVIC SQUARE I U P P S CHECK AMOUNT: S••""•"978.50'
CARMEL, INDIANA 46032 DEPT 78745 CHECK NUMBER: 252852
PO BOX 78000 CHECK DATE: 12/17/15
DETROIT MI 48278-0745
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 55153 978.50 OTHER CONT SERVICES
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Know what's below.
Call before you dig.
CARMEL STREET DEPARTMENT Invoice Number: 55153
BONNIE CALLAHAN Invoice Date: 11/25/15
3400 W 131ST ST
CARMEL,IN 46074 Customer No: ID2001
Payment Terms:Nel Due in 30 days
MONTHLY- -
_ (OCTOBER 1 -31, 2015)
Description Total Tickets Amount
Monthly Per Ticket Fee (@$0.95/ticket) 1,030 978.50
Please remit payment to: IUPPS
DEPT 78745 P. O.BOX 78000
DETROIT, MI 48278-0745
Please refer to either your Customer No. or the Invoice No.on your check
Please address questions to: Karen Braun
1-317-893-1405
Invoice Total 978.50
PO Box 219-Greenwood IN 46142-877.230.0495-FAX: 877 230.0496-www.Indiana 811.org
VOUCHER NO. WARRANT NO.
IUPPS ALLOWED 20
Dept. 78745
IN SUM OF$
P.O. Box 78000
Detroit, MI 48278-0745
$978.50 {
, I
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
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PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
2201 j 55153 I 43-509.001 $978.50 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
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QtFeete rR�fzsi
Street Commissioner
Title
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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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 55153 $978.50
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