HomeMy WebLinkAbout252983 01/11/16 '%� CITY OF CARMEL, INDIANA VENDOR: 359016
(` ONE CIVIC SQUARE KAREN BREEDLOVE CHECK AMOUNT: $*******375.00*
a°' CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 252983
9.y,�TON�° CARMEL IN 46032 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 122215 250.00 OTHER EXPENSES
601 5023990 123015 125.00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
12.22.2015 125.00 Water Dist Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
Michelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1542
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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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 12/21/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/21/201,1 122215 $250.00
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
VOUCHER # 153865 WARRANT# ALLOWED
359016 IN SUM OF $
BREEDLOVE, MICHELLE }
DISTRIBUTION
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR d
.1
Board members
J
PO# INV# ACCT# AMOUNT J, Audit Trail Code
122215 01-6360-06 $250.00
1
J
i
I
.i
i
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Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Cleaning Invoice
Week Date Fee Place
12.30.2015 -125.00 Water Dist Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
Michelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1542
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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 12/30/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: 123015 $125.00
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
VOUCHER # 153925 WARRANT# II ALLOWED
359016 ( IN SUM OF $
BREEDLOVE, MICHELLE
DISTRIBUTION i
'i
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i.
Board members
�i
PO# INV# ACCT# AMOUNT Audit Trail Code
123015 01-6360-06 $125.00
I
1
I
i
4
Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund