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HomeMy WebLinkAbout253980 01/26/16 '(�� 4,pgf� CITY OF CARMEL, INDIANA VENDOR: 362511 I; ® ONE CIVIC SQUARE SPRING LAKE ESTATES HOA CHECK AMOUNT: $**`****540.00* �. ?� CARMEL, INDIANA 46032 Po Box 1104 CHECK NUMBER: 253980 9.y;�roN�` CARMEL IN 46080-1104 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 455 540.00 ORGANIZATION & MEMBER Spring Lake Estates HOA Invoice Box 1104 Carmel, IN 46082-1104 Invoice M 455 Invoice Date: 12/15/2015 Due Date: 1/14/2016 Bill To: Project: City of Carmel P.O. Number: Engineering Department One Civic Square Carmel, IN 46032 2 2 0 0-y 3 ss3oo Date Description Amount 12/15/2015 Semiannual HOA Assessment(Lot 28) 270.00 12/15/2015 Semiannual HOA Assessment(Lot 29) 270.00- M M, N DEC 2015 c- CARMEL �co o!� CIIYENGINE,R �- � o© <'9��E2�� Total $540.00 Payments/Credits $0.00 Balance Due $540.00 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)) 12/15/15 455 Semiannual HOA Assessment(Lots 28,29) $540.00 2200 201 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. SPRING LAKE ESTATES HOA ALLOWED 20 PO BOX 1104 IN SUM OF$ CARMEL, IN 46080-1104 $540.00 ON ACCOUNT OF APPROPRIATION FOR Engineerinq PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 455 I 43-553.00 I $540.00 I hereby certify that the attached invoice(s), or 2200 201 Prior Year 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 e Friday, January 22, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund