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HomeMy WebLinkAbout256570 03/15/16 ! CITY OF CARMEL, INDIANA VENDOR: 364992 ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEYCHECK AMOUNT: $*****4,250.00* :9� ,,;� CARMEL, INDIANA 46032 Box 71362 CHECK NUMBER: 256570 yiTON�. PHILADELPHIA PA 19176-1362 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4462838 90381639 4,250.00 STORM WATER PHASE II 3rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered,by nrhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 11/09/15 90381639 Operation and maintenance of streamflow gaging station on Williams $4,250.00 2200 I 211 I Creek I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 UNITED STATES GEOLOGICAL SURVEY BOX 71362 IN SUM OF$ PHILADELPHIA, PA 19176-1362 $4,250.00 ON ACCOUNT OF APPROPRIATION FOR Engineering PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 90381639 48,38 $4,250.00 1 hereby certify that the attached invoice(s), or 2200 211 Prior Year ® 599 6b 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 Friday, March 04, 2016 Cost distribution ledger classification if. claim paid motor vehicle highway fund DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel DOWN PAYMENT(BILL) REQUEST Bill#: 90381639 Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344 Billing Contact: Chris Johnson Phone: (317) 600-2788 Date: 09/10/2015 Due Date: 11/09/2015 Remit Payment To: United States Geological Survey P.O. Box 71362 Philadelphia, PA 19176-1362 Payer: TOWN OF CARMEL 1 CIVIC SQUARE Additional forms of payment may be accepted. Please P.O. BOX 1399 email GS-A-HQ_RMS@USGS.GOV or call CARMEL IN 46032 703-648-7683 for additional information. To pay through Pay.gov go to https://www.pay.gov. Checks must be made payable to U.S. Geological Survey. Please detach the top portion or include bill number on all remittances. Amount of Payment: $ ..................................................................................................................................................................................... Date Description Qty Unit Price Amount Cost Per 09/10/2015 Expenses incurred for the operation and 1 4,250.00 1 4,250.00 maintenance of streamflow gaging station on Williams Creek at 96th Street in Hamilton County for the period of October 1, 2014 to September 30, 2015. 15EMNF0000005 Amount Due this BilL 4,250.00 211 - y4102-® 3$ Accounting Classification: Sales Order: 49115 Sales Office: GENF Customer: 6000001344 Accounting#: 10544217 TIN: 356000972