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HomeMy WebLinkAbout257393 04/08/16 CITY OF CARMEL, INDIANA VENDOR: 307600' ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $'"""7,346.00" CARMEL, INDIANA 46032 INDIANA STATE BUDGET AGENCY CHECK NUMBER: 257393 9y_�oN 200 WEST WASHINGTON ROOM 212 CHECK DATE: 04/08/16 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 030716 3,673.00 OTHER EXPENSES 651 5023990 030716 3,673.00 OTHER EXPENSES Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ANO NO.. CARMEL, INDIANA 3 67 6 0 d Favor Of 77eg,5ca 5;4-ie 5�hi e �o4roisr( c � c, q -S 0'2 L,) W1)5n1NC}0ou S LF 7/ O r `�620 Total Amount of Voucher $ Deductions 3673 00 70, 0 1 Amount of Warrant $ Month of Yr VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance Utility Plant in Service Constr.Work in Progress Materials and Supplies Customers Deposits Total -F Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325 INDIANA STATE BOARD OF ACCOUNTS INVOICE CARMEL-WATER UTILITY .- ONE CIVIC SQUARE CARMEL IN 46032 Invoice Number: 37828 DISBURSING OFFICER COUNTY BILLING DATE CARMEL-WATER UTILITY Hamilton 02/16/2016 I.D. Number: 29 002 01 BILLING TRANSACTIONS FOR 02/05/2016 TO 02/16/2016 29 002 01 CARMEL-WATER UTILITY 64512 ANNUAL 2014 BILLING $3, 673 . 00 ------------- BALANCE DUE AS OF 02/16/2016 $3, 673 . 00 I hereby certify that the foregoing is a true and corr.ect statement of the costs of examination and the above designated official is hereby authorized to issue his warrant without appropriation therefor, payable to the Treasurer of State of Indiana in payment of the above claim. State Examiner For amounts due from taxing units,_ county auditor will .obtain reimbursement by deduction from the next semi-annual settlement of taxes. PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO TREASURER OF STATE AND MAIL TO: State Board of Accounts, 302 West Washington Street, Room E418-, Indianapolis, . IN 46204 IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this invoice, contact Linda Baker at lbaker@sboa. in.gov INDIANA STATE BOARD OF ACCOUNTS INVOICE CARMEL-WASTEWATER UTILITY ONE CIVIC SQUARE CARMEL IN 46032-1739 Invoice Number: 37829 DISBURSING OFFICER COUNTY BILLING DATE CARMEL-WASTEWATER UTILITY Hamilton 02/16/2016 I.D. Number: 29 002 02 BILLING TRANSACTIONS FOR 02/05/2016 TO 02/16/2016 29 002 02 CARMEL-WASTEWATER UTILITY 64513 ANNUAL 2014 BILLING $3, 673. 00 ------------- BALANCE DUE AS OF 02/16/2016 $3, 673 . 00 I hereby certify that the foregoing is a true and correct statement of the costs of examination and the above designated official is hereby authorized to issue his warrant without appropriation therefor, payable to the Treasurer. of State of Indiana in payment of the above claim. pa'.,�& Z.�n� State Examiner For amounts due from taxing units, county auditor will obtain reimbursement by deduction from the next semi-annual settlement of taxes . PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO TREASURER OF STATE AND MAIL TO: State Board of Accounts, 302 West Washington Street, Room E418, Indianapolis, IN 46204 IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this invoice, contact Linda Baker at lbaker@sboa.in.gov Prescribed by State Board of Accounts Form No.301-S(Rev.1997) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount I 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 Mo. Day Yr. Signature Title 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. Ila Mo. Day Yr. icer Title