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CITY OF CARMEL, INDIANA VENDOR: 370738ONE CIVIC SQUARE CJH PROPERTY INVESTMENTSCHECK AMOUNT: S'*'******5.1O'
CARMEL, INDIANA 46032 PO BOX 4136 CHECK NUMBER: 259891
DUBLIN OH 43016 CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1411274003 5.10 OTHER EXPENSES
VOUCHER # 161863 WARRANT# ALLOWED
370738 IN SUM OF $
CJH PROPERTY INVESTMENTS
PO BOX 4136
DUBLIN, OH 43016
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1411274003 01-4611-00 $5.10
Voucher Total $5.10
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
370738
CJH PROPERTY INVESTMENTS Purchase Order No.
PO BOX 4136 Terms
DUBLIN, OH 43016 Due Date 6/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2016 1411274003 $5.10
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
ueiacn nere ana return wnn your paymem
Service Location Account Number 1411274003
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, Ut��lties 3658 PATRIOT CT 1111111111R1WM
To avoid late penalties,allow postal ($5.10)
delivery time before the due date
when mailing your payment.
FINAL BILL Due Date 5.10)
CARMEL UTILITIES Amount Enclosed '
PO BOX 109
CARMEL, IN 46082
Please use return envelope provided when paying by mail.
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