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HomeMy WebLinkAbout260317 06/28/16 4+ur..f�q,Nf c1l �r CITY OF CARMEL, INDIANA VENDOR: 362511 ONE CIVIC SQUARE SPRING LAKE ESTATES HOA CHECK AMOUNT: $***'***270.00' ?q CARMEL, INDIANA 46032 PO BOX 1104 CHECK NUMBER: 260317 'M«oN CARMEL IN 46080-1104 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4355300 462 270.00 ORGANIZATION & MEMBER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SPRING LAKE ESTATES HOA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1104 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show!kind of service,where performed,dates service CARMEL, IN 46080-1104 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $270.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE'# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 462 43-553.00 $270.00 1 hereby certify that the attached invoice(s),or 6/1/16 462 Spring Lake Estates HOA Semiannual $270.00 2200 201 2200 201 Assessment 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 Wednesday,June 15,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Spring Lake Estates HOA Invoice Po Box 1104 Carmel, IN 46082-1104 Invoice M 462 Invoice Date: 6/1/2016 Due Date: 7/1/2016 Bill To: Project: City of Carmel P.O. Number: Engineering Department One Civic Square ZOO O — y S5 S 3 Ob Carmel, IN 46032 -Date - - Description– -- -- - - - Amount--_ - — 6/1/2016 Semiannual HOA Assessment 270.00 nJ a�cENED �, I ? ca c� COO,. co CIO CIM Total $270.00 Payments/Credits $0.00 Balance Due $270.00