HomeMy WebLinkAbout300034 07/12/16 a or_L�Ab
/ fCITY OF CARMEL, INDIANA VENDOR: 359016
® I�•: ONE CIVIC SQUARE KARtN BREEDLOVE CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 520 S,PER STAR CT CHECK NUMBER: 300034
CARMrL IN 46032 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUIV BER AMOUNT DESCRIPTION
601 5023990 062316 125.00 OTHER EXPENSES
601 5023990 063016 125.00 OTHER EXPENSES
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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 7/5/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/5/2016 63016 125.00
1 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
Date Officer
Cleanir g Invoice
Week Date Fee Place
06/30/2016 125.00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dirt Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
Michelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1542 ' w
I
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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 6/26/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2016 62316 $125.00
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
Date Officer
Cleaning Invoice
Week Date Fee Place
06/23/2016 125.00 Water Dist: Office
Please Remit to:
Michelle Breedl ve
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131St St eet
Carmel, IN 46 74
(317) 733-2845
Total Due: 125.00
Michelle Breedlove`5Q 520 Super Star Ct �6`
Carmel, IN 46032
317-374-1542