HomeMy WebLinkAbout303312 09/26/16 �t CAA,.
,,..,,, CITY OF CARMEL, INDIANA VENDOR: 359016
`?� `` CHECK AMOUNT: $*******250.00*
.1• ONE CIVIC SQUARE KAREN BREEDLOVE
s �� CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK NUMBER: 303312
, _ ,:'� CARMEL IN 46032 CHECK DATE: 09/26/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 090616 125.00 OTHER EXPENSES
601 5023990 091216 125.00 OTHER EXPENSES
VOUCHER # 162573 WARRANT# ALLOWED
359016 IN SUM OF $
BREEDLOVE, MICHELLE
DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
9616 01-6360-06 125.00
Voucher Total 125.00
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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 9/1/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/2016 9616 125.00
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
Date Officer
Cleaning Invoice
Week Date Fee Place
09i(P,/2016 125.00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2845
Total Due: 125.00
M6) ichelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1542 �.
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VOUCHER # 162686 WARRANT# ALLOWED
359016 IN SUM OF $
BREEDLOVE, MICHELLE
DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
91216 01-6360-06 125.00
Voucher Total 125.00
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
359016
BREEDLOVE, MICHELLE Purchase Order No.
DISTRIBUTION Terms
Due Date 9/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/9/2016 91216 125.00
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
Date Officer
Cleaning Invoice
Week Date Fee Place
09/1-2/2016 125.00 Water Dist. Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist 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 ` n
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