303831 10/06/16 ,�r..4+qy�f
CITY OF CARMEL, INDIANA VENDOR: 359989
�? a\' ONE CIVIC SQUARE D B KLAIN CHECK AMOUNT: $********26.89*
CARMEL, INDIANA 46032 2159 GLEBE STREET#200 CHECK NUMBER: 303831
9MiTON-Eo.?' CARMEL IN 46032 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1040375100 26.89 OTHER EXPENSES
VOUCHER # 162936 WARRANT# ALLOWED
359989 IN SUM OF $
DB KLAIN
2159 GLEBE STREET#200
CARMEL, IN 46032
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1040375100 01-4611-00 26.89
Voucher Total 26.89
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
359989
DB KLAIN Purchase Order No.
2159 GLEBE STREET#200 Terms
CARMEL, IN 46032 Due Date 10/4/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/4/2016 1040375100 26,89
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
UCliR71I IWit;GLI IU IMUIII VVllll YUUI PCIYI I IM II
Service Location Account Number 1040375100
-"Wbrmel Utilities 13220 FROGMORE ST IIIIIIIIIIIIIIIIIIIIIIIIIIIII
To avoid late penalties,allow postal ($26.$9)
delivery time before the due date
when mailing your payment. �!
FINAL BILL r
After - �.
te
CARMEL UTILITIES Amount Enclosed '
PO BOX 109
CARMEL, IN 46082
I I III I I I I I I I I I Please use return envelope provided when paying 6y mail.
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