The URL can be used to link to this page

307469 01/23/17 9s CITY OF CARMEL, INDIANA VENDOR: 148000 j ONE CIVIC SQUARE INDIANA DEPT OF TRANSPORTATION CHECK AMOUNT: $....14,472.92* , ,=Q CARMEL, INDIANA 46032 100 N SENATE AVE,RM IGC-N 725 CHECK NUMBER: 307469 _M"TON.. INDIANAPOLIS IN 46204-2216 CHECK DATE: 01/23/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4350900 0000368699 1,150.00 OTHER CONT SERVICES 610 5023990 38864 13,322.92 OTHER EXPENSES N N N cc O DO O m O 0 3 � — Q O N a. CO Z M N Z 04 Z O = ch Z U ~ N co w co IX It EL � Q IT Z � Q i� Q � rnt Q w d O y y > WQZJ a- Z :3o Q) W aWVU' Q V Z jc U O Z W Z U M y N O Z � O Z O o m > — T -w — a 10 -6 ti . INDIANA DEPARTMENT OF TRANSPORTATION Driving Indiana's Economic Growth INVOICE r`i 100 North Senate Avenue Off: Michael R. Pence,Governor Room IGC-N 749 Brandye Hendrickson,Commissioner ofp Indianapolis, Indiana 46204-2216 L cbc�" Customer No: CST000031383 Bill To: Invoice: 000038864 Invoice Date: 12/22/2016 City of Carmel Water Invoice Type: ROE 30 W Main St. Ste. 220 Carmel IN 46032 AMOUNT DUE: $13,322.92 *** Payment is Due Upon Receipt of Invoice '`** Line Description Quantity Unit Amt Net Amount 1 17-1-07 1.00 13,322.92 13,322.92 Overpayment based on audit report#17-1-07. (See Attached) Subtotal: 13,322.92 AMOUNT DUE: $13,322.92 Payment Options See Reverse Side U J For billing questions, please call: 317-232-5363 Invoice: 000038864 R O / k b / O § � 2 2 > 2 CL c o # > / q > ? n 0 2 § z C 7 \ � / C) 2 > 0 o O S ° w z < -n o 00 E k m 0 & a S # 2 -n _ 5' > 0 2 ƒ §_ R k \ } \ \ § © _ 7 % a 5 2 a 2 \ 7 > -n 0 O § | E S z a i 3 R - 2 # k g § k ƒ Cl) E ¥ A g M. # J i = m , s n - o A § § ƒ - k q - m #CA f CD 9 3 C C U) : m C - CL m . k 2 @ % \ a to 7 ¥ / f E / lu CD /m = CL _ q i @ ƒ 2 . (E CL 7 - 8 ƒ N 7 a 3 o / fu - y 7 K m U 2 q Q [$ 8 \ R 0. 0 = a k E Gor o m > \ ) \ # k � 8 c0 22 E M} § d § 2 k CD ID co k k Z / %� CL } / § 6# / 7� 0 D }$ 7 C a / ƒ 3 / r y C 2 / § K M 0 / / / r 0 (DQ ® % 3 / E 2 C % � \ / E m / \ n B 2 CD M / E 8 CD cL ] § k CD z a CD CL 7 > - \ D 2 0 . CDc, § � ® k INDIANA DEPARTMENT OF TRANSPORTATION Driving Indiana's Economic Growth INVOICE 100 North Senate Avenue Michael R. Pence,Governor Room IGC-N 749 4R c Brandye Hendrickson,Commissioner QF`TIR Indianapolis, Indiana 46204-2216 Customer No: CST000001811 Bill To: Invoice: 000038699 Invoice Date: 12/15/2016 City of Carmel Invoice Type: LPA _ ATTN: Jeremy Kashman One Civic Square Carmel IN 46032 AMOUNT DUE: $1,150.00 *** Payment is Due Upon Receipt of Invoice*** Line Description Quantity Unit Amt Net Amount 1 Contract#R-35550 1.00 1,150.00 1,150.00 Project#1297165;Change Order 1.(See Attached) Subtotal 1,150.00 AMOUNT DUE: $1,150.00 Payment Options See Reverse Side 'Z 0-2 - y3sOpt o0 For billing questions, please call: 317-232-5363 Invoice: 000038699 • Online website: https://secure.in.gov/apps/dot/accountsreceivables/ • To create an account, use Customer#: CST000001811 • To make a credit card payment by telephone, call either:317-232-5364 or 317-232-5388 • OR RETURN THIS PORTION WITH YOUR PAYMENT Department of Transportation Invoice: 000038699 Attention:Agent Cashiert 5 r7 v 0 N749 IGCN Amount Paid: $ t 100 N. Senate Ave. Indianapolis, IN 46204 ❑ Visa ❑ Mastercard ❑ Discover ❑ Check/Money Order Name on Card Card Number (Name must appear as exactly as on card) CID(3 or 4 digit security code) Expiration Date Billing Address Signature Required: Date For billing questions, please call: 317-232-5363 Invoice: 000038699