308098 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 364846
ONE CIVIC SQUARE ELGIN WATER CARE CHECK AMOUNT: $*******225.15*
CARMEL, INDIANA 46032 1009 BROAD RIPPLE AVENUE CHECK NUMBER: 308098
MiroN INDIANAPOLIS IN 46220 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 225.15 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 364846 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ELGIN WATER CARE IN SUM OF$ CITY OF CARMEL
1009 BROAD RIPPLE AVENUE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46220
Payee
$225.15
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
0 43-501.00 $225.15 1 hereby certify that the attached invoice(s),or 2/7/17 0 Sta.41 Water Flow $225.15
1120 101 1120 101
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
Tuesday, February 07,2017
va'®r "n- ,
David Haboush
Fire Chief
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
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1009 Broad Ripple Av Des,QA-S4as
Indianapolis IN 46220 4- u��
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SERVICE ADDRESS BILLING ADDRESS ^ ' "/
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT ~ CUS ID 14300 LOCIN 0
2 CIVIC SQ 2 CIVIC SQ SCHED 00:00
CARMEL IN CARMEL IN DATE RCVD : 01/13/17
CUS TYPE SS E/T 0
46032-2584 46032-2584
HOME PHO: TAXABLE N DATE RVCD: 01/13/17
RENTAL CHARGE WARRANTY RECVD BY : megan
* SPECIAL INSTRUCTIONS * PH. IN BY:
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PROBLEMS: 10TY | PART NO DESCRIPTION { PRICE { AMOUNT
LOW WATER PRESSURE ��«�.� --------------------------------------____-______
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| PREVIOUS BALANCE :
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PARTS AND SERVICE RECEIVED BY X _ _