313487 07/10/17 c*y
�>.'� �� CITY OF CARMEL, INDIANA VENDOR: 364992
i ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEYCHECK AMOUNT: $....*4,470.00*
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CARMEL, INDIANA 46032 BOX 71362 CHECK NUMBER: 313487
�M��oN PHILADELPHIA PA 1 91 76-1 362 CHECK DATE: 07/10/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 90474400 4,470.00 STORM WATER PHASE II
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DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Page:1
DOWN PAYMENT(BILL) REQUEST
Bill#: 90474400
Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344
Billing Contact: Chris Johnson Phone: (317)600-2788 Date: 09/08/2016
Due Date: 11/07/2016
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: City of Carmel
Engineering Department Additional forms of payment may be accepted. Please
1 Civic Square email GS-A-HQ_RMS@USGS.GOV or call
CARMEL IN 46032 703-648-7683 for additional information.
Checks must be made payable to
To pay through Pay.gov go to https://www.pay.gov. U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
09/08/2016 Expenses incurred for the operation and 1 4,470.00 1 4,470.00
maintenance of a streamflow gage at Williams
Creek at 96th Street for the period of October 1,
2015 to September 30, 2016.
16EMNF0000005
Amount Due this Bill: 4,470.00
Accounting Classification:
Sales Order: 54639
Sales Office: GENF
Customer: 6000001344
Accounting#: 10680160
TIN: *****0972