318030 10/31/2017 Coq
CITY OF CARMEL, INDIANA VENDOR: 371909
e CHECK AMOUNT: $*******737.10*
ONE CIVIC SQUARE CITY OF WESTFIELD
o CARMEL, INDIANA 46032 ATTN:CUSTOMER SERVICE CHECK NUMBER: 318030
2728 E.1 71 STREET CHECK DATE: 10/31/17
Mrow�O WESTFIELD IN 46074
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
252 5023990 737.10 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
20
ALLOWED
IN SUM OF $
Ittfnl IC>�s fowt�/' Servi
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i
X1
$ 3
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ON ACCOUNT OF APpl:�OP IATI N FOR
M i ISP / t 5
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify
that the attached invoice(s), or
DEPT.#
o 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
20
Signature
Title
Cost distribution ledger classificatio
n it
claim paid motor vehicle highway fund
INVOICE
r,
CITY OF Invoice Number APP046477
Westfield Invoice Date 10/2/2017
INDIANA Page 1
Bill To Remit Payment To
City of Carmel — City of Westfield
One Civic Square Attn:Customer Service
Carmel, IN 46032 2728 E. 171st St.
Westfield, IN 46074
Customer ID CUST002025
Document No. MRN#983435
Internal Rep. Please include the Invoice Number
Terms Due 30 days from invoice date on the memo line of your check.
Due Date 11/1/2017
Item/Description Unit Quantity Unit Price Total Price
9-20-MRN#983435 1 245.70 245.70
Total 245.70
If you have any questions regarding this invoice, please contact Customer Service
at(317)804-3150.
Approved by State Board of Accounts for the City of W estrield,2013
1