319421 12/07/2017-VOIDED r[qq-
"`��'�....'_Mc. CITY OF CARMEL, INDIANA VENDOR: 37209,1
6 ONE CIVIC SQUARE JOHN KELSEY CHECK AMOUNT: S********26.34*
CARMEL, INDIANA 46032 12130 OLD MERIDIAN ST CHECK NUMBER: 319421
,,_To .�o• X417 CHECK DATE: 12/07/17
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 3461250001 26.34 OTHER EXPENSES
VOUCHER NO. 173555 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372091 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
KELSEY, JOHN T CITY OF CARMEL
12130 OLD MERIDIAN ST#417 An invoice or bill to be properly itemized must show: kind of'service,where performed,
CARMEL, IN 46032 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
26.34 372091 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR KELSEY,JOHN T Terms
Carmel Water Utility 12130 OLD MERIDIAN ST#417 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL,IN 46032
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
3461250001 01-4611-00 $26,34 and received except 12/1/2017 3461250001 $26.34
L&4
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
-TCarmel Utilities
Account Number 3461250001
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service ®u ®a e
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
JOHN T KELSEY AddressService
12130 OLD MERIDIAN ST#417 1787 TIMBER HEIGHTS DR
CARMEL, IN 46032
FINAL
PeriodService Meter Meter Readings
Number
_.
PAYMENT RECEIVED, THANK YOU (52.68)
10/26/17 11/25/17
PREVIOUS BALANCE CREDIT (26.34)
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