319425 12/07/2017 CITY OF CARMEL, INDIANA VENDOR: 372022
ONE CIVIC SQUARE JESSE MACK CHECK AMOUNT: $**"*****9.91'
CARMEL, INDIANA 46032 288 FOXWORTH CT CHECK NUMBER: 319425
vM(TON AURORA IL 60502 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1431550002 9.91 OTHER EXPENSES
VOUCHER NO. 173547 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372022 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MACK, JESSE CITY OF CARMEL
288 FOXWORTH CT An invoice or bill to be properly itemized must show: kind of service,where performed,
AURORA, IL 60502 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
9.91 372022 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MACK,JESSE Terms
Carmel Water Utility 288 FOXWORTH CT Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), AURORA, IL 60502
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
1431550002 01-4611-00 $9,91 and received except 12/1/2017 1431550002 $9.91
l
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
�Caryrmel Utilities
Account Number 1431550002
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
�" 4V^ '#f
Customer Service ��-„ � �
www.carmelutilities.com � (317)571-2442
DueDate
nTo Mon-Fri Sam-5pm Amount Due
/}� I After Due Date
JESSE MACK Service Address
288 FOXWORTH CT 10751 BUNKER HILL DR
AURORA, IL 60502
FINAL
Service PeriodMeterMeter
.. .
Number
_.
PAYMENT RECEIVED, THANK YOU (9.91)
10/16/17 11/15/17
PREVIOUS BALANCE CREDIT (9.91)
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