319427 12/07/2017 4y u.C4gMf
r. CITY OF CARMEL, INDIANA VENDOR: 372084
j ONE CIVIC SQUARE LARRY & DONNA MILEY CHECK AMOUNT: $**.....*32.34*
?4 CARMEL, INDIANA 46032 13540 SHAKAMAC DRIVE CHECK NUMBER: 319427
CARMEL IN 46032 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1508489401 32.34 OTHER EXPENSES
VOUCHER NO. 173541 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372084 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MILEY, LARRY&DONNA CITY OF CARMEL
13540 SHAKAMAC DR 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
32.34 372084 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MILEY, LARRY&DONNA Terms
Carmel Water Utility 13540 SHAKAMAC DR 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
1508489401 01-4611-00 $32,34 and received except 12/1/2017 1508489401 $32.34
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
C el Utilities
Account Number 1508489401
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317) 571-2442 Due'Date v#
Mon-Fri 8am-5pm Amount Due
After Due Date
LARRY/DONNA MILEY Service Address
13540 SHAKAMAC DR 9690 SHELBORNE RD
CARMEL, IN 46032
FINAL--_--
Service
Period MeterReadings
Number
PAYMENT RECEIVED, THANK YOU (43.00)
11/06/17 12/05/17
PREVIOUS BALANCE CREDIT (32.34)
a
s
U