319428 12/07/2017 M1�'.�,,f CITY OF CARMEL, INDIANA VENDOR: 372090
® `l ONE CIVIC SQUARE HAROLD F. MILLER CHECK AMOUNT: $********52.19*
CARMEL, INDIANA 46032 720 S.RANGELINE ROAD CHECK NUMBER: 319428
s4, olo. APT 316 CHECK DATE: 12/07/17
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0730668206 52.19 OTHER EXPENSES
VOUCHER NO. 173553 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372090 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MILLER, HAROLD CITY OF CARMEL
720 S RANGELINE RD APT 315 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
52.19 372090 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MILLER, HAROLD Terms
Carmel Water Utility 720 S RANGEL'INE RD APT 315 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
0730668206 01-4611-00 $52,19 and received except 12/1/2017 0730668206 $52.19
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
Mayr°mel Utilities
Account Number 0730668206
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317) 571-2442 Date
Mon-Fri 8am-5pm Amount Due
After Due Date
HAROLD F MILLER AddressService
720 S RANGE LINE RD APT 316 222 LEXINGTON BLVD
CARMEL, IN 46032
Service FINAL
Period Meter Meter
PAYMENT RECEIVED,THANK YOU (91.96)
10/26/17 11/25/17
PREVIOUS BALANCE CREDIT (52.19)
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