319434 12/07/2017 CITY OF CARMEL, INDIANA VENDOR: 372092-;:
�3 1 ONE CIVIC SQUARE MARY;KAY SIMPSON CHECK AMOUNT: $********71.53*
?� CARMEL, INDIANA 46032 10997 STONELEIGH DR CHECK NUMBER: 319434
NOBELSVILLE IN 46060 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0662174904 71.53 OTHER EXPENSES
VOUCHER NO. 173558 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372092 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
SIMPSON, MARY KAY CITY OF CARMEL
10997 STONELEIGH DR An invoice or bill to be properly itemized must show: kind of service,where performed,
NOBLESVILLE, IN 46060 dates service rendered, by whom, rates per day, number of hours, rate per hour,.
numbers of units, price per unit, etc.
Payee
71.53 372092 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SIMPSON, MARY KAY Terms
Carmel Water Utility 10997 STONELEIGH DR Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), NOBLESVILLE, IN 46060
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
0662174904 01-4611-00 $71.53 and received except 12/1/2017 0662174904 $71.53
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
�a"r°m el Utilities
Account Number 0662174904
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service �' e j
www.carmelutilities.com (317) 571-2442 ! Due Date
t
Mon-Fri Sam-5pm Amount Due
After Due Date
MARY KAY SIMPSON ServiceAddress
10997 STONELEIGH DR 59 2ND AVE SW
NOBLESVILLE, IN 46060
FINAL
PeriodService Meter Meter Readings
Numbe
PAYMENT RECEIVED, THANK YOU (143.06)
10/26/17 11/25/17
PREVIOUS BALANCE CREDIT (71.53)
a
0
U
r�i O..f..;n fhic.nnrlinn fnr..nit rnnnrrlc