319414 12/07/2017 CITY OF CARMEL, INDIANA VENDOR: 372089
i. ONE CIVIC SQUARE OM BHAGWAT CHECK AMOUNT: $********35.76*
=Q CARMEL, INDIANA 46032 1975 PLAYER PLACE CHECK NUMBER: 319414
KOKOMO IN 46902 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER _ AMOUNT DESCRIPTION
601 5023990 0672026219 35.76 OTHER EXPENSES
VOUCHER NO. 173551 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372089 IN SUM OF$ ACCOUNTS PAYABLE.VOUCHER
BHAGWAT, OM CITY OF CARMEL
1975 PLAYER PL An invoice or bill to be properly itemized must show: kind of service,where performed,
KOKOMO, IN 46902 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
35.76 372089 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR BHAGWAT,OM Terms
Carmel Water Utility 1975 PLAYER PL Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), KOKOMO, IN 46902
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
0672026219 01-4611-00 $35.76 and received except 12/1/2017 0672026219 $35.76
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. PO
Clerk-Treasurer
City of I ,
Carmel Vt���t�es Account Number 0672026219
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317) 571-2442 DueDate � �
Mon-Fri Sam-5pm _ Amount Due
After Due Date
OM BHAGWAT Service Ad-dress
1975 PLAYER PL 356 BOYLSTON ST#5301
KOKOMO, IN 46902
FINAL
PeriodService Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (71.52)
10/16/17 11/15/17
PREVIOUS BALANCE CREDIT (35.76)
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