319419 12/07/2017 ur Gqq
CITY OF CARMEL, INDIANA VENDOR: 372086
ONE CIVIC SQUARE KENNETH HAYS CHECK AMOUNT: $**......54.12*
CARMEL, INDIANA 46032 16220 MORNING DRIVE CHECK NUMBER: 319419
vy[TON. WESTFIELD IN 46074 CHECK DATE: 12/07/17
DEPARTMENT _ ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0831861301 54.12 OTHER EXPENSES
VOUCHER NO. 173543 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372086 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HAYS, KENNETH W CITY OF CARMEL
16220 MORNING DR An invoice or bill to be properly itemized must show: kind of service,where performed,
WESTFIELD, IN 46074 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
54.12 372086 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HAYS, KENNETH W Terms
Carmel Water Utility 16220 MORNING DR Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), WESTFIELD, IN 46074
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
0831861301 01-4611-00 $54.12 and received except 12/1/2017 0831861301 $54.12
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
City of
Carmel Utilities Account Number 0831861301
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due Date'
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
KENNETH W HAYS ServiceAddress
16220 MORNING DR 1477 QUEENSBOROUGH DR
WESTFIELD, IN 46074
FI NAL
Service PerioMeter
d Readings
Number
_.
PAYMENT RECEIVED, THANK YOU (108.24)
11/06/17 12/05/17
PREVIOUS BALANCE CREDIT (54.12)
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