HomeMy WebLinkAbout319420 12/07/2017 „4+of C.IN,yf
CITY OF CARMEL, INDIANA VENDOR: 372085
d it ONE CIVIC SQUARE ROBERT JEGLUM CHECK AMOUNT: $ ...94.12`
=a CARMEL, INDIANA 46032 P.O.BOX 3423 CHECK NUMBER: 319420
pori_` CARMEL IN 46062 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0940891401 94.12 OTHER EXPENSES
VOUCHER NO. 173542 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372085 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
JEGLUM, ROBERT CITY OF CARMEL
PO BOX 3423 An invoice or bill to be properly itemized must show: kind of service, where performed,
CARMEL, IN 46082 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
94.12 372085 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR JEGLUM, ROBERT Terms
Carmel Water Utility PO BOX 3423 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL,IN 46082
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
0940891401 01-4611-00 $94,12 and received except 12/1/2017 0940891401 $94.12
V
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 highwayfund. 20
Clerk-Treasurer
�a�rmel Utilities
Account Number 0940891401
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
ROBERT JEGLUM Address
PO BOX 3423 3222 EDEN HOLLOW PL
CARMEL, IN 46082
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FI NAL
PeriodService Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (126.72)
11/06/17 12/05/17
PREVIOUS BALANCE CREDIT (94.12)
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