319441 12/07/17 "�..._••,fCITY OF CARMEL, INDIANA VENDOR: 365001
d '! ONE CIVIC SQUARE FISCHER HOMES CHECK AMOUNT: $********94.82*
?4 CARMEL, INDIANA 46032 3940 OLYMPIC BLVD 1!100 CHECK NUMBER: 319441
9�'irosc�' ERLANGER KY 41018 CHECK DATE: 12/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1169107600 94.82 OTHER EXPENSES
VOUCHER NO. 173552 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 365001 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FISCHER HOMES USE THIS ONE CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,
dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
94.82 365001 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FISCHER HOMES USE THIS ONE. Terms
Carmel Water Utility Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), '
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
1169107600 01-4611-00 $94,82 and received except 12/1/2017 1169107600 $94.82
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'�rmel Utilities
Account Number 1169107600
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due Date
www.carmelutilities.com (317) 571-2442 s _
Mon-Fri Sam-5pm Amount Due
After Due Date
FISCHER HOMES ServiceAddress
3940 OLYMPIC BLVD#100 14342 OVERBROOK DR
ERLANGER, KY 41018
FINAL
PeriodService Readings
Number
PAYMENT RECEIVED, THANK YOU (171.40)
10/16/17 11/15/17
PREVIOUS BALANCE CREDIT (94.82)
0
s
U
Retain this portion for your records.