HomeMy WebLinkAbout320930 01/17/18 VOUCHER NO. 173865 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372181 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
POLOKOFF, RYAN CITY OF CARMEL
14715 MACDUFF DR An invoice or bill to be properly itemized must show: kind of service,where performed,
NOBLESVILLE, IN 46062 � _
dates service rendered, by whom, rates per day, number of hours, rate per hour,
4
numbers of units, price per unit, etc.
Payee
71.72 372181 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR POLOKOFF, RYAN Terms
Carmel Water Utility 14715 MACDUFF DR Due Date
BOARD MEMBERS
I hereby,certify that that attached invoice(s), NOBLESVILLE,IN 46062
PO# or bill(s)is(are)true and correct and that
ACCT# o
the materials r"services itemized thereon forDATE INVOICE# Description
DEPT# INVOICE# Fund# AM q UNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1112217501 01-4611-00 $j1,72 and received except 1/11/2018 1112217501
$71.72
1
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_
City of
Carmel Utilities Account Number 1112217501
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
Service Address
RYAN POLOKOFF
14715 MACDUFF DR 3834 EARHART DR
NOBLESVILLE, IN 46062
FINAL
PeriodService Meter Meter Readings
Number
12/11/17 12/15/17 49330468 1570 1571
PREVIOUS BALANCE CREDIT (103.81)
WATER 1 19.54
STATE TAX 1.37
TRASH SERVICE 11.18
STORM WATER 5.25
BILLING ADJ (5.25)
a
s
LL
U