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F' +� ''"� CITY OF CARMEL, INDIANA VENDOR: 372189
ONE CIVIC SQUARE KEITH &JENNY RUDEMILLER CHECK AMOUNT: $
***....1 1 1.40*
f CARMEL, INDIANA 46032 P.O.BOX 17943 CHECK NUMBER: 320935
it ..:o MEMPHIS TN 38187 CHECK DATE: 01/17/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
601 5023990 1481260002 111.40 OTHER EXPENSES
VOUCHER NO. 173875 WARRANT N0. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
-
Vendor# 372189 IN SUM OF$. ACCOUNTS PAYABLE VOUCHER
RUDEMILLER, KEITH &JENNY CITY OF CARMEL
PO BOX 17943 An invoice or bill to be properly itemized must show: kind of service,where performed,
MEMPHIS,TN 38187 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units,price per unit,etc.
Payee
111.40 372189 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR RUDEMILLER;KEITH &JENNY Terms
Carmel Water Utility PO BOX 17943 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), MEMPHIS,TN 38187
PO# ACCT# or bill(s)is(are)true and correct and that
DEPT#
the materials or services itemized thereon for DATE INVOICE# Description
INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1481260002 01-4611-00 $111.40 and received except 1/11/2018 1481260002 $111.40
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 1481260002
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
KEITH/JENNY RUDEMILLER
PO BOX 17943 3805 STEEPLECHASE DR
MEMPHIS,TN 38187
R. -NAL
Service ..
Number
11/20/17 12/01/17 49124843 3104 3106
PREVIOUS BALANCE CREDIT (143.33)
WATER 0.2 19.39
STATE TAX 1.36
TRASH SERVICE 11.18
STORM WATER 5.25
BILLING ADJ (5.25)
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4
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