321607 02/13/18 v`� ''`• CITY OF CARMEL, INDIANA VENDOR: 307600
�5 ONE CIVIC SQUARE TREASURER OF STATE/STATE BOARD OPIECK AMOUNT: $�'�*11,854.00'
CARMEL, INDIANA 46032 ACCOUNTS CHECK NUMBER: 321607
302 W WASHINGTON ROOM E418 CHECK DATE: 02/13/18
INDIANAPQLIS IN 46204
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 40274 11,854.00 OTHER EXPENSES
VOUCHER NO. 174022 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 307600 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
TREASURER OF STATE CITY OF CARMEL
STATE BOARD OF ACCOUNTS An invoice or bill to be properly itemized must show: kind of service,where performed,
302 W WASHINGTON, RM E418 dates service rendered, by whom, rates per day, number of hours, rate per hour,
INDIANAPOLIS, IN 46204 numbers of units, price per` unit,etc.
Payee
$11,854.00 307600 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR TREASURER OF STATE Terms
Carmel Water Utility STATE BOARD OF ACCOUNTS Due Date
BOARD MEMBERS 302 W WASHINGTON, RM E418
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46204
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
40274 01-6670-08 $11,854.00 and received except 1/29/2018 40274 $11,854.00
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
i
ST�r�
y g y STATE OF INDIANA
ter AN EQUAL OPPORTUNITY EMPLOYER STATE BOARD OF ACCOUNTS
�'. 302 WESTWASHINGTON STRF.,IT
e10 ROOM E418
INDIANAPOLIS, INDIANA 46204-276
Telephone:(317)232-2513
Fav(317)232-4711
Web Site:www.in.gov/sboa
CARMEL-WATER UTILITY
ONE CIVIC SQUARE
CARMEL IN 46032
Billing Date: 01/11/2018
Invoice Number: 40274
Unit ID: 29 002 01
For Transactions Dated 12/08/2017 to 01/11/2018
Services for: 29 002 01 CARMEL-WATER UTILITY
Activity ID: 68028 ENGAGEMENT: ANNUAL 2016 BILLING $11,854.00
-------------
Please pay this amount-----> $11,854.00
For amounts due from taxing units, the County Auditor will obtain reimbursement by deduction from the
next semi-annual settlement of taxes.
Please remit payment with the copy of the invoice and issue the warrant payable to Treasurer of State.
Mail to: State. Board of Accounts
302 West Washington St, Rm E418
Indianapolis, IN 46204
Any prior balance is past due. Please remit payment within thirty (30) days. Your immediate attention
to this matter is appreciated.
Ignore any prior balance if paid. If you have questions regarding this invoice, contact Juanita Hendricksen
at 317-232-2524.