HomeMy WebLinkAbout322957 3/21/2018 CITY OF CARMEL, INDIANA VENDOR: 372175
d r ONE CIVIC SQUARE JR FREIBURGER CHECK AMOUNT: $*******106.31
CARMEL, INDIANA 46032 4020 E.226TH STREET CHECK NUMBER: 322957
+ CICERO IN 46034 CHECK DATE: 03/21118
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0528326103 106.31 OTHER EXPENSES
' VOUCHER NO. 181063 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
- ALLOWED 20
Vendor# 372175 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FREIBURGER, JR CITY OF CARMEL
4020 E 226TH Sr An invoice or bill to be properly itemized must show: kind of service,where performed,
CICERO, IN 46034 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
106.31 372175 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FREIBURGER,IR Terms
Carmel Water Utility 4020 E 226TH ST Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CICERO, IN 46034
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
0528326103 01-4611-00 $106.31 and received except 3/19/2018 0528326103 $106.31
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
afinel Utilities Account Number 0528326103
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
4 J R FREIBURGER Service Address
4020 E 226TH ST 14487 BLUE SKY CT
CICERO, IN 46034
FINAL
PeriodService Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (106.31)
01/02/18 02/01/18
PREVIOUS BALANCE CREDIT (228.55)
REFUND 122.24
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° Retain this portion for your records.