HomeMy WebLinkAbout322972 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 372325
d 'aj ONE CIVIC SQUARE VIRGINA SIMONE CHECK AMOUNT: $********56.27*
CARMEL, INDIANA 46032 1641 VERANDA PARK DRIVE#308 CHECK NUMBER: 322972
9M`roN_cO'�e. MEDFORD OR 97504 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 141801202 56.27 OTHER EXPENSES
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VOUCHER NO. 181096 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372325 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
Simone,Virginia CITY OF CARMEL
1641 veranda park dr 308 An invoice or bill to be properly itemized must show: kind of service,where performed,
medford, or 97504 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
56.27 372325 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR simone,Virginia Terms
Carmel Water Utility 1641 veranda park dr 308 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), medford,or 97504
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
141801202 01-4611-00 $56.27 and received except 3/19/2018 141801202 $56.27
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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
City.of
Carmel Utilities Account Number 0141801202
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due Date f
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
VIRGINIA SIMONE -Service Address
1641 VERANDA PARK DR#308 13799 FORUM MEADOWS DR
MEDFORD, OR 97504
FINAL
PeriodService Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (148.23)
12/21/17 01/20/18
PREVIOUS BALANCE CREDIT (56.27)
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