HomeMy WebLinkAbout325687 05/23/18 CITY OF CARMEL, INDIANA VENDOR: 372424
ONE CIVIC SQUARE SHAUN FORKIN
CHECK AMOUNT: $********49.63*
CARMEL, INDIANA 46032 1402 OLDE BRIAR LANE CHECK NUMBER: 325687
CARMEL IN 46032 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 141328001 49.63 OTHER EXPENSES
VOUCHER NO. 181608 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372424 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FORKIN, SHAUN CITY OF CARMEL
1402 OLDE BRIAR LANE An invoice or bill to be properly itemized must show: kind of service,where performed,
CARMEL, IN 46032 dates service rendered, by whom, rates per day, number of hours, rate per hour, -
numbers of units, price per unit,etc.
Payee
49.63 372424 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FORICN, SHAUN Terms
Carmel Water Utility 1402 OLDE BRIAR LANE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL, IN 46032
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
1401328001 01-4611-00 $49.63 and received except 5/17/2018 1401328001 $49.63
i
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 1401328001
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317)571-2442 ® D e
Mon-Fri Sam-5pm Amount Due
After Due Date
SHAUN FORKIN Service Address
1402 OLDE BRIAR LN 1814 MILFORD ST
CARMEL, IN 46032
FINAL
Service Period Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (99.26)
04/11/18 05/10/18
PREVIOUS BALANCE CREDIT (49.63)
a