HomeMy WebLinkAbout325700 05/23/18 ♦d.C4gy
F, CITY OF CARMEL, INDIANA VENDOR: 372435
ONE CIVIC SQUARE MARCELO QUEIJO CHECK AMOUNT: $********1 1.04*
ao. CARMEL, INDIANA 46032 4701 152ND ST. CHECK NUMBER: 325700
9�IiuN�o. URBANDALE IA 50323 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1162567901 11.04 OTHER EXPENSES
VOUCHER NO. 181619 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372435 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
QUEIJO, MARCELO CITY OF CARMEL
4701 152ND ST An invoice or bill to be properly itemized must show: kind of service,where performed,
URBANDALE, IA 50323 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
11.04 372435 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR QUEIJO, MARCELO Terms
Carmel Water Utility 4701 152ND ST Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), URBANDALE,IA 50323
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
1162567901 01-4611-00 $11.04 and received except 5/17/2018 1162567901 $11.04
l
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
Cify of
�arrnel Utilities Account Number 1162567901
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due Date
www.carmelutilities.com (317) 571-24,
Mon-Fri Sam-5pm Amount Due
After Due Date
MARCELO QUEIJO Service • e
ress
4701 152ND ST 14377 PEMBERTON LN
URBANDALE, IA 50323
FIN-AL
Service Period Meter Meter Readings
e • Number • e
PAYMENT RECEIVED, THANK YOU (85.57)
03/13/18 04/02/18 52984001 815 816
PREVIOUS BALANCE CREDIT (44.08)
WATER 1 20.12
STATE TAX 1.41
TRASH SERVICE 11.51
STORM WATER 5.41
BILLING ADJ (5.41)
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