HomeMy WebLinkAbout326727 06/29/18 a_cgq
CITY OF CARMEL, INDIANA VENDOR: 074580
J" \ CHECK AMOUNT: $****11,898.00*
ONE CIVIC SQUARE DEPT OF THE INTERIOR,USGS
CARMEL, INDIANA 46032 US GEOLOGICAL SURVEY CHECK NUMBER: 326727
PO BOX 71362 CHECK DATE: 06/29/18
PHILADELPHIA PA 1 91 76-1 362
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90569759 11,898.00 OTHER EXPENSES
VOUCHER NO. 181929 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 74580 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
USGS - KZPT-Q �nD__ CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,
4957-t,k,4de-13� TO dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
-7 f��4`".C1. P� �� % "�?J�o�- Payee
Y� $11,898.00 74580 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR USGS- DEPT OF THE INTERIOR Terms
Carmel Water Utility Water Resources Division Due Date
BOARD MEMBERS 5957 Lakeside Blvd
I hereby certify that that attached invoice(s), Indianapolis,IN 46278
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
90569759 01-6310-08 $11,898.00 and received except 6/25/2018 90569759 $11,898.00
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
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Page:1
DOWN PAYMENT(BILL) REQUEST
Bill#: 90569759
Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344
Billing Contact: Chris Johnson Phone: (317)600-2788 Date: 09/14/2017
Due Date: 11/13/2017
Remit Payment To- United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: City of Carmel
P.O. BOX 1399 Additional forms of payment may be accepted.:Please
CARMEL IN 46032 email GS-A-HQ_RMS@USGS.GOV or call
703-648-7683 for-additional information.
Checks must be made payable to
To pay through Pay.gov go to-https://www.pay.gov. U.S. Geological Survey. Please detach the top portion
or include-bill number on all remittances.
Amount of Payment: $ / 00
.....................................................................................................................................................................................
Date Description: Qty Unit Price Amount
Cost Per
09/14/2047 Expenses incurred for the bi-annual water-level 1 11,898.00 1 11,898.00'
measurements from a network of observation wells
and operation of one continuous recording
water-level well in Carmel,IN for the period of
December 1, 2016 to December 31., 2017.
17EMNF0000032 -
Amount Due this Bill: 11,898:00
Accounting.Classification'
Sales Order: 63305
Sales Office: GENF
Customer: 6000001344
Accounting#: 10845041
TIN: *****0972