HomeMy WebLinkAbout327976 07/25/18 g`�,.�,q,,f. CITY OF CARMEL, INDIANA VENDOR: 372595
ONE CIVIC SQUARE SHEERAZ KHAN CHECK AMOUNT: $*********5.41
�'� l?� CARMEL, INDIANA 46032 4142 MARBLE RIDGE LANE CHECK NUMBER: 327976
�'�TON�°. MASON OH 45040 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0292128707 5.41 OTHER EXPENSES
VOUCHER NO. 182189 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372595 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
KHAN, SHEERAZ CITY OF CARMEL
4142 MARBLE RIDGE LANE An invoice or bill to be properly itemized must show: kind of service,where performed,
MASON, OH 45040 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of-units, price per unit,etc:
Payee
5.41 372595 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR KHAN, SHEERAZ Terms
Carmel Water Utih 4142 MARBLE RIDGE LANE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), MASON, OH 45040
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
0292128707 01-4611-00 $5.41 and received except 7/19/2018 0292128707 $5.41
1 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. 2C
Clerk-Treasurer
Wa�rmel Utilities
Account Number 0292128707
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service W��l
www.carmelutilities.com (317) 571-2442
Mon-Fri Sam-5pm Amount Due
After Due Date
SHEERAZ KHAN Service Address
4142 MARBLE RIDGE LN 11791 ESTY WAY
MASON, OH 45040
FINAL
Service Period Meter�■ Number
PAYMENT RECEIVED, THANK YOU (66.36)
05/16/18 06/15/18
BILLING ADJ (5.41)
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