HomeMy WebLinkAbout328893 08/14/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 372665
CHECKAMOUNT: $********44.08*
ONE CIVIC SQUARE TIMOTHY HOUSEFIELDCARMEL, INDIANA 46032 12776 ASHWORTH ST. CHECK NUMBER: 328893
CARMEL IN 46032 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1372376505 44.08 OTHER EXPENSES
VOUCHER NO. 182440 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372665 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HOUSEFIELD,TIMOTHY CITY OF CARMEL
12778 ASHWORTH ST 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
44.08 372665 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HOUSEFIELD,TIMOTHY Terms
Carmel Water Utility 12778 ASHWORTH ST 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
1372376505 01-4611-00 $44,08 and received except 8/13/2018 1372376505 $44.08
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
armel Utilities Account Number 1372376505
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317)571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
TIMOTHY HOUSEFIELD Serviqe Address
12778 ASHWORTH ST 12778 ASHWORTH ST
CARMEL, IN 46032
FINAL
PeriodService
Amount Billed
Number
PAYMENT RECEIVED, THANK YOU (83.07)
06/26/18 07/25/18
PREVIOUS BALANCE CREDIT (44.08)
a
s
U
° Retain this portion for your records.