328908 08/14/18 CITY OF CARMEL, INDIANA VENDOR: 372666
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ONE CIVIC SQUARE YUKI &YUKA SAITO CHECK AMOUNT: $*******114.73*
CARMEL, INDIANA 46032 821 W.MAUSOLEUM RD CHECK NUMBER: 328908
MiroN�, SHELBYVILLE IN 46176 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 141822005 114.73 OTHER EXPENSES
VOUCHER NO. 182443 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372666 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
SAITO, YUKI &YUKA CITY OF CARMEL
821 W. Mausoleum Rd An invoice or bill to be properly itemized must show: kind of service,where performed,
Shelbyville, IN 46176 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
114.73 372666 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SAITO,YUKI&YUKA Terms
Carmel Water Utility 821 W. Mausoleum Rd Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Shelbyville, IN 46176
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
141822005 01-4611-00 $114.73 and received except 8/13/2018 141822005 $114.73
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
�a`�rm el Utilities
Account Number 0141822005
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due Date
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
Service Address
YUKI/YUKA SAITO
821 W MAUSOLEUM RD 5810 CORRALBERRY CT
SHELBYVILLE, IN 46176
FINAL
PeriodService
_.
Number
PAYMENT RECEIVED, THANK YOU (229.46)
05/26/18 06/25/18
PREVIOUS BALANCE CREDIT (114.73)
0
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