328886 08/14/18 i°�'
-! CITY OF CARMEL, INDIANA VENDOR: 372654
® ONE CIVIC SQUARE NICOLE COLLINS CHECK AMOUNT: $********70.30*
s.. C�Nb CARMEL, INDIANA 46032 941 E.67TH ST. CHECK NUMBER: 328886
9,;,�*ON r INDIANAPOLIS IN 46220 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 811668204 70.30 OTHER EXPENSES
VOUCHER NO. 182427 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372654 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
COLLINS, NICOLE. CITY OF CARMEL
941 E 67TH ST An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46220 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
70.30 372654 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR COLLINS, NICOLE Terms
Carmel Water Utility 941 E 67TH ST Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46220
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
811668204 01-4611-00 $70.30 and received except 8/13/2018 811668204 $70.30
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. PO
Clerk-Treasurer
Carmel Utilities
Account Number 0811668204
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
NICOLE COLLINS Service Address
941 E 67TH ST 14438 ALLISON DR
INDIANAPOLIS, IN 46220
FINAL
PeriodService Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (158.62)
06/21/18 07/20/18
PREVIOUS BALANCE CREDIT (70.30)
0
s
0
Retain this portion for your records.