330004 09/13/18 %� \� CITY OF CARMEL, INDIANA VENDOR: 372757
`;• ONE CIVIC SQUARE ROBERT L MILLER CHECK AMOUNT: $*******118.57*
;�� CARMEL, INDIANA 46032 16640 WAGON TRAIN PLACE CHECK NUMBER: 330004
y'�rox`�O' SURPRISE AZ 85739 CHECK DATE: 09/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 222102501 118.57 OTHER EXPENSES
VOUCHER NO. 182721 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372757 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MILLER, ROBERT CITY OF CARMEL
16640 WAGON TRAIN PL An invoice or bill to be properly itemized must show: kind of service,where performed,
SURPRISE, AZ 85739 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
118.57 372757 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MILLER, ROBERT Terms
Carmel Water Utility 16640 WAGON TRAIN PL Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), SURPRISE,AZ 85739
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
222102501 01-4611-00 $118.57 and received except 9/10/2018 222102501 $118.57
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. 20_
Clerk-Treasurer
�a"rmel Utilities
Account Number 0222102501
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317) 571-2442 Du= ®a -
Mon-Fri 8am-5pm Amount Due
After Due Date
ROBERT L MILLER Service Address
16640 WAGON TRAIN PL 5751 OPUS DR
SURPRISE,AZ 85739
FINAL
PeriodService Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (276.17)
07/21/18 08/20/18
PREVIOUS BALANCE CREDIT (118.57)
0
s
LL
U
r�i Qef.�in fL,ic..,...fi.,r.fnr..n.n ronnrrfc