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330017 09/13/18
Q CITY OF CARMEL, INDIANA VENDOR: 372759 CHECKAMOUNT: $********70.09* ONE CIVIC SQUARE ZHONG WEI XIACARMEL, INDIANA 46032 10631 CALSTON WAY CHECK NUMBER: 330017 SAN DIEGO CA 92126 CHECK DATE: 09/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 1172498901 70.09 OTHER EXPENSES VOUCHER NO. 182723 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 372759 IN SUM of$ ACCOUNTS PAYABLE VOUCHER XIA, ZHONG WEI CITY OF CARMEL 10631 CALSTON WAY An invoice or bill to be properly itemized must show: kind of service,where performed, SAN DIEGO, CA 92126 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 70.09 372759 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR XIA, ZHONG WEI Terms Carmel Water Utility 10631 CALSTON WAY Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), SAN DIEGO,CA 92126 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 1172498901 01-4611-00 $70,09 and received except 9/10/2018 1172498901 $70.09 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 Carmel Utilities Account Number 1172498901 P.O. Box 109 Carmel, IN 46082-0109 Amount Due Customer Service D © t www.carmelutilities.com (317) 571-2442 Mon- Fri 8am-5pm Amount Due After Due Date ZHONG WEI XIA Service Address 10631 CALSTON WAY 13738 FOSSIL DR SAN DIEGO, CA 92126 FINAL 71 PeriodService Meter Meter Readings Number PAYMENT RECEIVED, THANK YOU (239.91) 07/21/18 08/20/18 PREVIOUS BALANCE CREDIT (70.09) a s U QrMin ILic.nnhinn inr•ini it rnnnrrlc