329987 09/13/18 ® \ CITY OF CARMEL, INDIANA VENDOR: 372769
1 ONE CIVIC SQUARE LEPPERT MORTUARY/SMITH CHECK AMOUNT: $*******104.75*
9 ��� CARMEL, INDIANA 46032 740 E 86TH ST CHECK NUMBER: 329987
MUTON�. INDIANAPOLIS IN 46240 CHECK DATE: 09/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 791286701 104.75 OTHER EXPENSES
VOUCHER NO. 182733 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 372769 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
LEPPERTY MORTUARY/SMITH CITY OF CARMEL
740 E 86TH ST An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46240 dates service rendered, by whom, rates per day, number of hours, rate per hour,
- numbers of units, price per unit,etc.
Payee
104.75 372769 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LEPPERTY MORTUARY/SMITH Terms
Carmel Water Utility 740 E 86TH ST Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS,IN 46240
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
791286701 01-4611-00 $104.75 and received except 9/10/2018 791286701 $104.75
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�rmel Utilities
Account Number 079.1286701
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service p e D
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
LEPPERT MORTUARY/SMITH Service Addregs
740 E 86TH ST 900 N RANGE LINE RD
INDIANAPOLIS, IN 46240-1804
FINAL
PeriodService
gs
Number
PAYMENT RECEIVED, THANK YOU (151.72)
07/21/18 08/20/18
PREVIOUS BALANCE CREDIT (104.75)
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