329986 09/13/18 u'meq,, CITY OF CARMEL, INDIANA VENDOR: 359989
�, ONE CIVIC SQUARE D B KLAIN CHECK AMOUNT: $********28.41*
:9 _� CARMEL, INDIANA 46032 2159 GLEBE STREET#200 CHECK NUMBER: 329986
.y,�TON..�� CARMEL IN 46032 CHECK DATE: 09/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1407356500 28.41 OTHER EXPENSES
VOUCHER NO. 182697 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 359989 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
DB KLAIN CITY OF CARMEL
2159 GLEBE STREET #200 An invoice or bill to be properly itemized must show: kind of service,where performed,
CARMEL, IN 46032 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
28.41 359989 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR DB KLAIN Terms
Carmel Water Utility 2159 GLEBE STREET#200 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL,IN 46032
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
1407356500 01-4611-00 $28,41 and received except 9/10/2018 1407356500 $28.41
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 1407356500
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due ®a
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount-Due
After Due Date
DB KLAIN Service Address
2159 GLEBE ST#200 12805 E NEW MARKET ST
CARMEL, IN 46032
FINAL
PeriodService Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (56.82)
07/21/18 08/20/18
PREVIOUS BALANCE CREDIT (28.41)
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