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331898 11/07/18 CITY OF CARMEL, INDIANA VENDOR: 372746 ONE CIVIC SQUARE DAVID MILSHOW CHECK AMOUNT: $********64.81* CARMEL, INDIANA 46032 115 JORDAN CT CHECK NUMBER: 331898 MARTINSVILLE IN 46151 CHECK DATE: 11/07/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0111816207 64.81 OTHER EXPENSES VOUCHER NO. 183.182 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 372746 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER MILSHOW, DAVID CITY OF CARMEL 115 JORDAN CT An invoice or bill to be properly itemized must show: kind of service,where performed, r- MARTINSVILLE, IN 46151 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc.. Payee 64.81 372746 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR MILSHOW, DAVID Terms Carmel Water Utility 115 JORDAN CT Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), MARTINSVILLE,IN 46151 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 0111816207 01-4611-00 $64.81 and received except 10/31/2018 0111816207 $64.81 V 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. 20L— Clerk-Treasurer �a'rmel Utilities Account Number 0111816207 P.O. Box 109 Carmel, IN 46082-0109 I� Amount Due Customer Service www.carmelutilities.com (317)571-2442 Mon-Fri 8am-5pm Amount Due After Due Date Service Address DAVID MILSHOW 115 JORDAN CT 5357 RIPPLINGBROOK WAY MARTINSVILLE, IN 46151 FINAL PeriodService Readings Number PAYMENT RECEIVED, THANK YOU (46.36) 08/21/18 09/20/18 PREVIOUS BALANCE CREDIT (64.81) a s U Orte_._:._.�:...__a..._t.....................