331903 11/07/18 y��""A�l
�/ ,� CITY OF CARMEL, INDIANA VENDOR: 372869
ONE CIVIC SQUARE HOMEWOOD SUITES CARMEL CHECK AMOUNT: $*****4,734.06*
?�; CARMEL, INDIANA 46032 PO BOX 569060 CHECK NUMBER: 331903
'°��TON�. DALLAS TX 75356 CHECK DATE: 11/07/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6001312002 4,734.06 OTHER EXPENSES
VOUCHER NO. 183162 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 372869 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HOMEWOOD SUITES CARMEL #2575 CITY OF CARMEL
PO Box 569060 An invoice or bill to be properly itemized must show: kind of service,where performed,
Dallas,TX 75356 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$4,734.0 372869 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HOMEWOOD SUITES CARMEL#2575 Terms
Carmel Water Utility PO Box 569060 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Dallas,TX 75356
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
6001312002 01-4611-00 $4,734.06 and received except 10/31/2018 6001312002 $4,734.06
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
CCity of
armel Utilities Account Number 6001312002
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service @ a
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
#2575 HOMEWOOD SUITES CARMEL Service Address
PO BOX 569060 11355 N MERIDIAN ST#A
DALLAS,TX 75356
FINAL
Service PeMeter
riodMeter Readings
Number
_.
PAYMENT RECEIVED, THANK YOU (4,947.2)
08/31/18 09/26/18 1181 1421
PREVIOUS BALANCE CREDIT (5910.60)
WATER 1099.57
STATE TAX 76.97
WATER 95 1099.57
STATE TAX 76.97
WATER 240 1099.57
STATE TAX 76.97
0
0
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