334811 01/25/19 C�q
,� ''" CITY OF CARMEL, INDIANA VENDOR: 373069
ONE CIVIC SQUARE DAVID MCGUIRE
J® CHECK AMOUNT: $********59.00*
9 +` CARMEL, INDIANA 46032 5812 HEMLOCK DR CHECK NUMBER: 334811
.y,�roN�. WHITESTOWN IN 46075 CHECK DATE: 01/25/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 770449908 59.00 OTHER EXPENSES
VOUCHER NO. 183882 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 373069 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MCGUIRE, DAVID CITY OF CARMEL
5812 HEMLOCK DR An invoice or bill to be properly itemized must show: kind of service,where performed,
WHITESTOWN, IN 46075 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
59.00 373069 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MCGUIRE, DAVID Terms
Carmel Water Utility 5812 HEMLOCK DR Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), WHITESTOWN, IN 46075
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
770449908 01-4611-00 $59.00 and received except 1/17/2019 770449908 $59.00
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. 20_
Clerk-Treasurer
CiN of
Mhqsclarmel Utilities Account Number 0770449908
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service D
www.carmelutilities.com (317)571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
DAVID MCGUIRE Service Address
5812 HEMLOCK DR 1794 REVERE PL
WHITESTOWN, IN 46075
FINAL
PeriodService Readings
Number
PAYMENT RECEIVED, THANK YOU (110.61)
11/11/18 12/10/18
PREVIOUS BALANCE CREDIT (59.00)
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