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334801 01/25/19 CITY OF CARMEL, INDIANA VENDOR: 373065 ® ONE CIVIC SQUARE ROBERT HENTHORN CHECK AMOUNT: $********38.97* CARMEL, INDIANA 46032 4299 CREEKSIDE PASS CHECK NUMBER: 334801 ZIONSVILLE IN 46077 CHECK DATE: 01/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 750397924 38.97 OTHER EXPENSES VOUCHER NO. 183878 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 373065 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER HENTHORN, ROBERT CITY OF CARMEL 4299 CREEKSIDE PASS An invoice or bill to be properly itemized must show: kind of service,where performed, ZIONSVILLE, IN 46077 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 38.97 373065 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR HENTHORN, ROBERT Terms Carmel Water Utility 4299 CREEKSIDE PASS Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), ZIONSVILLE, IN 46077 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 750397924 01-4611-00 $38.97 and received except 1/17/2019 750397924 $38.97 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 CCity.of armel Utilities Account Number 0750397924 P.O. Box 109 Carmel, IN 46082-0109 Amount Due Customer Service www.carmelutilities.com (317)571-2442 rAfter ©�Mon-Fri 8am-5pmnt !Date!M!W7 ue ROBERT HENTHORN ServiceAddress 4299 CREEKSIDE PASS 1025 W AUMAN DR ZIONSVILLE, IN 46077 FINAL PeriodService Meter .. . _. Number PAYMENT RECEIVED, THANK YOU (72.53) 12/16/18 01/15/19 PREVIOUS BALANCE CREDIT (38.97) a 0 LL U