334821 01 /25/19 ��q,��( CITY OF CARMEL, INDIANA VENDOR: 373061
ONE CIVIC SQUARE STEVE SMITHERMAN
CHECK AMOUNT: $*********5.57*
9� /ra: CARMEL, INDIANA 46032 9609 W 1050 N CHECK NUMBER: 334821
°j,�:u:;�. ELWOOD IN 46036 CHECK DATE: 01/25/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1412677901 5.57 OTHER EXPENSES
VOUCHER NO. 183874 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 373061 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
SMITHERMAN, STEVE CITY OF CARMEL
9609 W 1050 N An invoice or bill to be properly itemized must show: kind of service,where performed,
ELWOOD, IN 46036 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
5.57 373061 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SMITHERMAN, STEVE Terms
Carmel Water Utility 9609 W 1050 N Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), ELWOOD, IN 46036
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
1412677901 01-4611-00 $5.57 and received except 1/17/2019 1412677901 $5.57
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 Utilitie'S Account Number 1412677901
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Due pate
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
Service Address
STEVE SMITHERMAN
9609 W 1050 N 11420 ZANARDI CT
ELWOOD, IN 46036
FINAL
PeriodService
_.
Number
PAYMENT RECEIVED, THANK YOU (145.00)
12/16/18 01/15119
PREVIOUS BALANCE CREDIT (5.57)
0
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