334823 01/25/19 CITY OF CARMEL, INDIANA VENDOR: 373062
® �;• ONE CIVIC SQUARE KATHLEEN ST LOUIS CHECK AMOUNT: $********51.09*
CARMEL, INDIANA 46032 307 S DELAWARE ST CHECK NUMBER: 334823
UNIT 205 ND ANAPOLIS IN aszoa CHECK DATE: 01/25/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1441284002 51.09 OTHER EXPENSES
VOUCHER NO. 183875 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 373062 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
ST LOUIS, KATHLEEN CITY OF CARMEL
307 S DELAWARE ST UNIT 205 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46204 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
51.09 373062 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR ST LOUIS, KATHLEEN Terms
Carmel Water Utility 307 S DELAWARE ST UNIT 205 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46204
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
1441284002 01-4611-00 $51.09 and received except 1/17/2019 1441284002 T $51.09
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 1441284002
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service Du Da e
www.carmelutilities.com (317) 571-2442
Mon-Fri Sam-5pm Amount Due
After Due Date
KATHLEEN ST LOUIS ServiceAddress
307 S DELAWARE ST UNIT 205 10995 SEDGEMOOR CIR
INDIANAPOLIS, IN 46204
FINAL
Periodservice Meter Meter Readings
Number
PAYMENT RECEIVED, THANK YOU (141.25)
12/16/18 01/15/19
PREVIOUS BALANCE CREDIT (51.09)
0
s
LL
U
_....._.....................
Retain this portion for your records.