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334824 01/25/19 +ut.C.1Ab oY CITY OF CARMEL, INDIANA VENDOR: 373054 k CHECKAMOUNT: $*********5.41* .I; �,• ONE CIVIC SQUARE TREEHOUSE INVESTMENTS LLC a' CARMEL, INDIANA 46032 250 S 890 E CHECK NUMBER: 334824 $��rai(�°/`' SMITHFIELD LIT 84335 CHECK DATE: 01/25/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 529049301 5.41 OTHER EXPENSES VOUCHER NO. 183867 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 373054 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER TREEHOUSE INVESTMENTS LLC CITY OF CARMEL 250 S 890 E An invoice or bill to be properly itemized must show: kind of service,where performed, SMITHFIELD, UT 84335 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 5.41 373054 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR TREEHOUSE INVESTMENTS LLC Terms Carmel Water Utility 250 S 890 E Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), SMITHFIELD, UT 84335 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 529049301 01-4611-00 $5.41 and received except 1/17/2019 529049301 $5.41 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 Ca rm el Utilities Account Number 0529049301 P.O. Box 109 Carmel, IN 46082-0109 Amount Due Customer Service • to www.carmelutilities.com (317)571-2442 _ Mon-Fri 8am-5pm Amount Due After Due Date TREEHOUSE INVESTMENTS LLC Service Address 250 S 890 E 802 NEVELLE LN SMITHFIELD, UT 84335 FINAL PeriodService Readings Number PAYMENT RECEIVED, THANK YOU (58.97) 12/06/18 01/05/19 PREVIOUS BALANCE CREDIT (5.41) a s LL U O _ _