334807 01/25/19 CITY OF CARMEL, INDIANA VENDOR: 373074
.I: ® i,• ONE CIVIC SQUARE JAMES STREETER
CHECK AMOUNT: $********49.49*
CARMEL, INDIANA 46032 689 PRO-MED LN#248 CHECK NUMBER: 334807
CARMEL IN 46032 CHECK DATE: 01/25/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 572226701 49.49 OTHER EXPENSES
VOUCHER NO. 183887 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 373074 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
STREETER, JAMES CITY OF CARMEL
689 PRO MED LANE #248 An invoice or bill to be properly itemized must show: kind of service,where performed,
CARMEL, IN 46032 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
49.49 373074 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR STREETER,JAMES Terms
Carmel Water Utility 689 PRO MED LANE#248 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CARMEL, IN 46032
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
572226701 01-4611-00 $49.49 and received except 1/17/2019 572226701 $49.49
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
Carmel Utilities
Account Number 0572226701
P.O. Box 109 Carmel, IN 46082-0109
Amount Due
Customer Service
www.carmelutilities.com (317) 571-2442
Mon-Fri 8am-5pm Amount Due
After Due Date
Service Address
JAMES STREETER
689 PRO-MED LN#248 601 ALLENHURST CIR
CARMEL, IN 46032
FINAL
PeriodService Readings Amount Billed
Number
PAYMENT RECEIVED, THANK YOU (252.02)
10/26/18 11/21/18 49330371 1440 1441
PREVIOUS BALANCE CREDIT (82.53)
WATER 1 20.12
STATE TAX 1.41
TRASH SERVICE 11.51
STORM WATER 5.41
BILLING ADJ (5.41)
a
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Retain this portion for your records.