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334831 01/25/19 CITY OF CARMEL, INDIANA VENDOR: 368300 ONE CIVIC SQUARE MICHAEL SHOUP CHECK AMOUNT: $********37.20* CARMEL, INDIANA 46032 214 W MAIN ST CHECK NUMBER: 334831 WESTFIELD IN 46074 CHECK DATE: 01/25/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION G01 5023990 1884023004 37.20 OTHER EXPENSES VOUCHER NO. 183834 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 368300 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER SHOUP, MICHAEL CITY OF CARMEL 214 W MAIN ST An invoice or bill to be properly itemized must show: kind of service,where performed, WESTFIELD, IN 46074 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee 37.20 368300 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR SHOUP, MICHAEL Terms Carmel Water Utility 214 W MAIN ST Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), WESTFIELD,IN 46074 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 1884023004 01-4611-00 $37.20 and received except 1/15/2019 1884023004 $37.20 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 1884023004 P.O. Box 109 Carmel, IN 46082-0109 AJ ��� Amount Due Customer Service © e Da e www.carmelutilities.com (317) 571-2442 Mon-Fri Sam-5pm Amount Due After Due Date MICHAEL SHOUP AddressService 214 W MAIN ST 1001 E 106TH ST WESTFIELD, IN 46074 FINAL Service Period Meter Meter Readings Number PAYMENT RECEIVED, THANK YOU (59.65) 10/26/18 11/25/18 PREVIOUS BALANCE CREDIT (37.20) 0 s 4 U n _ _