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181591 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1 ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $154.00 is r� CARMEL, INDIANA 46032 PO Box 679 o� NASHVILLE IN 58559 CHECK NUMBER: 181591 d CHECK DATE: 1/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 994673 154.00 EMPLOYEE PEN BENEFI .v Indiana Rural Water Association PO Box 679 Nashville, IN 47448 ATTN: ACCOUNTS PAYABLE Invoice BILL TO DATE INVOICE NO. I/7/2010 994673 City of Carmel 345 W 131st St. Carmel, IN 46032 I XP Membership Renewal Date 9/30/2009 Questions? Maryiane Miller, Office Manager P.O. No. TERMS Telephone 812-988-6631 Fax 812 -988 -696! Due on receipt DESCRIPTION AMOUNT IRWA Water Institute, December 7 -9, 2009 in Columbus, IN 0.00 Tuesday /Wednesday Paul Pace, Steve Cook 100.00 Tuesday Only Brett Ransford 40.00 Meals TL (1) 14.00 Credit Card payments accepted: Credit Card Visa MC Disc Am Exp Exp: Security Name on Card: Signature: Total $154.00 VOUCHER 094106 WARRANT ALLOWED 351464 IN SUM OF$ INDIANA RURAL WATER AAS;S P.O. Box 679 .,Nashville, IN 47448 V" 0 A5 0 Carmel ater Utility ON ACCOUNT O,F 'PROP j ION FOR -------,malla e Board members PO I W ACCT AMOUNT Audit Trail Code 994673 01- 6040 -05 $154.00 Voucher Total $154.00 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351464 INDIANA RURAL WATER ASSOCIATION Purchase Order No. P.O. Box 679 Terms Nashville, IN 47448 Due Date 1/12/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/12/2010 994673 $154.00 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 //4.; Date Officer