182400 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1
ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC
CARMEL, INDIANA 46032 Po Box 679
CHECK AMOUNT: $350.D0
rod NASHVILLE IN 58559 CHECK NUMBER: 182400
CHECK DATE: 211712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 994911 350.00 OTHER EXPENSES
Indiana Rural Water Association
PO Box 679
i Nashville, IN 47448 ATTN: ACCOUNTS PAYABLE
Invoke
BILL TO DATE INVOICE NO.
City of Carmel 2/3/2010 994911
345 W 131 st St.
Carmel, IN 46032
Membership Renewal Date 9/30/2009
Questions? MaryJane Miller, Office Manager
P.O. No. TERMS
Telephone 812-988-6631
Fax 812 988 -6961 Due on receipt
DESCRIPTION AMOUNT
One year membership 350.00
Credit Card payments accepted:
Credit Card Visa MC Disc Am Exp
Exp: Security
Name on Card:
Signature:
Total $350.00
VOUCHER 094283 WARRANT ALLOWED
351.464 IN SUM OF
INDIANA RURAL WATER ASSOCIATIO
P.O. Box 679 �p
Nashville, IN 47448 6
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
F
994911 01- 6040 -05 $350.00
Voucher Total $350.00
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 2!912010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2010 994911 $350.00
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
Date Officer