186591 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 364246 Page 1 of 1
0 ONE CIVIC SQUARE DAN PEPMIER CHECK AMOUNT: $1,268.22
4 CARMEL, INDIANA 46032 1574 ORCHARD PARK DRIVE N
INDIANAPOLIS IN 46280 -1513 CHECK NUMBER: 186591
CHECK DATE: 6/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1,268.22 OVERPMT REFUND
Page: 1
CARMEL UTILITIES
Customer Maintenance Ledger
Date: 6/14/2010 2:56:31 PM
User Name Ted
Account Number 3451293001 Customer Name DAN PEPMIER Status Active
Home Phone (317) 844 -3640 x Work Phone x Billing Type Normal
Class RESIDENTIAL Billing Status Billing Cycle BOOKS 41 45
Address 1574 ORCHARD PARK DR N
INDIANAPOLIS, IN 46280 -1513
Service Location <All>
Listed From All Periods
Description Date Amount Balance
Payment 6/14/2010 (1,288.82) (1,268.22)
Charge 6/3/2010 20.60 20.60
Payment 5/26/2010 (22:.09) 0.00
Charge 4/30/2010 21.99 22.09
Payment 4/27/2010 (23.77) 0.10
Charge 4/2/2010 24.77 23.87
Payment 3/15/2010 (49192) (0.90)
Charge 3/3/2010 24.77 49.02
Penalty 3/2/2010 0.87 24.25
Charge 2/3/2010 23.38 23.38
Payment 1/2612010 (23.38) 0.00
Charge 1/4/2010 23.38 23.38
Payment 12/22/2009 (22.67) 0.00
Charge 12/3/2009 23.38 22.67
Payment 12/1/2009 (18.50) (0.71)
Charge 11/412009 17.82 17.79
Payment 11/3/2009 (19.93) (0.03)
Penalty 10/30/2009 0.72 19.90
Payment 10/6/2009 (20.49) 19.18
Charge 10/5/2009 19.21 39.67
Penalty 9/29/2009 0.76 20.46
Charge 9/2/2009 20.60 19.70
Payment 8/31/2009 (26.69) (0.90)
Prescribed by State Board of Accounts
Form No. 301 (Rev, 1995) ACCOUNTS PAY �LEVIGIVNJER n
T
ADDRESS-- 0(ZCW LJ 0 (JA1L
Invoice Date Invoice Number Item Amount
J 9 +011-') Tb A
r t
1
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and corn ct and I have audited same in accordance 'AJ�r I, ith IC 5-11-10-1.6.
JN�
ffi r Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANO
NO.
CARMEL, INDIANA
�_p MaYkjot �c tea.
(A
Total Amount of Voucher
Deductions j
Amount of Warrant
Month of 19
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Totat
I
Allowed
I
Board of Control
Filed
Official Title
BOYCE FOAMS SYSTEMS 1 -800- 382 -8702 325