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HomeMy WebLinkAbout186638 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1 ONE CIVIC SQUARE CLAY TWP RWD i CHECK AMOUNT: $2,092.94 �ro CARMEL, INDIANA 46032 PO BOX 40638 INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 186638 CHECK DATE: 6121/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4348500 15.68 0101006272502 1091 4348500 438.86 0101016210101 1091 4348500 933.58 4000400010100 1120 4348500 56.14 0376122604988 1120 4348500 58.18 2000130154000 1125 4348500 43.50 0143006091230 1125 4348500 94.10 0341578281126 1125 4348500 11.60 0341578286817 1125 4348500 15.68 1015000014110 2201 4348500 255.78 2000240134001 601 5023990 81.86 4000500034500 601 5023990 87.98 4000500134500 The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. W Clay Township Regional Waste District m •CTRWD• P.O. Box 40638 M OQn��tj y Matom M Indianapolis, IN 46240 -0638 Customer CARMEL ST DEPT Service Address: 3400 131ST ST W Account Number 2000240134001 Billing Date 06/06/2010 02- 1011 103 0007879 20100502 FFOD8102 GLAVSTMT 1 OZ DOM FFOD81O a' 159511 LT Customer Message CARMEL ST DEPT 3400 w 131ST ST WESTFIELD IN 46074 -8267 f Previous Balance $261.90 Period From: 05/06/2010 Payments -$261.90 Period 'To: 06/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.opoo gallons) Amount Metered Comm Primary-2 In Meter 60121546 4.00000 A 255.78 60334360 20.00000 60360195 5.00000 Important Information D $255.78 The District is 35 years old this month! We appreciate the opportunity to provide you with high quality, cost effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date 06/20/2010 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. MT@MI D $255.78 02 -ixOg- 2750(12109) Retain this portion for your records a Ha� REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT P.O. BOX 40638 CTRWD ntl INDIANAPOLIS, IN 46240 -0638 g (317) 844 -9200 Visit our website: www.ctrwd.o 'ON PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not send cash by mail. Stapling or folding the payment stub may substantially delay the processing of your payment. You may pay your sewer bill in person at our office at 10701 N. College Ave. Suite A, Indianapolis, IN. For your convenience, you may also use our drive -up drop box at this address. Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College Ave. Suite A, Indianapolis, IN or call (317) 844 -9200 Monday through Friday, 8:00 a.m. to 4:30 p.m. NON PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee charge will be added to your account. AUTODEBIT is available for making your monthly payment. The form can be downloaded from our website. Additional Information: A- Actual meter readings E When printed after a meter reading (previous or current) indicates an estimated reading CR Credit amount B Balanced billing applies to our residential customers only. Your monthly statements will be based on your winter consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly usage of 7,000 gallons per month. Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02- 1x09- 2750(IM9) VOUCHER NO. WARRANT NO. ALLOWED 20 Clay Township Regional Waste District IN SUM OF P. O. Box 40638 Indianapolis, IN 46240 -0638 $255.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT# /TITLE AMOUNT Board Member 2201 43- 485.00 $255.78 1 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 Thursday, June 1 201C 'Z/ h� v v Street Commissioner S�rcog ^�.iTitle:5 „i? Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/06/10 $255.78 1 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 20 Clerk- Treasurer The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. Clay Township Regional Waste District N CTRWD P.O. Box 40638 DIn Y SWOMOn Indianapolis, IN 46240 -0638 RM,ppWy' Customer MONON CARMEL CLAY Service Address: 1430 96TH ST E� Account Number 0143006091230 F i 1A Billing Date 06/06/2010 02- 1011 10 3 0002620 201 00602 FF008101 C-STMT I OZ ❑OM FF0081WW' 159511 LT 1141ia�l�ilpliloll�hIII1P�llllq ,�p�lo,lllii�i l�il�ij�m..a� „�.ea�,a.,.... Customer Message MONON CARMEL CLAY PARKS REC 1411 E. 116TH STREET CARMEL IN 46032 -7611 +R Previous Balance $39.42 Period From: 05/06/2010 Payments $39.42 Period To 06/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.000o gallons Amount Metered Comm Primary- 1 1/2 In Meter 60353811 2.00000 A 43.50 Important Information Rum amm $43.50 The District is 35 years old this month! We appreciate the opportunity to provide you with high quality, cost effective sewer service. July 4 5 is CarmelFest and Due Date we will have a booth for the second year in a row. Please stop by to learn more 06/20/201 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. MT@M m �7 $43.50 Retain this portion for your records 02 1>tos 2750t121097 avinn by m The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District CTRWD P.O. Box 40638 money MOOMSM Indianapolis, IN 46240 -0638 a Customer CARMEL CLAY PARK Service Address: 2465 116TH ST W lily Account Number 0341578286817 AUK 7 2010 Billing Date 06/06/2010 0216111011103 000262220100602 11OD8 IQ I CLAVSTMT I OZ DOM FF00810000'15WI LT rrlr�lllrnni��lrrlrrrrl�lrurrl�rrrlrrllll i�i,r�ul�ll,d..«�:.�a�, Customer Message CARMEL CLAY PARK REC 1411 E. 116TH ST. CARMEL IN 46032 -7611 't Previous Balance $11.60 Period From: 05/06/2010 Payments $11.60 Period To: 06/06/2010 Adjustments $6.00 Total Past Due $0.00 Service Description Meter Number Cons.0000 ganonsl Amount Multi Billed Tenant Units 1.5 in 9042973 1.00000 A 11.60 Important Information D $11.60 The District is 35 years old this month! We appreciate the opportunity to provide you with high quality, cost effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 06/20/2010 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. r� $11.60 '.ix ^a- ?75n Retain this portion for your records The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District CTRWD• P0. Box 40638 Indianapolis, IN 46240 -0638 ,I b 1l �`d�: Customer CARMEL CLAY PARK Service Address: 3100 116TH ST W� Account Number 0341578281126 Billing Date 06/06/2010 GS 0214111011; 1D3 WD26212010L602 FFOp6101 CL STM I OZ OOM FF0081WM' 15-1 LT I'll IiI�nlni�Prh�Ipli�Iiullllilinlliililnliirri�ii�ill Customer Message CARMEL CLAY PARK REC 1411 E. 116TH ST. CARMEL IN 46032 -7611 r U t Previous Balance $75.74 Period From: 05/06/2010 Payments $75.74 Period To: 06/06/2010 Adjustments $10.00 Total Past Due $0.00 Service Description Meter Number Cons.opoogallons) Amount Metered Comm Primary-2 In Meter 60268700 14.00000 A 94.10 Important Information D $94.10 The District is 35 years old this month! We appreciate the opportunity to provide you with high- quality, cost effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 06/20/2010 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. MDT an @MD D $94.10 02 l xo9- 2750(12109) Retain this portion for your records The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District �CTRwo- P.O.Box40638 MOM 0Y SWement Indianapolis, IN 46240 -0638 phiOxM� Customer CARMEL CLAY PARK Service Address: 1411 116TH ST E Account Number 1015000014110 Billing Date 06106/2010 'A 0204f 10 11 103 DOD262320100602 FFOD8101 CI YSTM I OZ D DOM Ff0061gq.SQ��S II I I I III I I I����� I I I I�II� I I�III�� 'I�l ill�l �llllll��ylh Customer Message CARMEL CLAY PARK REC 1411 E. 116TH ST. F" CARMEL IN 46032 -7611 Previous Balance $17.72 Period From: 05/06/2010 Payments $17.72 Period To: 06/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Con n000 gallonsi Amount Metered Comm Primary In Meter 35379081 3.00000 A 15.68 I I mportant Information D $15.68 The District is 35 years old th is month! We appreciate the opportunity to provide you with high quality, cost- effective sewer service. July 4 5 is CarmelFest and Date we will have a booth for the second year in a row. Please stop by to learn more Due D 06/20/2010 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. D $15.68 Retain this portion for your records 02- 1X09- 2750(12109) a, a. .,...a ro .,ia.H n.,�rmn_ •1hr�_ .r�nn by �^aa_ Din— ,nn na•r;nn in nor The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. Clay Township Regional Waste District CTRWD P.O. Box 40638 4 Indianapolis, W 46240 -0638 q Customer CARMEL CLAY PARKS Service Address: 1235 CENTRAL PARK DR E Account Number 0101006272502 Billing Date 06/06/2010 0216111011:103 0002618 20180602 FFOp8101 CLAVSTMT 1 OZ pOM FfOp810000' 159511 LT 10 mh�rIIIII�rIISII�rIIrIlrPllunllll eu�lll11li��il�il ti0 e CARMEL CLAY PARKS Customer Mess JJ�" g 1411 E 116TH 5T CARMEL IN 46032 -7611} t Previous Balance $15.68 Period From 05/06/2010 Payments $15.68 Period To: 06/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.opoo gallons! Amount Metered Res Primary -1 In Meter 0101006272 3.00000 B 15.68 Important Information D $15.68 The District is 35 years old this month! We appreciate the opportunity to provide you with high- quality, cost effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 06/20/2010 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. t &CbDMD $15.68 02 -1 x09 2750(12!09) Retain This portion for your records The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District W P.O. Box 40638 y CT WE) Stateme Indianapolis, IN 46240 -0638 Customer CARMEL CLAY PARKS Service Address: 1235 CENTRAL PARK DR�E Account Number 0101016210101 Billing Date 06/06/2010 02104110 t1:10 3 0002519 20100602 FFOD1101 CLAYSTMT 1 02 OOM FFOOB10000' 159541 LT l III' 111' lI 11I111111IIIlIJI I' �I CARMEL CLAY PARKS Customer Message 1411 E 116TH 5T CARMEL IN 46032 -7611 ar Previous Balance $279.74 Period From: 05/06/2010 Payments $279.74 Period To: 06/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.n000 nanonsl Amount Metered Comm Primary-2 In Meter 60897458 183.00000 A 438.86 Important Information $438.86 The District is 35 years old this month! We appreciate the opportunity to provide you with high quality, cost effective sewer service. July 4 5 is CarmelFest and we will Due Date have a booth for the second year in a row. Please stop by to learn more D 06/20/20 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. G� Gbt'?�lC D $438.86 02 -1 x09 2750(12109) Retain this portion for your records The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. �cTRwo• Clay Township Regional Waste District S M P.O. Box 40638 0 Indianapolis, IN 46240 -0638 Customer CARMEL CLAY CENTRAL Service Address: 1235 CENTRAL PARK DR E Account Number 4000400010100 Billing Date 06/06/2010 02/09/1011.102 000202920100802 FFOD8101 ­STMT I O2 ODM 1100810000' 159591 LT I' ���I' ���III�IIII" I�' I' I' �'Illllell���llly��ll�lll�llnl CARMEL CLAY CENTRAL PARK 1 {1, Customer Message 1411 E 116TH ST CARMEL IN 46032 -7611 J Previous Balance $798.94 Period From. 05/06/2010 Payments -$798.94 Period To: 06/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.n000 galtonsl Amount Metered Comm Primary Fog 2 In Meter 59392985 97.00000 A 933.58 59392986 103.00000 60863133 4.00000 D Important Information $933.5$ The District is 35 years old this month! We appreciate the opportunity to provide you with high- quality, cost effective sewer service. July 4 5 is CarmelFest and Due Date we will have a booth for the second year in a row. Please stop by to learn more b6/20/20 0 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. G aB( MW@MDM D $933.58 02- lxo9-2750(12109) Retain this portion for your records ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No, 061152 Clay Twp Regional Waste District Terms PO Box 40638 Date Due Indianapolis, IN 46240 -0638 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 616110 0143006091230 1430 E 96th St South Trailhead 43.50 616110 341578286817 2465 W. 116th St Storage Building 11.60 616/10 341578281126 3100 W 116th St -West Park 94.10 6/6/10 1015000014110 1411 E. 116th St. -Adm. 15.68 6/6110 101006272502 1235 Central Park E. Dr. Monon Center 15.68 616110 101016210101 1235 Central Park E. Dr. Monon Center 438.86 6/6/10 4000400010100 1235 Central Park E. Dr. 6 meters 933.58 Total 1,553.00 1 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 ,20 Clerk- Treasurer Voucher No, Warrant No. i 061152 Clay Twp Regional Waste District Allowed 20 PO Box 40638 Indianapolis, IN 46240 -0638 In Sum of 1,553.00 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACGT #/TITU AMOUNT Board Members Dept 1125 0143006091230 4348500 43.50 l hereby certify that the attached invoice(s), or 1125 341578286817 4348500 11.60 bill(s) is (are) true and correct and that the 1125 341578281126 4348500 94.10 materials or services itemized thereon for 1125 1015000014110 4348500 15.68 which charge is made were ordered and 1091 101006272502 4348500 15.68 received except 1091 101016210101 4348500 438.86 1091 40004000101oo 4348500 933.58 17 -Jun 2010 Signature 1,553.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. Clay Township Regional Waste District CTRWD• P.O. Box 40638 utfu����Q� Indianapolis, IN 46240 -0638 Customer CARMEL WATER Service Address: 3450 131 ST ST W #A Account Number 4000500034500 Billing Date 06/06/2010 02-10 11.103 000788020100002 FF000102 CLAYSTMT I OZ OOM FF00910000 '15-1 LT Customer Message CARMEL WATER FACILITY 3450 W 131 STREET #A WESTFIELD IN 46074- 8267;il k Previous Balance $96.36 Period From: 0510612010 Payments $79'82 Period To: 06(0612010 Adjustments $0.00 Total Past Due $16.54 Service Description Meter Number Cons.(l000 aallonsl Amount Metered Comm Michigan Rd -2 In Meter 60491813 8.00000 A 81.86 Important Information The District is 35 ears old this month! We a $98.40 y ppreciate the opportunity to provide you with high quality, cost effective sewer service. July 4 8 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 66/20/201 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. GpMl5m D MIN MM 9MD $98.40 02- 149 2750(12109) Retain this portion for your records The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District p CTRWD P.O. Box 40638 d���ll� Indianapolis, IN 46240 -0638 ARi011 Customer CARMEL WATER Service Address: 3450 131ST ST W #B Account Number 4000500134500 Billing Date 06/06/2010 0210411011,103 000708120100002 FFOD8107 C, +YSTMT 1 OZ DOM FFOD810000' 159561 LT I'' II�I�I�II�I�II�II�' li� 'II�I��I'I'�'lll "'I��'llll'III "III Customer Message CARMEL WATER FACILITY 3450 w 131 STREET #B WESTFIELD IN 46074 -8267 LIN Previous Balance $94.58 Period From: 05/06/2010 Payments -$87.98 Period To: 06/06/2010 Adjustments $0.00 Total Past Due $6.60 Service Description Meter Number Cons. (loop oallonst Amount Metered Comm Michigan Rd -2 In Meter 60491814 11.00000 A 87.98 Important Information l�j f� The District is 35 years old this month! We appreciate the opportunity to provide L2aM $94.5$ you with high quality, cost- effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 06/20/201 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. amm@xa fflT @MgMD D $94.58 Retain this portion for your records 02.149.2750(12/09) VOUCHER 101825 WARRANT ALLOWED 061152 IN SUM OF$ CLAY TOWNSHIP REGIONAL WASTE Pb BOX 40638 INDIANAPOLIS, IN 46240 -0638 G� P9: vk�� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 40005001345 01- 6360 -06 $87.98 Voucher Total 169 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 061152 CLAY TOWNSHIP REGIONAL WASTE -40638 Purchase Order No. PO BOX 40638 Terms INDIANAPOLIS, IN 46240 -0638 Due Date 6!8!2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/8/2010 4000500134 $87.98 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- 1 10 -1.6 Date Officer The Mission of the District to provide a high qualify, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District C ,RWD P.O. Box 40638 Indianapolis, IN 46240 -0638 Customer FIRE STATION #42 Service Address: 3610 106TH ST W Account Number 0376122604988 Billing Date 06/06/2010 0210411011 WM2 39 20 1 011002 FFODS101 CLAYSTMT i OZ DOM FFODB}0000' 159541 LT I�II�Ill�llllll' SII!' I' I�" IIII�I�F�IIIII��III�I� '�I�III�'ll��l Customer Message FIRE STATION #42 2 CIVIC SQUARE CARMEL IN 46032 2584 Previous Balance $62.26 Period From. 05/06/2010 Payments -$6226 Period To: 06106/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.opoo oallonsl Amount Metered Comm Mich Rd Fog 1 In Meter 10856168 5.00000 A 56.14 10856207 4.00000 Important Information II�pL3 D $66.14 The District is 35 years old this month! We appreciate the opportunity to provide you with high- quality, cost effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 06/20/2010 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. o� D MvR $56.14 Retain this portion for your records 02- 1x09- 2750(12109) navrnent when The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. •cTRWD• Clay Township Regional Waste District �0n��y SWOMS�� P0. Box 40638 Indianapolis, IN 46240 -0638 Customer FIRE STATION #46 Service Address: 540 136TH ST W Account Number 2000130154000 Billing Date 06/06/2010 02NM11011.103 00002402010%02 FF008101 CLAYS TMT I OZ OOM FF008100- 159541 LT Ii�lr�l�ll l�f��hIIIdIIIIIIIhr�llllrlllil���� lIIIl���li'�' Customer Message FIRE STATION #46 2 CIVIC SQUARE CARMEL IN 46032 2584 Previous Balance $58.18 Period From: 0510612010 Payments $58.18 Period To: 06106/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.0000 gallons) Amount Metere Comm Primaryy Fog 1 In Meter 48889163 5.00000 A 58.18 48889164 5.00000 Important Information $58.18 The District is 35 years old this month! We appreciate the opportunity to provide you with high quality, cost effective sewer service. July 4 5 is CarmelFest and we will have a booth for the second year in a row. Please stop by to learn more Due Date D 06/20/201 about our processes and programs. We look forward to seeing you there! Balanced Billing has been updated for all residential customers. D $58.18 02- 109 2750(12!09) Retain this portion for your records VOUCHER NO. WARRANT NO. ALLOWED 20 Clay Twp. RWD IN SUM OF P.O. Box 40638 Indianapolis, IN 46240 $114.32 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 2000130154000 43- 485.00 $58.18 1 hereby certify that the attached invoice(s), or 1120 0376122604988 43- 485.00 $56.14 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 SIN 2 kdchief i r Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2000130154000 $58.18 0376122604988 $56.14 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 20 Clerk- Treasurer