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