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190059 09/14/2010
CITY OF CARMEL, INDIANA VENDOR: T0002366 Page 1 of 1 ONE CIVIC SQUARE CENTURY 21 SCHEETZ CHECK AMOUNT: $16.20 CARMEL, INDIANA 46032 270 E CARMEL DR CARMEL IN 46032 CHECK NUMBER: 190059 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 16.20 CITIZENS GAS CHECK P,JG -18 -2010 DIED 08:47 AM century 21 scheetz FAX NO, 3175740784 P. 02 W FRONT BACK ZOOM IN Z00M OIfT PRt �E VIE VIEW FR ONT VIEW BACK t4uKFIS�TON U��� 111 AC el SCRE" f 2p T.rAC a6658 DARMF. ,IM (317) 044-511 D AMOUKr PAY 8i)(T5EN AND 2WI00 00LLA June 2,B, 2010 TO THE Mans use oADEM PO sax 7056 CF I7Kwapo4a, IN 49207 -7068 r wq, %4 %m -.w W. F6AWft6V l 0CLVoeu M ML6 off etorc. 11<0B5 F.s to 1.044OOq©781: 0 16006prBL tiil Fo C CLOSE1 V j 5 7 7tq73M a o __n Inr„ p.;, ril pr. 1c. asox ?SvcName= (R &rwncName= IR_S... 8/18/201. CENTURY 21 acmieTZ x' Z55b5b 8 No CITGAS Check Date Jun 2$;,2010 Qur Acct No Check No r Reiererlce, lrivoice'Date. Coitinent Nef;4mountPaid- jj 015"M "Of9joy eta` 3 -.D '•f fi S J. l�t. 655727197319 100614 06AQQ 4022 Heyward PI 5/14 M 16 20 r l ost plot N 3 6 1 T 4 d p� kM f 4 Z 6y MA `A ,fin MY, y bA T M At Prescribed by Stale Board of Accounts PormNo.301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHE, To ti 7)tiy l 1-'z ADDRESS` Q C fhS.� 1 cL b b d Invoice Date Invoice Number Item Amount 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 19 Signature Title 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. 19 Of ice Title V. jucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA Total Amount of Voucher i Deductions Amount of Warrant M of 19 Acct. VOUCHER RECORD No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts I Administrative and General Operation- Maintenance Utility Plant in Service Constr. Work-in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325