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Home My WebLink About189622 09/13/2010 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1 0 ONE CIVIC SQUARE CLAY TWP RWD CARMEL, INDIANA 46032 PO BOX 40638 CHECK AMOUNT: $3,134.51 INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 189622 ru. t CHECK DATE: 9/1312010 DEPARTMENT ACCOUNT PO NUMBER INVOIC NU MBER AMOUNT DESCRIPTION 1091 4348500 25.01 0101006272502 1091 4348500 255.26 0101016210101 1091 4348500 2,182.06 4000400010100 1120 4348500 64.30 0376122604988 1120 4348500 60.22 2000130154000 1125 4348500 47.58 0143006091230 1125 4348500 81.86 0341578281126 1125 4348500 9.56 0341578286817 1125 4348500 13.64 1015000014110 2201 4348500 241.50 2000240134001 601 5023990 75.74 4000500034500 601 5023990 77.78 4000500134500 The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District .CTRWD- {�j n y� s manwy statement P.O. Box 40638 y�ry Indianapolis, IN 46240 -0638 Rfp00Pl Customer FIRE STATION #42 Service Address: 3610 106TH ST W Account Number 0376122604988 Billing Date 09/06/2010 02104110 11'.10 3 WI)D271 20100901 11000101 C-STMT I OZ DOM F1W1110M0. 159541 LT rh��iIrryrrlllllrrr�lrrrn�lrrpr�riyrrlrr�lrllrrr�r��r�n� Customer Message FIRE STATION #42 2 CIVIC SQUARE CARMEE IN 46032 -2584 UN Previous Balance $58.18 Period -From: 08/06!2010 Payments $58.18 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.opoo gallons) Amount Metered Comm Mich Rd Fog 1 In Meter 10856168 7.00000 A 64.30 10856207 6.00000 Important Information $64.30 G D Help save a tree! Effective with your October statement you can have your billing statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date i our treatment plant or a lift station. Please complete the enclosed form and I/ 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10-13. ao RD @n $64.30 Retain this portion for your records 02- 1xo9-275o(12r09) o P. HA r REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT P.O. BOX 40638 CTRWD INDIANAPOLIS, IN 46240 -0638 (317) 844 -9200 �y Visit our website: www.ctrwd.org REGIONAL �7A 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. Custom;x 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(12109) The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. Clay Township Regional Waste District w CTRWD' P.O. Box 40638 Indianapolis, IN 46240 -0638 Customer FIRE STATION #46 Service Address: 540 136TH ST W Account Number 2000130154000 Billing Date 09/06/2010 02*d11 11 10 3 0000238 20100901 11000101 GLAVSTMT I OZ OQM 11 0 0IX10' 159541 LT 'II�II�111'I IIIt I1li II III�I'II �IttI tItII�I�I�tttt�t��t ll f��I �I1�1 Customer Message FIRE STATION #46 2 CIVIC SQUARE CARMEL IN 46032 -2584 q Previous Balance $60'22 Period From:- 08/0612010 Payments $60.22 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cans. i000 gallons Amount Metere Comm Primaryy Fag 1 In Meter 48889163 6.00000 A 60.22 48889164 5.00000 Important Information D Help save a tree! Effective with your October statement you can have your billing $60.22 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10-13- aL $60.22 02- lxo9- 2750(12109) 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 $124.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 2000130154000 43- 485.00 $60.22 1 hereby certify that the attached invoice(s), or 1120 0376122604988 43- 485.00 $64.30 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 SEP 3 2010 Fire Chief 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 46 $60.22 0376122604988 42 $64.30 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 The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. Clay Township Regional Waste District CT D- P.O. Box 40638 lltiu0 Statement Indianapolis, IN 46240 -0638 Customer CARMEL WATER Service Address: 3450 131ST ST W 4A Account Number 4000500034500 Billing Date 09/06/2010 02*d 11011, 103 000]682 20100991 FI060102 GL YSTMT I OZ DOM F199Q 10090' 15951 LT �1 11�JIIIII�I1 I�IIILIJ��II�IIrl�11 111'I�LJ�ImdJllll�l'1 Customer Message CARMEL WATER FACILITY 3450 w 131 STREET #A CARMEL IN 46074 -8267F Previous Balance $170.06 Period From: 08,!06/2010 Rayments_ _$153_52_____, Period To: 09106/2010 Adjustments $0.00 Total Past Due $16.54 Service Description Meter Number Cons.(l000 gallons) Amount Metered Comm Michigan Rd 2 In Meter 60491813 5.00000 A 75.74 Important lnformation Gp�G'n3 $92.28 Help save a tree! Effective with your October statement you can have your billing statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and' 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10-13. aw GD�xa $92.28 02 149- 2750(12109) Retain this portion for your records The Mission of the District to provide a high quality, cost 8 00 effective sanitary sewer service to our community. Clay Township Regional Waste District P.O. Box 40638 M onthly Indianapolis, IN 46240 -0638 Customer CARMEL WATER Service Address: 3450 131ST ST W #B Account Number 4000500134500 Billing Date 09/06/2010 021 1011.101 000'IBOD2010 D9 FIMQW2CL YSTMT I DZ DOM F I XQ1DM0' 15D5 LT Customer Message CARMEL WATER FACILITY 3450 W 131 STREET #13 CARMEL IN 46074 -8267 R Previous Balance $88.46 -Period From: _08/.0.6/20.10_ Period To: 09/06/2010 Adjustments $0.00 Total Past Due $6.60 Service Description Meter Number Cons.ri000 gallons) Amount Metered Comm Michigan Rd -2 In Meter 60491814 6.00000 A 77.78 V Important Information, D $84.38 Help save a tree! Effective with your October statement you can have your billing statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September 10 L!w-O&D GfflTft&RD D $84.38 02 -1x09- 2750(12109} Retain this portion for your records VOUCHER 102708 WARRANT ALLOWED 061152 IN SUM OF CI-..AY TOWNSHIP REGIONAL WAS- PO BOX 40638` INDIANAPOLIS, IN 46240 -0638 Cn Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 40005000345 01- 6360 -06 $75.74 000 [34-D Voucher Total $75.74 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 9/8/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/8/2010 4000500034! $75.74 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 Off/, r The Mission of the District to provide a high quality, cost- effective sanitary sewer service to our community. ,W Clay Township Regional Waste District CTRWD P.O. Box 40638 *Q'((�� M u sftteme[ Indianapolis, IN 46240 -0638 Customer CARMEL ST DEPT Service Address: 3400 131 ST ST W Account Number 2000240134001 Billing Date 09/06/2010 62104110 11,10 6 0001961.20106901 1106O102 CLAY STMT 1 OT UCM FID6C 10060' 159511 LL i�Ilrilll�ullo h4�lilli��lrl�i�i�rll�illr��hllil��l� CARMEL ST DEPT Customer Message 3400 w 131ST ST CARMEL IN 46074 -8267; Previous Balance $489'12 Period From: 08/06/2010 ____P_ayme ❑ts_ $489,12 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.110oo gallons) Amount Metered Comm Primary-2 In Meter 60121546 5.00000 A 241.50 60334360 14.00000 60360195 3.00000 Important Information $241.50 Help save a tree! Effective with your October statement you can have your billing statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/20 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September 10-13. D $241.50 02 -1xo9- 2750(12109) Retain this portion for your records V NO. WARRANT NO. ALLOWED 20 Clay Township Regional Waste District IN SUM OF P. O. Box 40638 Indianapolis, IN 46240 -0638 $241.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Member: 2201 43 485.00 $241.50 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, Septembe X 09, 2010 i`l'1`cyv 6 Street Commjs oner £:�Yeet J�i VI I 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)) 09/06/10 $241.50 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 •CTRwD• RO .Bowi38RegionalWasteDistrict P.O. Box 4060638 Indianapolis, IN 46240 -0638 Customer MONON CARMEL CLAY Service Address: 1430 96TH ST E Account Number 0143006091230 Billing Date 09/06/2010 02/ 110 11:103 ODD26052(1100901 FI060101 CLAVSTMT I OZ QOM FIOG010000' 15 LT 143 I l rl ��l' l lll l l llllr l�� ll lllll '�I�"" Customer Message MONON CARMEL CLAY PARKS REC� PLC" 1411 E. 116TH STREET CARMEL IN 46032 -7611 �i4it Previous Balance $49.62 Period From: 08/06/2010 Payments -$49:62 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter dumber Cons. 0000 gallons Amount Metered Comm Primary- 1 112 In Meter 60353811 4.00000 A 47.58 Important Information D G�aG�j� Help save a tree! Effective with your October statement you can have your billing $47.58 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/201 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10-13. &EEMEM $47.58 02- 1x09- 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 �y� cTRwD P.O. Box 40636 pFfpQO n0y S Indianapolis, IN 46240 -0638 Customer CARMEL CLAY PARK Service Address: 2465 116TH ST W �'rP G? Account Number 0341578286817 Billing Date 09/06/2010 0210-011011.103 0002607 20400901 x-0101 CLAY STMT 1 OZ OOM FMQ1DW0' 1595x1 LT �I�I�Irlilltllli�hlll�lllnllllloh�lnl�rplllt�rvhl�r� Customer Message CARMEL CLAY PARK REC 1411 E. 116TH 5T. CARMEL IN 46032 -7611 t t Previous Balance $13.64 Period -From: 08/06/2010 Payments $13.64 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons .0000 gallons) Amount Multi Billed Tenant Units 1.5 in 9042973 0.00000 A 9.56 Important Information D Help save a tree! Effective with your October statement you can have your billing $9.56 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September 10 -13.� D MTft $9.56 Retain this portion for your records o2- 1x09 2750(12109) The Mission of the District to provide a high quality, cost effective sanitary sewer service to our community. 6 3 -CTRWD• Clay To 0 pReg'ionalWasteDistrict x P.O. Box 4 40638 ?l Indianapolis, IN 46240 -0638 6 Customer CARMEL CLAY PARK Service Address: 3100 116TH 6 HSTW Z (f Account Number 0341578281126 1 Billing Date 09/06/2010 0210911011,103 000-6 NI100901 FIMD101 CLAYSTMT I OZ DOM F1050100W 159541 LT VIII'�II�I�'I'III��" III' I' IIII�� '�'I'll�l "�II'1'll�'I�III'lll Customer Message CARMEL CLAY PARK REC 1411 E. 116TH ST. CARMEL IN 46032 -7611 Previous Balance $90.02 Period From: -08/06/2010 Payments -$90-02 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.u000 gallons) Amount Metered Comm Primary-2 In Meter 60268700 8.00000 A 81.86 Important Information D Help save a tree! Effective with your October statement you can have your billing $81.86 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date our treatment plant or a lift station. Please complete the enclosed form and 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10 -13. ^r $81.86 Retain this portion for your records 02- 1xO9- 2750(12109) The Mission of the District to provide a high quality, cost a effective sanitary sewer service to our community. Clay Township Regional Waste District ��i]�0� CTRWQ P.O. Box 40638 Indianapolis, IN 46240 -0638 A II Customer CARMEL CLAY PARK Service Address: 1411 116TH ST E SEP 4 2010 Account Number 1015000014110 Billing Date 09/06/2010 0210411011 ,103 0002e092.100901 FIM0101 C -STMT I OZ DOM F10601000�jjl9541 LT, r ++•t•.et+ atr hitIII�IIIIII��I�IIIi��ItI�IFIIIhIItII�I��Itll�ulltrrl�Il Customer Message CARMEL CLAY PARK REC 1411 E. 116TH ST. CARMEL IN 46032 -7611 t Previous Balance $15.68 Period From: 08/06/2010 Payments- 4 -E8 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.ii000 clarions) Amount Metered Comm Primary-5/8 In Meter 35379081 2.00000 A 13.64 Important Information D Help save a tree! Effective with your October statement you can have your billing $13.64 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September 10-13. G� $13.64 02- 1x09 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 I cTRwo P.O. Box 40638 Indianapolis, IN 46240 -0638 N L�4Ed Ri1Pl Customer CARMEL CLAY PARKS Service Address: 1235 CENTRAL PARK DR r, S Si Account Number 0101006272502 }+J ®7 201® N Billing Date 09/06/2010 02M4119 11.10 7 O=W3 20100901 FIMG 101 CLAYSTMT 1 oz QOM FI QIp 000' 159511 LT :41J rl: I' �I�III' il' II��IIIIIIII�I�' 1�Illll��l�l��y "�II'1'I�'II�I' a o Customer Message CARMEL CLAY PARKS 1411 E 116TH ST CARMEL IN 46032 7611 DO Previous Balance $25.01 Period From-, 08/06, Payments -$25.01 Period To: 09/06/2010 Adjustments $0.00 1 Total Past Due $0.00 Service Descri tion Meter Number Cons.ogpo gallons) Amount Metere Comm Primaryy Fog 1 In Meter 0101006272 0.00000 A 25.01 Important Information D Help save a tree! Effective with your October statement you can have your billing $25.01 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date D our treatment plant or a lift station. Please complete the enclosed form and 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September 10-13. a`1iu Cpl' @M D NCb�� $25.01 Retain this portion for your records 02- 149 2750(12109) The Mission of the District to provide a high quality, cost Clay Township Regional Waste District effective sanitary sewer service to our community. r •CTRWD, P.O. Box 40638 McnWy StOement Indianapolis, IN 46240 -0638 Customer CARMEL CLAY PARKS Service Address: 1235 CENTRAL PARK DR.E Account Number 0101016210101 Billing Date 09/06/2010 02/0411011 103 00020 2[1100901 11000 101 CLAY STMT 1 OZ DOM FI06p1 00110 1595 I LT �illu�lil��lln�li[ I�li��ilill��lllrlilrl��l�n�nlllllll Customer Message CARMEL CLAY PARKS 1411 E 116TH ST CARMEL M' 46032 -7611 i Previous Balance $198.14 Period -From: 08 Payments $198.-14 Period To: 09/06/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons .(i000 gallons) Amount Metered Comm Primary Fog 2 In Meter 60897458 93.00000 A 255.26 Importarit Information G 255'26 G�St D Help save a tree! Effective with your October statement you can have your billing statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date our treatment plant or a lift station. Please complete the enclosed form and VVV 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10-13. t $255.26 02- 109 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. Township Regional Waste District �O l� it y cTRwo PO. P0. Box 40638 Indianapolis, IN 46240 -0638 F(rydlLL Customer CARMEL CLAY CENTRAL Service Address: 1235 CENTRAL PA D�R4E Account Number 4000400010100 SEP 0 7 2010 Billing Date 09/06/2010 0210411011.103 W 200920100901 FI060101 CLAYSTMT I OZ OOM FIX, 010000' 159541 Ll Customer Message CARMEL CLAY CENTRAL PARK 1411 E 116TH ST CARMEL IN 46032 -7611 c Previous Balance $2,080.06 Period From: 0$10612010 Payments $2,080.06 Period To: 09106/2010 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons. gallons) Amount Metered Comm Primary Fog 2 In Meter 59392985 91.00000 A 2182.06 59392986 95.00000 60863133 22.00000 Important Information_ D Help save a tree! Effective with your October statement you can have your billing $2,182.06 statement e- mailed. For every 100 customers that sign up, we will plant a tree at Due Date our treatment plant or a lift station. Please complete the enclosed form and VVV 09/20/2010 return. Visit our booth at the Zionsville Fall Festival held in Lions Park September D 10-13. A@MBM AW °M @n $2,182.06 02 -1 x09- 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 9/6110 0143006091230 1430 E 96th St South Trailhead 47.58 916/10 341578286817 2465 W. 116th St Storage Building 9.56 9!6110 341578281126 3100 W 116th St -West Park 81.86 9/6/10 1015000014110 1411 E. 116th St. -Adm. 13.64 9/6/10 101006272502 11235 Central Park E. Dr. Monon Center 25.01 9/6/10 101016210101 1235 Central Park E. Dr. Monon Center 255.26 9/6/10 4000400010100 1235 Central Park E. Dr. 6 meters 2,182.06 Total 2,614.97 1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer i Voucher No, Warrant No. 061152 Clay Twp Regional Waste District Allowed 20 PO Box 40638 Indianapolis, IN 46240 -0638 In Sum of 2,614.97 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. CCT #ITITL 'AMOUNT Board Members Dept 1 125 0143006091230 4348500 47.58 1 hereby certify that the attached invoice(s), or 1125 341578286817 4348500 9.56 bills) is (are) true and correct and that the 1125 341578281126 4348500 81.86 materials or services itemized thereon for 1125 1015000014110 4348500 13.64 which charge is made were ordered and 1091 1010062 4348500 25.01 re leived except 1091 101016210101 4348500 255.26 1091 4000400010100 4348500 2,182.06 9 -Sep 2010 Signature 2,614.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund