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192270 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1 ONE CIVIC SQUARE TREASURER OF STATE CHECK AMOUNT: $7,443.00 CARMEL, INDIANA 46032 STATE BOARD OF ACCOUNTS �icw 302 W WASHINGTON, RM E418 CHECK NUMBER: 192270 INDIANAPOLIS IN 46204 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 31291 4,236.00 AUDIT 651 5023990 31291 3,207.00 AUDIT INDIANA STATE BOARD OF ACCOUNTS INVOICE CARMEL- WASTEWATER UTILITY ONE CIVIC SQUARE CARMEL IN 46032 -1739 Invoice Number: 31292 DISBURSING OFFICER COUNTY BILLING DATE CARMEL- WASTEWATER UTILITY Hamilton 10/28/2010 I.D. Number: 29 002 02 BILLING TRANSACTIONS FOR 09/24/2010 TO 10/28/2010 29 002 02 CARMEL WASTEWATER UTILITY 52740 ANNUAL 2009 BILLING $3,207.00 BALANCE DUE AS OF 10/28/2010 $3,207.00 I hereby certify that the foregoing is a true and correct statement of the costs of examination and the above designated official is hereby thorized to issue his warrant without appropriation therefor, pa le t he Treasurer of State of Indiana in payment of the above claim. f� Sta Examiner For amounts due from taxing units, county auditor will obtain reimbursement by deduction from the next semi annual settlement of taxes. PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRAINT PAYABLE TO TREASURER OF STATE AND MAIL TO: State Board of Accounts, 302 West Washington Street, Room E418, Indianapolis, IN 46204 IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this invoice, contact Sandy Rasnake at (317) 232 -4964. VOUCHER 106599 WARRANT ALLOWED 307600 IN SUM OF TREASURER OF STATE STATE BOARD OF ACCOUNTS 302 W WASHINGTON, RM E418 INDIANAPOLIS, IN 46204 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 31292 01- 7670 -08 $3,207.00 Voucher Total $3,207.00 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribers 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 307600 TREASURER OF STATE Purchase Order No. STATE BOARD OF ACCOUNTS Terms 302 W WASHINGTON, RM E418 Due Date 11/16/2010 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/16/201( 31292 $3,207.00 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 Officer INDIANA STATE BOARD OF ACCOUNTS INVOICE CARMEL -WATER UTILITY ONE CIVIC SQUARE CARMEL IN 46032 Invoice Number: 31291 DISBURSING OFFICER COUNTY BILLING DATE CARMEL -WATER UTILITY Hamilton 10/28/2010 I.D. Number: 29 002 01 BILLING TRANSACTIONS FOR 09/24/2010 TO 10/28/2010 29 002 01 CARMEL -WATER UTILITY 52739 ANNUAL 2009 BILLING $4,236.00 BALANCE DUE AS OF 10/28/2010 $4,236.00 I hereby certify that the foregoing is a true and correct statement of the costs of examination and the above designated official is hereby thorized to issue his warrant without appropriation therefor, pa ble t he Tredsurer of State of Indiana in payment of the above claim. Sta Examiner For amounts due from taxing units, county auditor will obtain reimbursement by deduction from the next semi annual settlement of taxes. PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARR -AA T PAYABLE TO TREASURER OF STATE AND MAIL TO: State Board of Accounts, 302 West Washington Street, Room E418, Indianapolis, IN 46204 IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this invoice, contact Sandy Rasnake at (317) 232 -4964. HER 103373 WARRANT ALLOWED W0 IN SUM OF TREASURER OF STATE STATE BOARD OF ACCOUNTS 302 W WASHINGTON, RM E418 INDIANAPOLIS, IN 46 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 31291 01- 6670 -08 $4,236.00 Voucher Total $4,236.00 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 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 307600 TREASURER OF STATE Purchase Order No. STATE BOARD OF ACCOUNTS Terms 302 W WASHINGTON, RM E418 Due Date 11/16/2010 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11116/201( 31291 $4,236.00 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 Officer