193246 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEY CHECK AMOUNT: $3,600.00
CARMEL, INDIANA 46032 BOX 70934
CHARLOTTE NC 28272 -0934 CHECK NUMBER: 193246
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4462838 90013454 3,600.00 STORM WATER PHASE II
DI -1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
DOWN PAYMENT (BILL) REQUEST
Make Remittance Payable To: United States Geological Survey Bill 90013454
Billing Contact: Administrative OfficelFinancia Phone: 317 290 -3333 Date: 12/02/2010
Due Date: 01/31/2011
Remit Payment To: United States Geological Survey Send Overnight Lockbox Mail To:
BOX 70934
Charlotte, NC 28272 -0934 QLP Wholsale Lockbox NC #0810
Lockbox 70934
1525 West WT Harris Blvd
Charlotte NC 28262
Payer: TOWN OF CARMEL
1 CIVIC SQUARE Additional forms of payment may be accepted. Please
P.O. BOX 1399 email gdatta @usgs.gov or call 703 648 -7605 for
CARMEL IN 46032 additional information.
Checks must be made payable to
U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment:
Date Description Qty Unit Price Amount
Cost Per
12/02/2010 10E41N2412005 1 3,600.00 1 3,600.00
Amount Due this Bill: 3
Accounting Classification:
Sales Order: 3839
Sales Office: GENF
Customer Number: 6000001344
TIN: 356000972
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U.S. GEOLOGICAL SURVEY
Indiana Water Science Center
5957 Lakeside Boulevard
Indianapolis, W 46278
December 2, 2010
Mr. Mike McBride
City of Carmel
One Civic Square
Carmel, IN 46032
Dear Mr. McBride:
Enclosed is Bill Number 90013454 in the amount of $3,600 for the period of October 1, 2009
through September 30, 2010, for reimbursement of expenses incurred against our cooperative
agreement I OE41N24120005 for the installation, operation, and maintenance of a streamflow
gaging station on Williams Creek in Hamilton County.
One copy of the bill should be returned with your check to the remit address, and one copy is for
your records.
Your cooperation and support are greatly appreciated. If further information is needed, please
don't hesitate to call me at (317) 290 -3333 or email at trclark @)us2s.,ov
Sincerely,
Tonja R. Clark
Budget Analyst
2 Enclosures
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
r�l'r�d�i'���Irpur, number of units, price per unit, etc.
PO Box 2065 Payee
I nd anap6 li s, I N 46206 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I M 2/1 9001345 f low Gag tia
Total $3,600';.}0
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
VOb� oN g N V �y RANT NO.
ALLOWED 20
BOX 7 0934
IN SUM OF
Charlotte, NC 28272 -0934
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
F�0# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a n/a 206 4462838 $3 600.M11(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund