193608 01/19/2011 A f CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
e ONE CIVIC SQUARE CLAY TWP RWD CHECK AMOUNT: $1,953.35
?a CARMEL, INDIANA 46032 PO BOX 40638
INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 193608
CHECK DATE: 1/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4348500 546.98 0101016210101
1091 4348500 715.30 4000400010100
1120 4348500 66.34 0376122604988
1120 4348500 68.38 2000130154000
1125 4348500 25.01 0101006272502
1125 4348500 41.46 0143006091230
1125 4348500 67.58 0341578281126
1125 4348500 13.64 0341578286817
1125 4348500 15.68 1015000014110
2201 4348500 231.30 2000240134001
601 5023990 77.78 4000500034500
601 5023990 83.90 4000500134500
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community.
CTRWD Clay Township Regional Waste District
P.O. Box 40638 0
Indianapolis, IN 46240 -0638
a
Customer MONON CARMEL CLAY
Service Address: 1430 96TH ST E Account Number 0143006091230
Billing Date 01/06/2011
021M(1011.103 00025302011010E GAOFX101 UAYSTMT 1 oz UOM G-r-0— 199511 u1
Ill�lllhllllltn�llIt�uitllllllllnlllil p�l�inl��v
Customer Message
MONON CARMEL CLAY PARKS REC
1411 E. 116TH STREET
CARMEL IN 46032 -7611 F
Previous Balance $47.58
Period From_ 12/06/2010 Pa yments 4758
Period To: 01/0612011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.0000 gallons) Amount
Metered Comm Primary- 1 112 In Meter 60353811 1.00000 A 41.46
G 4UPf i T L, JAN 7 201
E7 Pp�
Important Information, D $41.46
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and a -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.org and download the Due Date D 01/20/2011
form. Our office will be closed Monday, January 17th.
RB D $41.46
MTRB @KRa
02 -1x09- 2750112/09)
Retain this portion for your records
o "A Hft, REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
s ,CTRWD, p' INDIANAPOLIS, IN 46240 -0638
g (317) 844 -9200
�asA� Visit our website: www.ctrwd.org
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 1xQ9- 2750(,209)
The Mission of the District to provide a high quality, cost
effective sanitary sewer service to our community,
•CTRWD• Clay Township Regional Waste District
P.O. Box 40638
Indianapolis, IN 46240 -0638
Customer CARMEL CLAY PARK
Service Address: 2465 116TH ST W Account Number 0341578286817
Billing Date 01/06/2011
02 -1011. 103 000250220110tH GAOFX101 CLAY STMT I OZ OOM GAO FX 10000 159541 UT
III "IThl Ill)°'' lll' l' llllll "I'lllllllll'l'lllllllllllllN Customer Message
CARMEL CLAY PARK REC
1411 E. 116TH ST.
CARMEL IN 46032 -7611
Previous Balance $11.60
Period From: 12/06/2010 Payments $11.60
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.ogoo gallons) Amount
Multi Billed Tenant Units 1.5 in 9042973 2.00000 A 13.64
I
L 4AN 0
Important Information D
$13.64
This month's insert is a recap of 2010 for the District, A Year of Progress_ The
District offers auto -debit for your bill payment options and e -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.org and download the Due Date D 01/20/2011
form. Our office will be closed Monday, January 17th.
Gam^
MW @M @111D $13.64
02-U09-2750(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.
CTRWD• Clay Township Regional Waste District
P.O. Box 40638
Indianapolis, IN 46240 -0638
Customer CARMEL CLAY PARK
Service Address: 3100 116TH ST W Account Number 0341578281126
Billing bate 01/06/2011
U2W10 (1'103 IXID5al2D110" GAO FT I o I CLAYSTMT 1 oz 001d GAYX I(I M541 U
11 1111 "I'I�11 lull" Ill' II�IIIII 'll�l'1�'lillllll'I�11111111 Customer Message
CARMEL CLAY PARK REC
1411 E. 116TH ST.
CARMEL IN 46032 -7611 tify',•
Previous Balance $71.66
Period From 12/06/2010 Payments $71.66
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.0000 gallons) Amount
Metered Comm Primary-2 In Meter 60268700 1.00000 A 67.58
E� JAN 0 7 Zell
7- 1: n
Important Information D
This month's insert is a recap of 2010 for the District, A Year of Progress. The $67.58
District offers auto -debit for your bill payment options and a -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.org and download the Due Date p 01/20/2011
form. Our office will be closed Monday, January 17th.
D $67.58
Retain this portion for your records 02 -1x09- 2750(12/09)
The Mission of the District to provide a high quality, cost
effective sanitary sewer service to our community.
Clay Township Regional Waste District an Hy Statement
CTRWD P0. Box 40638
Indianapolis, IN 46240 -0638
AtY
Customer CARMEL CLAY PARK
Service Address: 1411 116TH ST E Account Number 1015000014110
Billing Date 01/06/2011
02IWIlD 11'103 MO2533201101W G-101 rLAVSTMT I OZ DO M GADFx l MOO' I59511 VT
I�II'lll�'I�' 1111' lll�lll' IL�I11�11 t�1'�'� "I'I��� "I�I�I'�IIII� Customer Message
CARMEL CLAY PARK REC
1411 E. 116TH ST.
CARMEL IN 46032 -7611
Previous Balance $15.68
Period From: 12/06/2010 Payments $15.68
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Con s.0000 gallons) Amount
Metered Comm Primary-5/8 In Meter 35379081 3.00000 A 15.68
i
J AN 0 7 201
Important Information D
$15.68
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and a -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.or Due Date g and download the D 0 1/20/201 1
form. Our office will be closed Monday, January 17th.
GGbOf $15.68
02 -1x0g- 2750112109
Retain This portion for your records
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- P0. Box 40638 fM nWy SWeffl�ll eM
Indianapoiis, IN 46240 -0638
n
AEGbNLL
Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101006272502
Billing Date 01/06/2011
(17/(#110 11;10 a 0002528 201101W GAOFX I01 STMT 1 OZ DOM GAOFX I WN' 159511 DT
II�II�I1111iII�IIII�"' IIII111�1 "II'�I'�I'1'IIIIIILLIJ�I Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL IN 46032 -7611 p�!
Previous Balance $25 -01
Period From: 12/0612010 Payments $25.01
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.ogoo gallons) Amount
Metere Comm Primaryy Fog 1 In Meter 0101006272 0.00000 A 25.01
f
JAN 0 7 2011
F-
Important Information ftm 1 D $25.01
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and e -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.org and download the Due Date D 01/20/2011
form. Our office will be closed /Monday, January 17th.
D $25.01
Retain this portion for your records 02- 109- 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 f,1
cTRwc P.O. Box 40638 u�u y SWOMeM
Indianapolis, IN 46240 -0638
e
Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101016210101
Billing Date 01/06/2011
021b111011 103 000 2529 20110104 GAUX101 CI.AYSTM 1 I OZ LORI GA— I- 0 -1 UT
if111411htPlhl�nlnrll�llh�1�11r�l�llll�ru�rrlll Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL IN 46032 -7611 "•3':
Previous Balance $606.14
Period From: 12/06/2010 Payments $606.14
Period To. 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.fl000 gallons) Amount
Metered Comm Primary Fog 2 In Meter 60897458 236.00000 A 546.98
i
L, JAN 0
T
Important Information pG C fiiT f3 D $646.98
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and e -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.org and download the Due Date 01/20/2011
form. Our office will be closed Monday, January 17th. VV
Awm&D
MT @M $546.98
Retain this portion for your records 02 149 2750�12109)
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community.
CTRwp• P.O. Box
P.O. Box 40638
Indianapolis, IN 46240 -0638
REfdWLL�
Customer CARMEL CLAY CENTRAL
Service Address: 1235 CENTRAL PARK DR E Account Number 4000400010100
Billing Date 01/06/2011
02(04110 11 102 (10025.4420110100 GA IO I UAVSTM7102 OOM GAOFX I WOD• 154541 UT
�I�I" II"' 1�1�1�' �I' �I' ll��ll' I'llll�l'1�11!'I'S'll'lll��l��l Customer Message
CARMEL CLAY CENTRAL PARK
1411 E 116TH ST
CARMEL IN 46032 -7611 ii
Previous Balance $774.46
Period From: 12/06/2010 Payments $774 -46
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.0000 gallons) Amount
Metered Comm Primary Fog 2 In Meter 59392985 93.00000 A 715.30
59392986 97.00000
60863133 0.00000
r r
F
i
JAN 0 7 2011
IM136Mrtt•InfotmatIon........ D $715.30
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and e -bill for your montly
billing statement. To sign up, visit our website at www- ctrwd.org and download the Due Date D 01/20/2011
form- Our office will be closed Monday, January 17th.
MR @M @MD D $715.30
Retain this portion for your records 02- aXo9- 2750t12v0s)
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 Tvvp Regional Waste District Terms
PO Box 40638 Date Due
Indianapolis, IN 46240 -0638
{s) or bill(s)}
Invoice Invoice Description
Date Number (or note attached invoice
Amount
116111 0143006091230 14 E 96th St South T railhead 41.46
116111 341578286817 2465 W. 1 16th St Storage Building 13.64
116111 341578281126 3100 W 116th St -West Park 67.58
116111 1015000014110 1411 E. 116th St. Adm. 15.68
116111 101006272502 1235 Central Park E. Dr. Monon Center 25.01
116111 101016210101 1235 Central Park E. Dr. Monon Center 546.98
116111 4000400010100 1235 Central Park E. Dr. 6 meters 715.30
7otak 1,425.63
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.
061152 Clay Twp Regional Waste District Allowed 20
PO Box 40638
Indianapolis, IN 46240 -0638
in Sum of
1,425.65
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1125 0143006099230 4348500 41.46 1 hereby certify that the attached invoice(s), or
1125 341578286817 4348500 13.64 bill(s) is (are) true and correct and that the
1125 341578281126 4348500 67.58 materials or services itemized thereon for
1125 1015000014110 4348500 15.68 which charge is made were ordered and
1091 101006272502 4348500 25.01 received except
1091 101016210101 4348500 546.98
1091 40004000101oo 4348500 715.30
13 -Jan 2011
Signature
1,425.65 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
o effective sanitary sewer service to our community.
•CTRWD• Clay Township Regional Was District �0��� ����QMO��
P0. Box 40638
Indianapolis, IN 46240 -0638
Customer CARMEL_ ST DEPT
Service Address: 3400 131ST ST W Account Number 2000240134001
Billing Date 01/06/2011
02MrIO 11.10 3 0(10)650 20110101 GAOF %102 C�AYSTMT I OZ OOM GAOF %I WOO' 159501 UT
itII�IIIiIlhilih�t�ilht�lil °r�I�Ini�ul�rttildrihliii
Customer Message
CARMEL ST DEPT
3400 w 131sT ST
CARMEL IN 46074 -8267
0
Previous Balance $239.46
Period From: 12/06/2010 Payments $239.46
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter N u mber Consm000 gallons) Amount
Metered Comm Primary-2 In Meter 60121546 5.00000 A 231.30
60334360 9.00000
60360195 3.00000
Important Information Gtl. D
$231.30
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and e -bill for your montly Due Date
billing statement. To sign up, visit our website at www.ctrwd.org and download the 0112012011
form. Our office wilt be closed Monday, January 17th.
G�Cb� D $231.30
02- 1x09 2750(12109)
Retain this portion for your records
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Township Regional Waste District
IN SUM OF
P. O. Box 40638
Indianapolis, IN 46240 -0638
$231.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 43- 485.00 $231.30 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, January 13, 2011
Street Commissioner
11
t er t'cTtei�`��cner
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))
01/06/10 $231.30
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
11 A4 effective sanitary sewer service to our community.
CT WD. Clay Township Regional Waste District
P.O. Box 40638
Indianapolis, IN 46240 -0638
AR OMS��
Customer FIRE STATION #46
Service Address: 540 136TH ST W Account Number 2000130154000
Billing Date 01/06/2011
02PMI10 11 10 3 IXfXM5 zD IM cAO—1 GTAYSTMT 1 OZ DOM CAOFMI 159Mi UT
I�'III'll' 11111' �IIII" I�I' IIIII�I ''I�I�I'III�P'�il�l "I�I� "II Customer Message
FIRE STATION #46
2 CIVIC SQUARE
CARMEL IN 46032 -2584
n?
Previous Balance $52.06
Period From: 12/06/2010 Payments -$52.06
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons .0000 gallons) Amount
Metere Comm Primaryy Fog 1 In Meter 48889163 6.00000 A 68.38
48889164 9.00000
Important Information D
$68.38
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and a -bill for your montly Due Date
billing statement. To sign up, visit our website at www.ctrwd.org and download the 01/20/2011
form. Our office will be closed Monday, January 17th.
GCb�Cfb $68.38
02 -txog- 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
b •CTRWD• P.O. Box 40638 ?J
Indianapolis, IN 46240 -0638
n
Customer FIRE STATION #42
Service Address: 3610 106TH ST W Account Number 0376122604988
Billing Date 01/06/2011
02)O111011 ](13 00002+¢ 2O1 101N1 GAOFXIOI CLAYS TMT I OZ UOM GAOFX I- 155511 UT
11111111111111 l'" "'�111IIIIII1Jill Customer Message
FIRE STATION #42
2 CIVIC SQUARE
CARMEL IN 46032 -2584 h
rte%
Previous Balance $66.34
Period From: 12/06/2010 Pavments $66.34
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons. 0000 aalhons) Amount
Metered Comm Mich Rd Fog 1 In Meter 10856168 7.00000 A 66.34
10856207 7.00000
Important Information D
$66.34
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and e -bill for your montly
billing statement. To sign up, visit our website at www.ctrwd.org and download the Due Date p 01120/2011
form. Our office will be closed Monday, January 17th. AWSMIBM
aLiT $66.34
02 -1x09- 2750112109)
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
$134.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 2000130154000 43- 485.00 $68.38 1 hereby certify that the attached invoice(s) or
1120 0376122604988 43 $66.34 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
JAN 1 70f�
1
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. 1996)
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 $68.38
0376122604988 42 $66.34
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.
cTRwo Clay Township Regional Waste District
P.O. Box 40638
Indianapolis, IN 46240 -0638
a
AHJM1y
Customer CARMEL WATER
Service Address: 3450 131 ST ST W #B Account Number 4000500134500
Billing Date 01/06/2011
O2tt 1011103 0 M422f11 tOtfJS GAOF %102 CLAY -T I OZ DOM GAOF%IWW' 15951 D1
Customer Message
CARMEL WATER FACILITY
3450 w 131 STREET #B
CARMEL IN 46074 -8267
Previous Balance $94.58
Pe From: 12/06/2010 Payments $87 -98
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $6.60
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Michigan Rd -2 In Meter 60491814 9.00000 A 83.90
Important Information D
$90.50
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and a -bill for your montly Date billing statement. To sign up, visit our website at www.ctrwd.org and download the Due p 0112012011
form.. Our office will be closed Monday, January 17th.
MT91D @n $90.50
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
cTRwo P.O. Box 40638 monmy Statement
Indianapolis, IN 46240 -0638
e
n
ncaaleiv
Customer CARMEL WATER
Service Address: 3450 131ST ST W #A Account Number 4000500034500
Billing Date 01/0612011
021WI10 S1 to g M00 51 20110 —UAOF 102 CLAVSTMT l DZ UOM GAOFx1O0W 15 13 UT
I�I�
Customer Message
CARMEL WATER FACILITY
3450 w 131 STREET #A
CARMEL IN 46074 -8267
Previous Balance $100.44
Period From: 12/06/2010 Payments
Period To: 01/06/2011 Adjustments $0.00
Total Past Due $16.54
Service Description Meter Number Cons.m000 gallons) Amount
Metered Comm Michigan Rd -2 In Meter 60491813 6.00000 A 77.78
q
�l
Important Information D
$94.32
This month's insert is a recap of 2010 for the District, A Year of Progress. The
District offers auto -debit for your bill payment options and a -bill for your montly Due Data
billing statement. To sign up, visit our website at www.ctrwd.org and download the 0112012011
form. Our office will be closed Monday, January 17th.
1. D $94.32
Retain this portion for your records 02- 1x09 2750 (12/09)
VOUCHER 103753 WARRANT ALLOWED
061152 IN SUM OF
CLAY TOWNSHIP REGIONAL WASTE-
PO BOX 40638
INDIANAPOLIS, IN 46240- 06380P�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
40005001345 01- 6360 -06 $83.90
Voucher Total $8�
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 12/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201( 4000500134' $83.90
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
J �R„r�. t^-. 'i ^'cam- -it
Date Officer