HomeMy WebLinkAbout194751 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 362335 Page 1 of 2
I ONE CIVIC SQUARE RIVER BEND TRANSPORT NORTH BEN9 CHECK AMOUNT: $7,300.68
CARMEL, INDIANA 46032 23460 NETWORK PLACE
CHICAGO IL 60673 -1234 CHECK NUMBER: 194751
CHECK DATE: 2/1612011
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBE AMOUNT DESCRIPTION
601 5023990 455.99 595281
601 5023990 455.99 595282
601 5023990 455.99 595283
601 5023990 455.99 595284
601 5023990 455.99 595505
601 5023990 455.99 595507
601 5023990 455.99 595508
601 5023990 455.99 595509
601 5023990 455.99 595511
601 5023990 455.99 595646
601 5023990 455.99 595647
601 5023990 455.99 595648
601 5023990 457.20 595848
CITY OF CARMEL, INDIANA VENDOR: 362335 Page 2 of 2
ONE CIVIC SQUARE RIVER BEND TRANSPORT NORTH BEN
CARMEL, INDIANA 46032 23460 NETWORK PLACE HECK AMOUNT: $7,3D0.68
CHICAGO IL 60673 -1234 CHECK NUMBER: 194751
CHECK DATE: 2/1 612 01 1
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
601 5023990 457.20 595857
601 5023990 457.20 595858
601 5023990 457.20 595859
f.
4 a ii I River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
Carmel Utilities Order Number: ,00595647- 1
One Civic Square Billing Date: 1/27/2011
Order Date: 1/24/2011
Carmel, IN 46032 Release No: 616288
USA
OI�,IG(N: 1 s.
.��A ;r���.�,�����.�,��, n,� DESTINATION
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Carmel, IN 46032
USA USA,
B%L Date B/I Number �i)csct tl�t on g K Quantity 172 R A zi 9517 Rate i T otal'
1/19/2011 616288 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/19/2011 616288 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within .15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1 /2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. 15 Da s $462.83
costs and expenses incurred by River Bend in order to collect y
transportation charges.
River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
Frei }tt =ln'7
w...,.
Carmel Utilities Order Number: 00595646 -01
One Civic Square Billing Date: 1/27/2011
Order Date: 1/24/2011
Carmel, IN 46032 Release No: 616286
USA
1 06
x y am&
R R. DES,TINATIQN
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square D
CINCINNATI, OH 45233 Carmel, IN 46032
USA USA ?l�d�
1/18/2011 616286 Indusirial Water Treatment Salt 1.00 Plat 1.0000 $405.00
SALT IN D
1/18/2011 616286 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1 /2% Due After
Respons
and ible party agrees to pay reasonable attorney fees and all other due after 15 days. $462.83
cos expenes incurred by River Send in order to collect
s 15 Days
transportation charges.
t River Bend Transport -North Bend
Li
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
ra tv "k
7'armel Utilities Order Number 00595511 -01
Dne Civic Square Billing Date: 2/7/2011
Order Date- 1/17/2011
Carmel, IN 46032 Release No: 616285
USA
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Carmel, IN 46032 r
USA USA
7�y 1�fwY
I /14/2011 616285 Industrial Water Treatment Salt 1.00 Flat 1,0000 $405.00
SALT IND
1/14/2011 616285 North American Industrial Salt 121,40 Miles 0.4200 $50.99
REM IT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All fl•eight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
Sf�OW OUR INVOICENUMB$R WHEN MAKING A PAYMFN'f Sundays and legal holidays). Charge of 1 -1 /2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. $462.83
costs and expenses incurred by River Bend in order to Collect 15 Days
transportation charges.
River Bend Transport North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
[i t nl.
T
Carmel Utilities Order Number: 00595507 -01
One Civic Square Billing Datc: 2 /7/2011
Order Date: 1/17/2011
Carmel, IN 46032 Release No: 613602 i �-1 S
USA t lJ
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Cannel, IN 46032
USA USA
*rye t_ a•,,.. M
1/10/2011 613602 industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/10/2011 613602 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1 /2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. 5462.83
costs and expenses incurred by River Bend in order to collect Days
transportation charges. 15
River Bend Transport -North Bend
f� 300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
e rsi"M i 7l1'trfl, C s,
:armel Utilities Order Number: 00595284 -01
one Civic Square Billing Date: 2/7/2011
Order Date: 1/10/2011
�armel, IN 46032 Release No: 611835
USA
ROBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square
CINC INNATI, OH 45233 Carmel, IN 46032
USA
1/5/2011 611835 Industrial Water Treatment Salt 1.00 Flat 1.0000 5405.00
SALT IND
1/5/2011 611835 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMEN'r Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. $462.83
costs and expenses ineturcd by River Send in order to collect 15 Days
transportation charges,
River Bend Transport -North Bend
300 Three Rivers Parkway
North Send, OH 45052 -0008
USA
A xm 1`r�tQk11•Inr!��e�.,:.
Carmel Utilities Order Number: 00595648 -01
One Civic Square Billing Date: 1/27/201 1
Order Date: 1/24/2011
Carmel, IN 46032 Release No: 616289
USA
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square LA
CINCINNATI, OH 45233 Carmel, IN 46032
USA USA
's,'�+ p1'R':.r«'�'r*?^' `s"""'.y- »"R"'^.;,�,"d.'2"..._ s ,^s,w«, r s+ ti ;r»
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w .�.E f.,. ssrn::. v.. wa._ sw,ua»ans�az"�*"- a,"d,#3``' ^`S
1/20/2011 616289 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/20/2011 616289 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. 15 Days $462.83
costs and expenses incurred by River Bend in order to collect
transportation charges.
River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
�T U� .Lp f..�7'p+r.�;(er.:r.r
..l,�..�;,k�.u�.'�t;...�',t
Carinel Utilities Order Number: 00595858 -01
One Civic Square Billing Date: 2/4/2011
Order Date: 1/31/2011
Carmel, IN 46032 Release No: 620120
USA
0 k..
ROBBENS WAREHOUSE Carmel Utilities
6 BENDER ROAD One Civic Square l 1
CINCINNATI, OH 45233 Carmel, IN 46032 1
USA USA
B/L DdRIUF B�1 NlllTlber Dt SCr3 Q 4w
t€anttt Rate otal
1/26/2011 620120 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/26/2011 620120 North American Industrial Salt 121.40 Miles 0.4300 $52.20
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $457.20
CHICAGO IL 6 0673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1 /2%
Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. 15 D
$464.06
costs an d expenses incurred by River Bend in order to collect
transportation charges.
e ii River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
1266 01 Ce, �'w� :,a� s s ;a
[1V k°.,c
Carmel Utilities Order Number: 00595857 -01
One Civic Square Billing Date: 2/4/2011
Order Date: 1/31/2011
Carmel, IN 46032 Release No: 620119
USA
s
ORIGII� to ;�trr�mt 7� P �5��
DESTINATION fr..
a
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Carmel, IN 46032
USA USA
B%l Dates $/LNumbe, r..:. UR script €on r Y ..t uaiitit y r, a R ate T Ot3I
1/25/2011 620119 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1125/2011 620119 North American Industrial Salt 121.40 Miles 0.4300 $52.20
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $457.20
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
L R INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
e party agrees to pay reasonable attorney fees and all other due after 15 days. $464.06
xpenses incurred by River Bend in order to collect 15 Days
on charges.
10 i River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
M
�armel Utilities Order Number: 00595508 -01
Dne Civic Square Billing Date: 2/7/2011
Order Date: 1/17/2011
�armel, IN 46032 Release No: 613603
JSA
ROBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square
2INCINNATI, OH 45233 Carmel, IN 46032
USA USA W
1/7/2011 613603 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT 1ND
U712011 613603 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHI 1L 60673 -123 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible party agrees to pay reasonable attorney fees and ull other due after 15 days. $462.83
costs and expenses incurred by River Bend in order to collect 15 Days
transportation charges.
Y s ri 1 River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
M OO
�armel Utilities Order Number: 00595505 -01
Une Civic Square Billing Date: 2/7/2011
Order Date: 1/17/2011
Darnel, IN 46032 Release No: 611834
USA
0
ROBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Cat me], IN 46032 AAA
USA USA `L1
at8f(L!Y a& �7d'Jx 1 E2�i d tx� xa
117/2011 611834 Industrial Water Treatment Salt 1.00 Flat 1,0000 $405.00
SALT IND
1/7/20[l 611834 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKfNG A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. $462.83
costs and expenses incurred by River Bend in order to collect 15 Days
transportation charges.
7 1 1 River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
.6
USA
BILLT� �y a r y nv
FI'Qt�Til t �]I fi V,OLCO
Carmel Utilities Order Number: 00595848 -01
One Civic Square Billing Date: 2/4/2011
Order Date: 1/31/2011
Cannel, IN 46032 Release No: 616291
USA
k
UE AT �F
ORIGIN a s; x�,,u.
x .M..,
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square 5
CINCINNATI, OH 45233 Carmel, IN 46032 t U
USA USA
1 25 d UPO b'^" °°fix rte':, -,r ay�K raxr I C? i rc..
B /L,DafE/L NulnbeC Ners tl[lns s tt ff Qna I1Rate tTptal
:..M�: F i
_fit w M:�a
1/24/2011 616291 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT 1ND
1/24/2011 616291 North American Industrial Salt 121.40 Miles 0.4300 552.20
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $457.20
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. $464.06
costs and expenses incurred by River Bend in order to collect 15 Days
transportation charges.
River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
Carmel Utilities Order Number: 00595859 -01
One Civic Square Billing Date: 2/4/2011
Order Date: 1/31/2011
Cannel, IN 46032 Release No: 620121
USA
16 0 K`� �r��x
���84 .��:�.����a�.���,��.�::>�o..�i� DESTINATION. *;�;a.� �.�.�;�...?�,��,ti�"�a
ROBBENS WAREHOUSE Carmel Utilities
6500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Carmel, IN 46032
USA USA
r_t, si y ate: 3 r Rate T 1p(al
B/I .DaCe,w B /L::Niimber aDescrptron t l Quantity g4
1/27/2011 620121 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/27/2011 620121 North American Industrial Salt 121.40 Miles 0.4300 $52.20
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $457.20
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. 15 Da s $464.06
costs and expenses incurred by River Bend in order to collect y
transportation charges.
River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
V�:i�'.STi"4� -a:_ ...'.r ,.�6 }y.�+; fir. �,'}b .Y. �1, "c
�armel Utilities Order Number: 00595282 -01
Dne Civic Square Billing Date: 2/7/2011
Order Date: 1 /10 /2011
armel, IN 46032 Release No: 605833
JSA
ROBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square
JINCINNATI, OH 45233 Carmel, IN 46032
USA USAv V
1/4/2011 605833 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405,00
SALT IND
1/4/2011 605833 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO 1L 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsibie party agrees to pay reasonable attorney Fees and all other due after 15 days. I S
S Da $462.
costs and expenses incurred by River Bend in order to collect Y
transportation charges.
1 River Bend Transport -North Bend
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
Carmel Utilities Order Number: 00595281 -01
One Civic Square Billing Date: 2/7/2011
Order Date; 1/10/2011
Carmel, IN 46032 Release No: 605832
USA
ROBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Carmel, IN 46032 l n
USA USA l U
1/3/2011 605832 industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/3/2011 605832 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1 /2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due alter 15 days. $462.83
costs and expenses incurred by River Bend in order to collect 15 Days
transportation charges.
�i River Bend 'Transport -forth Bent!
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
3IIi1'.
:armel Utilities Order Number: 00595283 -01
one Civic Square Billing Date: 2/7/2011
Order Date: 1/10/2011
armel, IN 46032 Release No: 605843
JSA
,?,OBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square f!�
vINCINNATI, OH 45233 Carmel, IN 46032
USA USA
1/5/2011 605843 Industrial Water Treatment Salt 1.00 Flat 1.0000 5405,00
SALT IND
1/5 /2011 605843 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -1234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1 /2% Due After
Responsible party agrees to pay reasonable attorney fees and all other due after 15 days. $462.83
costs and expenses inwrred by River Bend in order to collect 1 Days
transportation charges.
7 0 Vii' River Bend Transport-North Bend 0 m
300 Three Rivers Parkway
North Bend, OH 45052 -0008
USA
N ..A F ORT r ,mot AM cQ
:armel Utilities Order Number: 00595509
one Civic Square Billing Date: 2/7/2011
Order Date: 1/17/2011
�armel, IN 46032 Release No; 613604
JSA
a mmm
WBBENS WAREHOUSE Carmel Utilities
5500 BENDER ROAD One Civic Square
CINCINNATI, OH 45233 Carmel, IN 46032
JSA USA
5 ppf�t
1,:. 1,_2{' sa.
'1 °:otlil
1/7120 1 1 61 Industrial Water Treatment Salt 1.00 Flat 1.0000 $405.00
SALT IND
1/7/2011 613604 North American Industrial Salt 121.40 Miles 0.4200 $50.99
REMIT TO: RIVER BEND
23460 NETWORK PLACE Credit Terms: All freight charges are due and Total: $455.99
CHICAGO IL 60673 -I234 payable within 15 days (including Saturdays,
SHOW OUR INVOICE NUMBER WHEN MAKING A PAYMENT Sundays and legal holidays). Charge of 1 -1/2% Due After
Responsible puny agrees to pay reasonable attorney fees and all other due after 15 days. $462.83
costs and expenses incurred by River Bend in order to collect 15 Days
transportation charges.
VOUCHER 103979 WARRANT ALLOWED
362335 IN SUM OF
RIVER BEND TRANSPORT
23460 NETWORK PLACE op e',
CHICAGO, IL 60673 -1234
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5175tc,U(0 E)I -61 10 455.9`]
5P6 it it q 5',5, 9
595647 01- 6180 -03 $455:99
59 ss o--? 'j Li 5 .5.9
54t53.q;q I y55.9g
ji LA 55,Rq,
ZD
5 9 5$ S-1 u L( 5 7 'W
54 �i y55.79
5`i5s�!S ti t 5591
S 9 5% q R t i L� 67, Z -cam
59 5q':�'q j L4G Zb
5 'i y,559q
5 9sassI j� g5594
59c-)ag3 w5s.9`)
5 C 55 C.9 w 5 5
Voucher Total' �,M
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
362335
RIVER BEND TRANSPORT Purchase Order No.
23460 NETWORK PLACE Terms
CHICAGO, IL 60673 -1234 Due Date 2/4/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/2011 595647 $455.99
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and II have audited same in accordance with IC 5- 11- 10 -1.6
11 J G L)g,
Date Officer