194626 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 355490 Page 1 of 1
ONE CIVIC SQUARE I U P P S CHECK AMOUNT: $2,655.00
z CARMEL, INDIANA 46032 PO BOX 66898
INDIANAPOLIS IN 46266-6898 CHECK NUMBER: 194626
CHECK DATE: 2/16/2011
DEP AC PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
601 5023990 28881 2,655.00 OTHER EXPENSES
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Know what's below.
Call before you dig.
CARMEL UTILITIES
PAUL PACE Invoice Number: 28881
3450 WEST 131ST STREET Invoice Date: 1/25/11
WESTFIELD, IN 46074 Customer No: ID2400
Payment Terms: Net -due in30 days
4TH QUARTER
(OCTOBER 1 DECEMBER 31, 2010)
Description. Total Tickets Amount
Quarterly Per Ticket Fee $0.90 /ticket) 2,950 2,655.00
Please remit payment to: IUPPS
P. O. Box 66898
Indianapolis, IN 46266 -6898
Please refer to either your Customer No. or the Invoice No. on your check
Please address questions to: Karen Braun
1 -317 -893 -1405
Invoice Total 2,655.00
PO Box 219 Greenwood IN 46142 877.230.0495 FAX: 877 230.0496 www.Indiana 811.org
VOUCHER 103987 WARRANT ALLOWED
355490 IN SUM OF
IUPPS WATER
OPERAT10
P.O. BOX 66898
INDIANAPOLIS, IN 46266 -6898
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
28881 01- 6360 -06 $2,655.00
Voucher Total $2,655.00
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
355490
IUPPS Purchase Order No.
P.O. BOX 66898 Terms
INDIANAPOLIS, IN 46266 -6898 Due Date 2/4/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/2011 28881 $2,655.00
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
a z y1 A i
Date Officer