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Home My WebLink About195686 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 314125 Page 1 of 1 ONE CIVIC SQUARE UPS 0 CHECK AMOUNT: $147.50 CARMEL, INDIANA 46032 LOCKBOX577 •ti N �o CAROL STREAM IL 60132 -0577 CHECK NUMBER: 195686 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 170AT6101 47.55 POSTAGE 651 5023990 6990091 14.02 OTHER EXPENSES 601 5023990 7000101 40.35 OTHER EXPENSES 601 5023990 76V774101 24.66 OTHER EXPENSES 601 5023990 76V77A081 20.92 OTHER EXPENSES Delivery Service Invoice Invoice date February 19 2011 Shipped from: Invoice number 000076V77A081 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control !I] 416C TM WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249A000076V77A9 77401300029821 Visit ups.com /billing AT 01 030021 42466H101 D *3DGT For questions about your invoice, call: Illllnlll�llnl�ll�llllllll�ll��l��llllllllllllll�l�llllll�l ,l (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00 p.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period 20.92 Summary of Charges Amount Outstanding (prior invoices) 24.58 age arge Total Amount Outstanding 45.50 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 20.92 your payment. See Account Status for details. Amount due this period 20.92 Go green and save Save money. Save time_ Save trees. Choose a UPS electronic UPS payment terms require payment of this invoice by March 2, billing solution as an alternative to receiving a paper bill. You 2011. will be able to view, manage and pay your UPS bills. Choose Note: This invoice may contain a tuet surcharge as described at the electronic bill format that best suits your company's needs. ups.com. The published fuel surcharge is 6.03. for UPS Ground Learn more at www.ups.com /billing Services and 10.0% for UPS Air Services, UPS 3 Day Select, and lntemational services. For more information, visit ups.com. Delivery Service Invoice Invoice date February 19, 2011 Invoice number 000076V77A081 Shipper number 76V77A n Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number invoice Date Due 000076V77A071 02/12/2011 24.58 Total 24.58 Outstanding balances reflect any payments received as of 02118/2011. Please ignore this message it a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date February 19, 2011 Invoice number 000076V77A0$1 Shipper number 76V77A Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02/10 1 Z76V77A4294314241 Ground Commercial 50010 4 2 8.93 Delivery Confirmation Signature 4.25 Declared Value 800.00 7.20 Fuel Surcharge 0.54 Total 20.92 1st ref Conductivity Sensor 8 Gateway 2nd ref Service Request 425710 Used CarmelWater Sender Michelle Breedlove Receiver: Carmel Utilities Distributin Hach Co Service Center 3450 w 13 -1 st 100 Dayton Ave Carmel IN 46074 AMES IA 50010 Total for Internet -ID: CarmelWater 20.92 Total UPS Internet Shipping 1 Package(s) 20.92 Total Outbound 1 Package(s) 20.92 Delivery Service Invoice Invoice date March 5, 2011 Shipped from: Invoice number 000076V77A101 CARMEL UTILITIES DISTRIBUTION Shipper number 76V77A 3450 W 1031ST ST Control ID 15X5 WESTFIELD, IN 46074 Page 1 of 3 Sign up for electronic billing today! 0249AD00076V77A9 77401100029718 Visit ups.comlbilling AT 01 029582 498211 D* 3DGT For questions about your invoice, call: I "I "I' {I '!I'll {'111'1111 {�II� {�I��IIJI {III {11111 "1 {II (800) 811 -1648 Monday Friday CARMEL UTILITIES 8:00 a.m.- 9:00p.m.E.T. 3450 W 131ST ST or write: CARMEL, IN 46074 -8267 UPS P.O. Box 650560 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $24.66 Summary of Charges Amount Outstanding (prior invoices) 45.50 Page arge Total Amount Outstanding 70.16 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 24.6 your payment. See Account Status for details. Amount due this period 24.66 Go green and save Save money. Save time. Save trees. Choose a UPS electronic UPS payment terms require payment of this invoice by March 16, billing solution as an alternative to receiving a paper bill. You 2011' will be able to view, manage and pay your UPS bills. Choose Note: This invoice may contain a fuel surcharge as describedat the electronic bill format that best suits your company's needs. ups.com. The published fuel surcharge is 6.0% for UPS Ground Learn more at www.ups.com /billing Services and 10.4% for UPS Air Services, UPS 3 Day Select and International services. For more information, visit ups.com. f Delivery Service Invoice Invoice date March 5, 2011 1 invoice number 000076V77A101 Shipper number 76V77A n� Page 2 of 3 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due 000076V77A071 02/12/2011 24.58 000076V77A081 02/19/2011 20.92 Total 45.50 Outstanding balances reflect any payments received as of 03/0412011. Please ignore this message it a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 5, 2011 Invoice number 000076V77A101 Shipper number 76V77A n Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02/18 1Z76V77A0397320552 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.47 Total 8.22 1st ref Weekly Fluoride UserlD CarmeiWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS W 46202 02128 1776V77AP293007653 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.47 Total 8.22 1st ref Fluoride UserlD CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 03103 1Z76V77AP293219862 Ground Commercial 46202 2 2 7.75 Fuel Surcharge 0.47 Total 8.22 1st ret Weekly Fluoride UserlD: CarmelWater Sender Michelle Breedlove Receiver: Environmental Sample Carmel Utilities Distributin Indiana State Dept of Health 3450 w 131 st 550 West 16th Street Carmel IN 46074 INDIANAPOLIS IN 46202 Total for Internet -ID: CarmelWater 24.66 Total UPS Internet Shipping 3 Package(s) 24.66 Total Outbound 3 Package(s) 24.66 VOUCHER 104302 WARRANT ALLOWED 314125 IN SUM OF UPS 0 WA7� LOCKBOX 577 �A770,ft CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 76V77A081 01- 6360 -03 $20.92 Voucher Total LO 5 S 3 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 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 3/8/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/8/2011 76V77A081 $20.92 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 Delivery Service Invoice Invoice date February 26, 2011 Shipped from: Invoice number OOOORV6990091 CITY OF CARMEL/WASTEWATER Shipper number RV6990 UR LEWIS Control ID 2S82 9609 HAZEL DELL PKWY INDIANAPOLIS, IN 46280 -2935 Page 1 of 3 Sign up for electronic billing today! Visit ups.com /billing 0249A000ORV69900 77401400021138 AT 01 032990 460471-1111 A *3DGT For questions about your invoice, call: III' 111111' lllll��lll�ll�lll�llllllllll 'll "Illlll'I'll'llllllll (800) 811 -1648 Monday Friday 8:00 a.m. 9:00 p.m. E.T. CITY OF CARMEL UTILITIES or write: 760 3RD AVE SW UPS CARMEL, IN 46032 -2072 P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period $14.02 Summary of Charges Amount Outstanding (prior invoices) 0.00 age Charge Total Amount Outstanding $14.02 Outbound green and save 3 UPS Intemet Shipping 5.91 Save money. Save time. Save trees. Choose a UPS electronic Inbound 3 Collect 8.11 billing solution as an alternative to receiving a paper bill. You will be able to view, manage and-pay your UPS bills. Choose Amount due this period $14.02 the electronic bill format that best suits your company's needs. Learn more at www.ups.com /billing UPS payment terms require payment of this bill by March 9, 2011. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 6,09. for UPS Ground Services and 10.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date February 26, 2011 Invoice number OOOORV6990091 Shipper number RV6990 rw Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOOORV6990450 11/06/2010 20.47 OOOORV6990500 12/11/2010 40.02 Delivery Service Invoice Invoice date February 26, 2011 Invoice number OOOORV6990091 Shipper number RV6990 OT.M Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 02108 1ZRV69901597306152 Next Day Air Early A.M. 45268 102 7 0.00 Commercial Collect UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: LAURA BOCZEK CITY OF CARMEL WWTP US EPA 9609 HAZEL DELL PARKWAY 26 W. MARTIN LUTHER KI NG DR. INDIANAPOLIS IN 46280 CINCINNATI OH 45268 02115 1ZRV69901594394625 Next Day Air Early A.M. 45268 102 8 0.00 Commercial Collect UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: LAURA BOCZEK CITY OF CARMEL WWTP US EPA 9609 HAZEL DELL PARKWAY 26 W. MARTIN LUTHER KI NG DR. INDIANAPOLIS IN 46280 CINCINNATI OH 45268 02/22 1ZRV69900396402367 Ground Commercial 60515 2 4 5.58 Fuel Surcharge 0.33 Total 5 -91 UserlD TLEWIS9609 Sender :TERESA LEWIS Receiver: RMA 46918 CITY OF CARMEL WWTP MAGNETROL ENVIRONMENTA L LP 9609 HAZEL DELL PARKWAY 5300 BELMONT ROAD INDIANAPOLIS IN 46280 DOWNERS GROVE IL 60515 1ZRV69901598209970 Next Day Air Early A.M. 45268 102 7 0.00 Commercial Collect Used D TLEWIS9609 Sender :TERESA LEWIS Receiver: LAURA BOCZEK CITY OF CARMEL WWTP US EPA 9609 HAZEL DELL PARKWAY 26 W. MARTIN LUTHER KI NG DR. INDIANAPOLIS IN 46280 CINCINNATI OH 45268 Total for Internet -ID: TLEWIS9609 5.91 Total UPS Internet Shipping 4 Package(s) 5.91 Total Outbound 4 Package(s) 5.91 Inbound Collect Pickup Pickup ZIP Billed Date Record Entry Tracking Number Service Code Zone Weight Charge 02/07 9176544845 20 1 Z1 115460358411079 Ground Commercial Collect 46220 5 6 7 -65 Fuel Surcharge 0.46 Total 8.11 1st ref: 420997 2nd ref 2411 -1 Sender CIMETRA LLC Receiver: MORGAN ENTERPRISES 8396 STATE ROUTE 9 1111 EAST 54TH ST STE 113 WEST CHAZY NY 12992 -2718 INDIANAPOLIS IN 46220 Total for Shipper :0000111546 8.11 Total Collect 1 Package(s) 8.11 Total Inbound 1 Package(s) 8.11 032900 212 VOUCHER 107236 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 -0577 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 6990091 01- 7362 -05 $14.02 Voucher Total $14.02 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 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 -0577 Due Date 317/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/7/2011 6990091 $14.02 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 j1I JE I l.'h---. YW&I Date Officer Delivery Service Invoice Invoice date March 5, 2011 f Shipped from: Invoice number OOOORV7000101 CITY OF CARMELIUTILITIES Shipper number RV7000 USA KEMPA Control !D 929Q ONE CIVIC SQUARE CARMEL, IN 46032 -2584 Page 1 of 3 Sign up for electronic billing today! 0249A000ORV70007 77401100021203 Visit ups.com /billing AT 01 029355 498211-1102 A *3DGT For questions about your invoice, call: I L I. I 1111111 I- ll I I I- 11 I I �I� I III �I�II I II I� II I I l (800) 811 -1648 Monday Friday CITY OF CARMEL /UTILITIES B:OOa.m.- 9:OOp.m.E.T. LISA KEMPA or write: 760 3RD AVE SW STE. 110 UPS Dall B CARMEL, IN 46032 -2070 7526 Dallas, TX 75265 -0580 Account Status Summary Weekly Payment Plan Thank you for using UPS. Amount Due This Period 40.35 Summary of Charges Amount Outstanding (prior invoices) $18.90 age Charge Total Amount Outstanding 59.25 Outbound Please include the Return Portion of each outstanding invoice with 3 UPS Internet Shipping 33.99 your payment. See Account Status for details. 3 Adjustments Other Charges 6.36 .Go green an S ave Amount due this period 40.35 Save money. Save time. Save trees. Choose a UPS electronic billing solution as an alternative to receiving a paper bill. You UPS payment terms require payment of this invoice by March 16, will be able to view, manage and pay your UPS bills. Choose 2011' the electronic bill format that best suits your company's needs. Note: This invoice maycontain a fuel surcharge as described at Learn more at www.ups.com /billing ups.com. The published fuel surcharge is 6.09f. for UPS Ground Services and 10.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. 2- Delivery Service Invoice Invoice date March 5, 2011 W�Tm Invoice number OOOORV7000101 Shipper number RV700O Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid OOOORV7000021 01/08/2011 52.89 Account Status Weekly Payment Plan Amount Outstanding (prior invoices): Please include the Return Portion of each outstanding invoice with your payment. Balance Invoice Number Invoice Date Due OOOORV7000510 12/18/2010 18.90 Total $18.90 Outstanding balances reflect any payments received as of 03/04/2011. Please ignore this message if a recent payment has been made for any outstanding invoices. Delivery Service Invoice Invoice date March 5, 2011 Invoice number OOOORV7000101 Shipper number RV7000 Page 3 of 3 Outbound UPS Internet Shipping Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03103 1 ZRV70000195256705 Next Day Air Commercial 48849 103 2 29.05 Letter Delivery Area Surcharge Extended 1.85 Fuel Surcharge 3.09 Total 33.99 UserlD UTILITIES Sender City of Carmel Utili Receiver: Ira Gavin Carmel Utilities Dixon Engineering 760 Third Avenue SW 1104 Third Avenue Carmel IN 46032 LAKE ODESSA MI 48849 Total for Internet -ID: UTILITIES 33.99 Total UPS Internet Shipping 1 Package(s) 33.99 Total Outbound 1 Package(s) 33.99 Adjustments Other Charges On -Call Pickup Requests Date of Billed Date Request Pickup Request No, Service Charge 03103 03/03 295241 GCLKH Same Day Pickup Web Request 6.00 Fuel Surcharge 0.36 Total 6.36 isl ref: 1ZRV70000195256705 Tracking No.: 1ZRV70000195256705 Pickup Address: City of Carmel Utili Carmel Utilities 760 Third Avenue SW Carmel IN 46032 Total On -Call Pickup Requests 1 Request(s) 6.36 Total Adjustments Other Charges 6.36 029355 2/2 VOUCHER 104373 WARRANT ALLOWED 314125 IN SUM OF UPS LOCKBOX 577 CAROL STREAM, IL 60132 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 7000101 01- 6360 -08 $40.35 Voucher Total $40.35 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 314125 UPS Purchase Order No. LOCKBOX 577 Terms CAROL STREAM, IL 60132 Due Date 3/10/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2011 7000101 $40.35 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 Delivery Service Invoice Invoice date March 5, 2011 Invoice number 0000170AT6101 Shipper number 170AT6 Control ID 8OY7 Page 1 of 3 Sign up for electronic billing today! 0249A0000170AT64 77401100023944 Visit ups.com/billing AT 01 029372 49821 H102 A *3DGT For questions about your invoice, call: llllllIll- -llllld fill I-' 1- (800) 811 -1648 Monday Friday CARMEL CLAY COMMUNICATION CTR 8:00 a.m.- 9:00 p.m.E.T. 31 1ST AVE NW or write: CARMEL, IN 46032 -1715 UPS P.O. Box 650580 Dallas, TX 75265 -0580 Account Status Summary Thank you for using UPS. Weekly Payment Plan Amount Due This Period 47.55 Summary of Charges Amount Outstanding (prior invoices) 0.00 age C arge Total Amount Outstanding 47.55 Outbound green and save 3 UPS Shipping Document 42.25 Save money. Save time. Save trees. Choose a UPS electronic 3 Adjustments Other Charges 5.30 billing solution as an alternative to receiving a paper bill. You Amount due this period 47.56 will be able to view, manage and pay your UPS bills. Choose the electronic bill format that best suits your company's needs. UPS payment terms require payment of this bill by March 16, Learn more at www.ups.com /billing 2011. Note: This invoice may contain a fuel surcharge as described at ups.com. The published fuel surcharge is 6.09K. for UPS Ground Services and 10.0% for UPS Air Services, UPS 3 Day Select, and International services. For more information, visit ups.com. Delivery Service Invoice Invoice date March 5, 2011 Invoice number 0000170AT6101 Shipper number 170AT6 Page 2 of 3 Account Status Weekly Payment Plan Payments Applied Amount Invoice Number Invoice Date Paid 0000170AT6500 12/11/2010 29.53 0000170AT6510 12/18/2010 19.00 Delivery Service Invoice Invoice date March 5, 2011 1 Invoice number 0000170AT6101 Shipper number 170AT6 Page 3 of 3 Outbound UPS Shipping Document Pickup ZIP Billed Date Tracking Number Service Code Zone Weight Charge 03/03 K1440954826 Ground Commercial S.D.P. 48444 3 5 11.25 Delivery Area Surcharge 1.85 Fuel Surcharge 0.79 Total 13.89 Sender BRIAN SMITH Receiver: CARMEL CLAY COMM CNT FANTASTIC VENT INDIANAPOLIS IN 46268 IMLAY CITY MI 48444 K1440954835 Ground Commercial S -D -P. 66720 4 3 11 -53 Delivery Area Surcharge Extended 1.85 Fuel Surcharge 0.80 Total 14.18 1st ref: RMA 44722 SN LP03014 Sender :BRIAN SMITH Receiver: CUSTOMER SERVICE CARMEL CLAY COMMUNIC KUSTOM SIGNALS INC INDIANAPOLIS IN 46268 CHANUTE KS 66720 K1440954844 Ground Commercial S.D.P. 66720 4 3 11.53 Delivery Area Surcharge Extended 1.85 Fuel Surcharge 0.80 Total 14.18 1st ref: RMA 44723 SN LP02221 Sender :CARMEL CLAY COMMUNIC Receiver: CUSTOMER SERVICE BRIAN SMITH KUSTOM SIGNALS INC INDIANAPOLIS IN 46268 CHANUTE KS 66720 Total UPS Shipping Document 3 Package(s) 42 -25 Total Outbound 3 Package(s) 42.25 Adjustments Other Charges On -Call Pickup Requests Date of Billed Date Request Pickup Request No. Service Charge 03/03 03/02 295232A60R1 Future Day Pickup Phone Request 5.00 Fuel Surcharge 0.30 Total 5 -30 Pickup Address: BRIAN SMITH CARMEL CLAY COMMUNICATION C 31 1ST AVE NW CARMEL IN 46032 Total On -Call Pickup Requests 1 Request(s) 5 -30 Total Adjustments Other Charges 5.30 029372 212 V VOUCHER NO. WARRANT NO. ALLOWED 20 United Parcel Service IN SUM OF Lockbox 577 Carol Stream, IL 60132 $47.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members 1115 10000170AT6101 I 43- 421.00 I $47.55 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 Friday, March 11, 2011 Director Title 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 invoices) or bill(s)) 03/05/11 0000170AT6101 $47.55 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