HomeMy WebLinkAbout195692 03/16/2011 a CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEY CHECK AMOUNT: $3,150.00
CARMEL, INDIANA 46032 BOX 70934
u� o CHARLOTTE NC 28272 -0934 CHECK NUMBER: 195692
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90018746 3,150.00 OTHER EXPENSES
J
DI -1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
DOWN PAYMENT (BILL) REQUEST
Make Remittance Payable To: United States Geological Survey Bill 90018746
Billing Contact: Administrative Office /Financia Phone: 317 -290 -3333 Date. 01/01/2011
Due Date: 03/02/2011
Remit Payment To: United States Geological Survey Send Overnight Lockbox Mail To:
BOX 70934 QLP Wholsale Lockbox NC #0810
Charlotte, NC 28272 -0934 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: 50 -oV
I
Date Description Qty Unit Price Amount
Cost Per
01/01/2011 Expenses incurred for the investigation of water 1 3,150.00 1 3,150.00
resources to measure ground -water levels in a
network of observation wells in Carmel and the
maintenance of a real -time water level observation
well for the period of February 26, 2010 to
September 30, 2010.
10E41N2412023
Amount Due this Bill: 3
Accounting Classification:
Sales Order: 3857
Sales Office: GENF
Customer Number: 6000001344
TIN: 356000972
VOUCHER 104376 WARRANT ALLOWED
74580 IN SUM OF
USGS DEPT OF THE INTERIOR
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
90018746 01- 6756 =08 $3.150.00
Voucher Total $3,150.00
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
74580
USGS DEPT OF THE INTERIOR Purchase Order No.
Water Resources Division Terms
5957 Lakeside Blvd Due Date 311012011'
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/2011 90018746 $3,150.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer