HomeMy WebLinkAbout195693 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 354905 Page 1 of 1
o ONE CIVIC SQUARE UPPER WHITE RIVER WATERSHED CHECK AMOUNT: $10,000.00
?a. CARMEL, INDIANA 46032 PO BOX 2065
INDIANAPOLIS IN 46206 CHECK NUMBER: 195693
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 UW2011010D 10 ,000.00 STORM WATER PHASE II
tlPPER 4IIMITE RII/ER INVOICE
IMATERSMEDALLIAPIFCIE Date Invoice
too IUFUI -GEES
2/15/2011 UW2011010D
723 W Mrchrgan St t
Upper 1:1 Iti ria: �•:�Ie:s!1Cd nllirt ct I/TS�Iallap011S 462U2
-:.1317 2747154
Terms Due Date
Upon Receipt
Bill To: PLEASE =?REMIT
John Thomas 6WRW4 ti
City of Carmel PO
One Civic Square INDIANAPOLIS 2065
Carmel, IN 46032
T otal Billed to
Description Value Date Due
2011 Upper White Membership Dues $1,000.00
2011 Regional MS4 Program Dues $9,000.00
CURRENT TOTAL $10,000.00
PREVIOUS BALANCE
TOTAL BALANCE DUE $10,000.00 71+ANKY0u
Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
ao number of units, price per unit, etc.
c/o IUPUI CEES Payee
7 W. Michigan S+ Purchase Order No.
I nd i anapo li s, Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
'll
e Winer AUW� XRiance
ALLOWED 20
IN SUM OF
I ndianapolis,
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
n/a uw201101OID 211 4462838 is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Signature
N��A R
mac �v\S�f
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund