HomeMy WebLinkAbout166643 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 074580 Page 1 of 1
s' ONE CIVIC SQUARE DEPT OF INTERIOR -USGS
CARMEL, INDIANA 46032 PO BOX 70934 CHECK AMOUNT: $3,150.00
CHAROLl7E NC 28272 -0934 CHECK NUMBER: 166643
CHECK DATE: 12/10/2008
DEPAR TMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DES
659 5023990 8- 2412 -00067 3,150.00 1050.05
2.
f 7.
Form DI -1040 IN005
United States Bill No: 8 2412 00067
Department of the Interior Bill Date: 10/14/2008
Geological Survey Due Date: 12/13/2008
BILL FOR COLLECTION Mail C heck T o_
O
DOI USGS
BOX 70934
CHARLOTTE NC 28272 -0934
Customer Address Se Overni ght/Expre ss Mail T o_
City of Carmel, Carmel Utilities IN005 QLP Wholesale Lockbox NC 0810
Attention: John Duffy Lockbox 70934
760 Third Avenue S.W. 1525 West WT Harris Blvd
Charlotte, NC 28262
Carmel, IN 46032
Checks must be made PAY able to: DOI -USGS and must
inclu a co of this bill or reference the Bill No above.
Notice Payments to USGS may be made by all major credit cards, either by email to
USGS address: amhall@usgs.gov OR by p hone (703.6
Description: Quantity Unit Price Unit Issue (Amount
—I
Expenses incurred with the City of Carmel for the maintenance and 1 $3,150.00 EA $3,150.00
observation of wells in Carmel for the period of October I, 2007 to
September 30. 2008,
Federal Regulations require Interest at the annual rate of 3% (0.417 %/month) be assessed from the date of this bill if payment is not
received by the Due Date. Regulations also require that a Penalty at the rate of 6% (.5 /month) be assessed from the date of the bill if this
bill becomes 90 days delinquent. No interest will be charged if payment is made by the due date.
I certify that this hill is correct, in accordance with the terms of the order /signed agreement, and payment has not been received.
Tonja R Clark
Prepared by: Clarissa J Everhart 317 -290 -3333 Amount Due This Bill: $3,150.00
x126
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USGS ACCOUNTING CLASSIFICATION SECTION:
Reimbursable
Ag reement BFY EFY Cost# IN005 Amount Fund Rev Src Cost Center
OSE41N2412024 2(1(18 20()9 $3.150.00 SIRTR ARJF 2412
$3.150.00 *Total
Routing Slip:
Created By: Clarissa J Everhart
Supervisor: Tonja R Clark 317 -290 -3333 x 123
OFNI Contact: Denis J Sheehan /APS /USGS /DOI 703 648 -7642
CC: Michael F Smith TIN:356(X)0972
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,
a
price per unit, etc.
Payee
74580
USGS DEPT OF THE INTERIOR Purchase Order No.
Water Resources Division Terms
5957 Lakeside Blvd Due Date 11/25/2008
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11 /25/2001 8241200067 $3,150.00
t
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 offlr7f
VOUCHER 083816 WARRANT ALLOWED
7 lJD 4AARIOR
IN SUM OF
USGS DEPT OF
i
MM
28',t7Z =o`i3
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
8241200067 07- 1050 -05 $3,150.00
c rl Cbv �U�i o rt/
ia� l 3 JC4
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Voucher Total $3,150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund