HomeMy WebLinkAbout165197 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 074580 Page 1 of 1
ONE CIVIC SQUARE DEPT OF THE INTERIOR,USGS
CARMEL, INDIANA 46032 US GEOLOGICAL SURVEY CHECK AMOUNT: $3,450.00
PO BOX 100706
CHECK NUMBER: 165197
ATLANTA GA 30384
CHECK DATE: 10/29/2008
DEP ACCOUN PO NUM INVOICE NUMBER AMOUNT DESCRIP
*206 R4462838 16850 8- 2412 -00059 3,450.00 STREAMFLOW GAGING STA
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Form DI -1.040 IN
United States
�I ffl ll No: 8- 24 0 Ji
Department of the Interior Bill Date: 10/14/2008
Geological Survey Due Date: 12/13/2008
Ma il Check To:
BILL FOR COLLECTION
DOI -USGS
BOX 70934
CHARLOTTE NC 28272 -0934
Customer Address: Send Ov Mail To:
City of Carmel IN005 OLP Wholesale Lockbox NC 0810
Attention: Mike McBride, Dept of Engineering Lockbox 70934
One Civic Square 1525 West WT Harris Blvd
Charlotte, NC 28262
Carmel, IN 46032
Checks must be made pay able to: 001 -USGS and must
include a co of this bill or referenc t he Bill No above.
Notice: Payments to USGS may be made by all major credit cards, either by email to
USGS address: amhall@tisgs.gov O by phone (703. 648.7605).
Description: Quantity r Unit Price Unit Issue Amount
Expenses incurred with the City of Camel for operation and maintenance I $3,450.00 EA $3,450.00
of the gage station on Williams Creel: at 961h Strect in Hamilton County
for the period of Octoher I, 2007 to September 30, 2008,
Federal Regulations require Interest at the annual rate of 3 %o (0.417 %%month) be assessed from the date of this bill if payment is not
received by the Due Dune. 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 intcrest will he charged if payment is made by the due date.
I certify that this bill 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: $3,450.00
x126
USGS ACCOUNTING CLASSIFICATION SECTION:
Reimbursable
Ag reemen t BFY EFY Cust# IN005 Amount Fund Rev Sre Cost Center
09E41N2412011 2008 2009 $3.450.00 SIRTR ARJF 2412
53.450.00 *Total
Routing Slip:
Created By: Clarissa J Everhart
Supervisor:
Tonja R Clark 317 -290 -333.3 x 123
OFni Contact: Denis J Sheehan /APS /USCSIDOI 703 648 -7642
CC: Michael F Smith TIN:35600972
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
'661rro gft per day, number of hours, rate per hour, number of units, price per unit, etc.
'fox 70934 Payee
Purchase Order No.
Ch arlotte, NC 28212-�0934
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8- 2412 -00059 St reamitl o w Gaging St Williams Uree
Oct 1,2007 to Sept 2088
1 1 1 3 S on, Operation, Maintenance
1 a450. 00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
D0 tcr_c IN SUM OF
Box 70934
Charlotte, NC 28272 -0934
$3,450.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
16850 2412 -00059 206-R4462838 materials or services itemized thereon for
which charge is made were ordered and
received except
t /z�7 20
Signat e c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund