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165107 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352922 Page 1 of 1 ONE CIVIC SQUARE WESTFIELD UTILITIES CARMEL, INDIANA 46032 ATTN: SHERRY GOINS CHECK AMOUNT: $67.98 2728 E 171ST STREET CHECK NUMBER: 165107 WESTFIELD IN 46074 CHECK DATE: 10/2912008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 601 502.3990 67.98 OTHER EXPENSES e i t "e} a q` e+n �'8 d°�, m e ��•4 s �'.e Lek e &sue a:' it Westfield Utilities' 8/29/08 10/1/08 1155 19.92 1165 16.53 521 22.77 683 8.76 67.98 jR=URIif 'Tr"'1 WITH 'PAYMENT) Billingbate: 10122108 Cons Days: 34 Billing from: 08 129/08 through 10/01/08 Usage Month: September Service Address: 1155 W 146TH ST Account# 5001155 00 Water Readings: 641000 Present 636000 Previous 5000 Gallons Current Month Charges Water Charge /Misc. 19.92 Total Current Month 19.92 TOTAL DUE: 19.92 Last Paid Date: 10/20/08 Last Paid Amt: 16.53 After Due Date 11/14/2008 Pay $19.92 Monthly Water Usage s000 7000 6000 5000 4000 3000 2000 4 i 1000 N 0 o^ o O �G ,Q ��0 PQF �P SJ PJ G ��Q P u` xzwa OFFICE HOURS: 8:OOAM 4:30PM MON FRI (CLOSED ON MOST MAJOR HOLIDAYS) DURING BUSINESS HOURS: 317- 867 -1116 AFTER HOURS EMERGENCY ON 317- 874 -3668 REMIT PAYMENT TO: WESTFIELD PUBLIC WORKS CUSTOMER SERVICE CENTER 2728 E. 171 ST STREET WESTFIELD, IN 46074 DROP BOX LOCATIONS: 2728 E. 171ST STREET (CUSTOMER SERVICE CENTER) 130 PENN STREET (NORTH SIDE OF CITY HALL) 1549 E. GREYHOUND PASS (IN PARKING LOT OF TRUSTEE OFFICE) PENALTIES: WATER 10% OF FIRST $3.00,3% OF BALANCE SEWER 10% OF SEWER CHARGE STORMWATER 10% OF STORMWATER CHARGE TO AVOID PENALTIES, PAYMENT MUST BE RECEIVED ON OR BEFORE DUE DATE. MISCELLANEOUS BILLING CODES: RC RECONNECT FEE RA REPAIR ASSISTANCE BC BAD CHECK FEE PP PROTECTION PLAN TF TRANSFER/ ADMIN FEE HP HYDRANT READING PENALTY DC WATER DISCONNECT FEE HC HYDRANT METER CHARGE SD SEWER DISCONNECT FEE AH AFTER HOURS Billing Date: 10/22/08 Cons Days: 34 Billing from` 08 /29/08 ftirough 10/01/08 Usage Month: September Service Address: 1165 W 146TH ST Account# 5001165 00 Water Readings: 112000 Present 108000 Previous 4000 Gallons Current Month Charges Water Charge /Misc. 16.53 Total Current Month 16.53 TOTAL DUE: 16.53 Last Paid Date: 10/20/08 Last Paid Amt: 22.77 After Due Date 11/14/2008 Pay $16.53 Monthly Water Usage 10000 9000 6000 7000 6000 5000 4000 3000 2000 1000 0 O� O�G l _0 PP- PQQ- �P XZWB OFFICE HOURS: 8:OOAM 4:30PM MON FRI (CLOSED ON MOST MAJOR HOLIDAYS) DURING BUSINESS HOURS: 317- 867 -1116 AFTER HOURS EMERGENCY ON 317 874 -3668 REMIT PAYMENT TO: WESTFIELD PUBLIC WORKS CUSTOMER SERVICE CENTER 2728 E. 171ST STREET WESTFIELD, IN 46074 DROP BOX LOCATIONS: 2728 E. 171ST STREET (CUSTOMER SERVICE CENTER) 130 PENN STREET (NORTH SIDE OF CITY HALL) 1549 E. GREYHOUND PASS (IN PARKING LOT OF TRUSTEE OFFICE) PENALTIES: WATER 10% OF FIRST $3.00,3% OF BALANCE SEWER 10% OF SEWER CHARGE STORMWATER 10% OF STORMWATER CHARGE TO AVOID PENALTIES, PAYMENT MUST BE RECEIVED ON OR BEFORE DUE DATE. MISCELLANEOUS BILLING CODES: RC RECONNECT FEE RA REPAIR ASSISTANCE BC BAD CHECK FEE PP PROTECTION PLAN TF TRANSFER/ ADMIN FEE HP HYDRANT READING PENALTY DC WATER DISCONNECT FEE HC HYDRANT METER CHARGE SD SEWER DISCONNECT FEE AH AFTER HOURS Billing Date: 10/22/08 Cons Days: 34 Billing from: 08 /29/08 through 10/01/08 Usage Month: September Service Address: 521 W 146TH ST Account# 5005210 00 Water Readings: 511000 Present 505000 Previous 6000 Gallons Current Month Charges Water Charge /Misc. 22.77 Total Current Month 22.77 TOTAL DUE: 22.77 Last Paid Date: 10/20/08 Last Paid Amt: 22.77 After Due Date 11/14/2008 Pay $22.77 Monthly Water Usage 6000 7000 6000 v 5000 uE 4000 A s 3000 2000 a 1000 0 0 ou` 2� I O° e xzwa OFFICE HOURS: 8:OOAM 4:30PM MON FRI (CLOSED ON MOST MAJOR HOLIDAYS) DURING BUSINESS HOURS: 317 867 -1116 AFTER HOURS EMERGENCY ONi.Y 317 874 -3668 REMIT PAYMENT TO: WESTFIELD PUBLIC WORKS CUSTOMER SERVICE CENTER 2728 E. 171 ST STREET WESTFIELD, IN 46074 DROP BOX LOCATIONS: 2728 E. 171ST STREET (CUSTOMER SERVICE CENTER) 130 PENN STREET (NORTH SIDE OF CITY HALL) 1549 E. GREYHOUND PASS (IN PARKING LOT OF TRUSTEE OFFICE) PENALTIES: WATER 10% OF FIRST $3.00,3% OF BALANCE SEWER 10% OF SEWER CHARGE STORMWATER 10% OF STORMWATER CHARGE TO AVOID PENALTIES, PAYMENT MUST BE RECEIVED ON OR BEFORE DUE DATE. MISCELLANEOUS BILLING CODES: RC RECONNECT FEE RA REPAIR ASSISTANCE BC BAD CHECK FEE PP PROTECTION PLAN TF TRANSFER ADMIN FEE HP HYDRANT READING PENALTY DC WATER DISCONNECT FEE HC HYDRANT METER CHARGE SD SEWER DISCONNECT FEE AH AFTER HOURS Billinq Date: 10/22/08 Cons Days: 34 Billing from: 08/29/08 through 10/01/08 Usage Month: September Service Address: 683 W 146TH ST Account# 5006830 00 Water Readings: 322000 Present 322000 Previous 0 Gallons Current Month Charges Water Charge /Misc. 8.76 Total Current Month 8.76 TOTAL DUE: 8.76 Last Paid Date: 10/20/08 Last Paid Amt: 8.76 After Due Date 11/14/2008 Pay $8.76 Monthly Water Usage 6000 5000 4000 3000 P 200 O 0 1000 O^ O xzwa OFFICE HOURS: 8:OOAM 4:30PM MON FRI (CLOSED ON MOST MAJOR HOLIDAYS) DURING BUSINESS HOURS: 317 867 -1116 AFTER HOURS EMERGENCY ONLY 317- 874 -3668 REMIT PAYMENT TO: WESTFIELD PUBLIC WORKS CUSTOMER SERVICE CENTER 2728 E. 171 ST STREET WESTFIELD, IN 46074 DROP BOX LOCATIONS: 2728 E. 171ST STREET (CUSTOMER SERVICE CENTER) 130 PENN STREET (NORTH SIDE OF CITY HALL) 1549 E. GREYHOUND PASS (IN PARKING LOT OF TRUSTEE OFFICE) PENALTIES: WATER 10% OF FIRST $3.00,3% OF BALANCE SEWER 10 OF SEWER CHARGE STORMWATER 10% OF STORMWATER CHARGE TO AVOID PENALTIES, PAYMENT MUST BE RECEIVED ON OR BEFORE DUE DATE. MISCELLANEOUS BILLING CODES: RC RECONNECT FEE RA REPAIR ASSISTANCE BC BAD CHECK FEE PP PROTECTION PLAN TF TRANSFER/ ADMIN FEE HP HYDRANT READING PENALTY DC WATER DISCONNECT FEE HC HYDRANT METER CHARGE SD SEWER DISCONNECT FEE AH AFTER HOURS Prescribed by State Board of Accounts Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount I 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 Mo. Day Yr. Signature Title 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. JCJ �a d Vv ✓ll c �'ii Mo. Day Yr. Officer Title Vo ucher No. Warrant No. q, ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. I CARMEL, INDIANA U" e s 1 f Uj, F tcrceS y60) H Total Amount of Voucher Deductions ODl .D 7 Amount of Warrant Month of Yr Acct. VOUCHER RECORD No. Source of Suppl Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation- Maintenance Utility Plant in Service Constr. Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325