158711 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: T361143 Page 1 of 1
ONE CIVIC SQUARE ZIOLKOWSKI CONSTRUCTION CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032 1005 S LAFAYETTE BLVD
SOUTH BEND IN 46624 CHECK NUMBER: 158711
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
602 5023990 40.00 HYDRANT METER REFUND
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CITY OF CARMEL
WATER-WASTEWATER UTILITIES 3450 W. 131st STREET WESTFIELD, INDIANA 46074
(317) 733 -2855 FAX (317) 733 -2053
April 30, 2008
ZIOLKOWSKI CONSTRUCTION
1005 S LAFAYETTE BLVD
SOUTH BEND IN 46624
RE: Hydrant meter rental deposit
Dear Sir or Madam,
The enclosed check in the amount of S 40.00 is a refund from Carmel Utilities. This money was
a deposit for rental of a hydrant meter for portable water at jobsites. You have either requested
the refund our have not been in our office in recent times.
If you have any questions, please feel free to contact our office at 317- 733 -2855
Sincerely,
City of Carmel
Carmel Water Utilities
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER if
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
HDR 38
ZIOLKOWSKI CONSTRUCTION Purchase Order No.
1005 S LAFAYETTE BLVD Terms
SOUTH BEND, IN 46624 Due Date 4/2/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2008 30084 $40.00
.4
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
y// y�
Date Officer
VOUCHER 081362 WARRANT ALLOWED
HD:R 38 IN SUM OF
Z16LKOWSKI CONSTRUCTION
1005 S LAFAYETTE BLVD 4
SOUTH BEND, IN 46624
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
30084 05- 2350 -00 $40.00
Voucher Total $40.00
Cost distribution ledger classification if
claim paid under vehicle highway fund