158337 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: T361140 Page 1 of 1
ONE CIVIC SQUARE CLARION MEDICAL CENTER
;,+la CARMEL, INDIANA 46032 11700 N MERIDIAN ST CHECK AMOUNT: $40.00
CARMEL IN 46032 CHECK NUMBER: 158337
CHECK DATE: 4/15/2008
DEPARTMEN ACC OUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
602 5023990 40.00 WATER OVERPAYMENT REF
CITY OF CAIiMEL
WATER WASTEWATER UTILITIES 3450 W. 131st STREET WESTFIELD, INDIANA 46074
(317) 733 -2855 FAX (317) 733 -2053
April 30, 2008
CLARION N MEDICAL CENTER
11700 N MERIDIAN ST
CARMEL IN 46032
RE: Hydrant meter rental deposit
Dear Sir or Madam,
The enclosed check in the amount of 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
VOUCHER 081329 WARRANT ALLOWED
P
HDR 5 IN SUM OF
CLARION MEDICAL CENTER
11700 N MERIDIAN ST
CARMEL, IN 46032
Carmel Water Utility
y. ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
29958 05- 2350 -00 $40.00
ei
Voucher Total $40.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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,
price per unit, etc.
Payee
HDR 5°�
CLARION MEDICAL CENTER Purchase Order No.
11700 N MERIDIAN ST Terms
CARMEL, IN 46032 Due Date 4/2/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2008 29958 $40.00
a
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 Officer