166084 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
ONE CIVIC SQUARE CLAY TWP RWD
CARMEL, INDIANA 46032
PO BOX 40636 CHECK AMOUNT: $58.90
INDIANAPOLIS IN 46240 -0636 CHECK NUMBER: 166084
CHECK DATE: 11/24/2008
D EPARTMENT ACCOUNT PO N INV OICE NUMBER AMOUNT DES
1120 4348500 58.90 0376122604988
The Mission of the District to provide a high quality, cost-effec-
tive sanitary sewer service to our community.
g Clay Township Regional Waste District
crAwo PC. Box 4063$
a Indianapolis, IN 46240 -0638
Customer FIRE STATION #42
Service Address 3610 W 106TH ST Account Number 0376122604988
Billing Date 11/6/2008
5847
FIRE STATION #42
2 CIVIC SQUARE
CARMEL IN 46032 -2584
Previous Balance $56.98
Payments -56.98
Period From 10/06/2008 Adjustments $0.00
Period To 11/06/2008 Total Past Due $0.00
I
Service Descri tp ion Meter Number Cons.noo0 oallom) Amount
METERED COMM MICH RD FOG 1 METER 10856207 5 A $28.49
METERED COMM MICH RD FOG 1 METER 10856168 6 A $30.41
Imprtantintorination
GRf7�
o $58.90
Learn how- to- pravert EATS, -OI GREASE (FOG) from an -issue in your pipes. Be a part of the FOG prevention program, Please take time Due Date 11 /20/2008
to review our prevention program by visiting our web page www.cirwd.org or
contact our Pretreatment Speciaiist 317- 873 -0564. D $58.90
The District offices will be closed_ November 11, 27 28.
c1wD -FM01 (08/05) Retain this portion for your records
DI se ra+ i r n thlc nn tim ueltt neym9nt when oavinn by mail Please brina entire statement when pavina In person.
REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
INDIANAPOLIS, IN 46240 -0638
317 844 -9200
Visit our website: www.ctrwd.ora
PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not
send cash by mail. Stapling or folding the payment stub may substantially delay the processing of your payment.
You may pay your sewer bill in person at our office at 10701 N. College Ave. Suite A, Indianapolis, IN. For your
convenience, you may also use our drive -up drop box at this address.
Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College
Ave. Suite A, Indianapolis, IN or call (317) 844 -9200 Monday through Friday, 8:00 a.m. to 4:30 p.m.
NON- PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not received by
the 20th of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late
fee charge will be added to your account.
AUTODEBIT is available for making your monthly payment. The form can be downloaded from our website.
Additional Information:
A Actual meter readings
E When printed after a meter reading (previous or current) indicates an estimated reading
CR Credit amount
B Balanced billing applies to our residential customers only. Your monthly statements will be based on your winter
consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly
usage of 7,000 gallons per month.
Approved by State Board of Accounts for Clay Township Regional Waste District, 2004
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cray Twp. RWD
IN SUM OF
P.O. Box 40638
Indianapolis, IN 46240
$58.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 0376122604988 43- 485.00 $58.90 1 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
NOV 2 4 2008
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Fon', i 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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0376122604988 Sta. 42 $58.90
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