202829 10/19/2011 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
ONE CIVIC SQUARE CLAY TWP RWD
CARMEL, INDIANA 46032 PO BOX 40638 CHECK AMOUNT: $219.06
INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 202829
CHECK DATE: 10/1912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4348500 219.06 2000240134001
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community.
•cTRwD• Clay Township Regional Waste DistrictQ��O�
P.O. Box 40638
5 Indianapolis, IN 46240 -0638
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Customer CARMEL ST DEPT
Service Address: 3400 131 ST ST W Account Number 2000240134001
Billing Date 10/06/2011
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Customer Message
CARMEL ST DEPT
3400 w 131ST ST
CARMEL IN 46074 -8267 ,g;k
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Previous Balance $247.62
Period Prom: 09/06/2011 Payments $247.62
Period To: 10/06/2011 Adjustments $600
Total Past Due $0.00
Service Description Meter Number Cons.ogoo gallonsl Amount
Metered Comm Primary -2 In Meter 60121546 4.00000 A 219.06
60334360 4.00000
60360195 3.00000
Important Information 1tm
$219.06
:Fall cleaning? Are you getting rid of old paint, fertilizer, cleaning products? See
the enclosed information brochure Sustainability to properly dispose of all Due Date
houshold waste. We can all take part in pollution control and keep our D 10/20/2011
environment clean.
$219.06
Retain this portion for your records 02- 149 2750(12109)
Please return thi portion with oavment when pavi by mail PiPaca hrin antis statement Iv y nPwinr in noccAn
0. HA fro? REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
•CTRWD• INDIANAPOLIS, IN 46240 -0638
g (317) 844 -5200
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Visit our website: www.ctrwd.org
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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 L PAYMENT CHARGES: Current charges become delinquent if not paid 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 Sewer District, 2009 02- 1x09 -2750 (12,09)
VOUCHER NO. WARRA N
ALLOWED 20
Clay Township Regional Waste District
IN SUM OF
P. O. Box 40638
Indianapolis, IN 46240 -0638
$219.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 43- 485.00 $219.06 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
0
Friday, 0 A ber 14, 2011
Street Commis I er
Ut or itle ssloner
Cost distribution ledger classification if
claim paid motor 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 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))
10/14/11 $219.06
1 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