HomeMy WebLinkAbout203658 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEY
L•' CHECK AMOUNT: $3,150.00
CARMEL, INDIANA 46032 Po eox 71362
PHILADELPHIA PA 19176 -1362 CHECK NUMBER: 203658
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90045825 3,150.00 OTHER EXPENSES
I
DI -1040 UNITED STATES DEPARTMENT OF THE INTERIOR Page:1
DOWN PAYMENT (BILL) REQUEST 6 75• v
Make Remittance Payable To: United States Geological Survey Bill 90045825
Billing Contact: Tonja R. Clark, Budget Analyst Phone: 317 290 -3333 Date: 09/09/2011
x123 Due Date: 11/08/2011
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176 -1362
Payer: CITY OF CARMEL
Mr. John Duffy Additional forms of payment may be accepted. Please
760 THIRD AVENUE, SW email gdatta @usgs.gov or call 703 648 -7605 for
P.O. BOX 1399 additional information.
CARMEL IN 46032
Remarks To pay by CC /ACH use Pay.gov Checks must be made payable to
https: /www.pay.gov U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment:
Date Description Qty Unit Price Amount
Cost Per
09/09/2011 Expenses incurred for the investigation of water 1 3,150.00 1 3,150.00
resources to measure ground -water levels in a
network of observation wells in Carmel and
maintain a real -time water level observation well for
the period of February 28, 2011 to September 30,
2011.
11 EMNF000000023
Amount Due this Bill: 3
Accounting Classification:
Sales Order: 8171
Sales Office: GENF
Customer Number: 6000001344
TIN:356000972
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
74580
USGS DEPT OF THE INTERIOR Purchase Order No.
Water Resources Division Terms
5957 Lakeside Blvd Due Date 11/4/2011
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/4/2011 90045825 $3,150.00
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
///V
Date icer
VOUCHER 112829 WARRANT ALLOWED
74580
IN SUM OF
USGS
r- Resourcees- Biei!�0on 2
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Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
90045825 01- 6750 -08 $3,150.00
Voucher Total $3,150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund