HomeMy WebLinkAbout205003 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 354905 Page 1 of 1
*f ONE CIVIC SQUARE UPPER WHITE RIVER WATERSHED CHECK AMOUNT: $10,000.00
CARMEL, INDIANA 46032 PO BOX 2065
INDIANAPOLIS IN 46206
a� CHECK NUMBER: 205003
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 10,000.00 STORM WATER PHASE II
UPPER WHITE RIVER INVOICE
WATERSHED ALLIANCE
PO BOX 2065 Date Invoice
VY/ Indianapolis, IN 46206 12/8/2011 UW20110062
Upper White River Watershed alliance (317( 891 8820
www.UWRWA.org
Terms Due Date
Upon Receipt
Bill To:
John Thomas
City of Carmel
One Civic Square
Carmel, IN 46032
Total Billed to
Description Value Date Due
2012 Upper White Membership Dues $1,000.00
2012 Regional MS4 Program Dues $9,000.00
CURRENT TOTAL $10,000.00
PREVIOUS BALANCE
TOTAL BALANCE DUE $10,000.00 TFtANIL You
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
r ,r lltsr� e n ?f Aftf number of units, price per unit, etc.
c/o IUPUI CEES Payee
723 Mi St Purchase Order No.
Ind IN 46202
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
T d�► fiance
ALLOWED 20
1I,T Law
IN SUM OF
Pax
Indianapolis,
J
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 211- 4462838 is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund