205125 01/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00352922 Page 1 of 1
ONE CIVIC SQUARE WESTFIELD UTILITIES
CARMEL, INDIANA 46032 ATTN: SHERRY GOINS CHECK AMOUNT: $82.77
2728 E 171ST STREET CHECK NUMBER: 205125
WESTFIELD IN 46074
CHECK DATE: 1/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 25.62 4015
601 5023990 22.77 4016
601 5023990 25.62 4017
601 5023990 8.76 4018
O 2728 E. 171 St Street I n v o ice
PO. Box 1040
CITY of 000 Westfield, IN 46074 -1040 Billing Date
Westfiel Customer Service
12/21/2011
(317) 804 -3150 Consecutive Days 37
INDIANA M -F 8:00 am 4:30 pm Billing From 10/26/2011 to 12/2/2011
Service Address 683 W 146TH ST
Account °No
Water Reading Present 550000
Previous 543000
Gallons 7000
2 Total Due On 1/13/2012 $25.62
CARMEL UTILITIES
760 3RD AVE SW After 1/13/2012 Pay $26.60
CARMEL, IN 46032 -2072
1111 "Illl 1 lll'lll ll"'II I"I /III 1
Current Monthly Charges Amount Previous Charges Amount
Water C harges 25.62 Outstanding Balance $0.00
Water Tax 0 �(j `Pi evi'ous ivlonih Charges $34.17
Fire Protection Charges $0.00
Sewer Charges $0 Payments
Storm Water Charges $0.00 Payment Received On 12/12/2011
Trash Charges $0.00 Amount Paid $34.17
Adjustments/ Misc. Charges/ Penalties $0.00
Total Current Charges $25.62 Total Previous Month $0.00
Monthly Water Usage
7000 6000 4000 6000 6000 6000 7000 600' BO'0 12000 10000 7000
iz O� )a Fe`O �a� pQ� epxa )�o )J P pA 9 zQ Oc ti a C'
e• 0 0
Important Notice: Holiday Closings
b Offices will be closed Mon Dec 26th, Fri Dec 30th and Mon Jan 2nd
LL Offices will also be closed Mon Jan 16th,
3
0
Retain this portion for your records.
s,!!
Faye ilc a i >L a:: ii �6`t i` ,V: 317- 804 31501: Select Option 2 city Hair
e 'u.. lviail payment and return stub in the envelope provided. ''="''st
Allow sufficient postal delivery time as your account will be SR 32 SR 12
assessed penalties if it is not received in our offices by the due date. city Services
Center
T a 2723 L 17 ST {CITY SERVICES CENTER) 171 St 1 South St
2723 E 171 ST CITY SE RVfGES CENTE
30 PENIN S -1 (INORTH_SIDE OF CITY _HALL) o
p i 54i9 E GREYHOUND PASS (IN PARKING LOT OF I
TRUSTE_ OFFICE
.vv�"�4 iT 4 r i'. i� v -lam =8.'J Oi LEY,,E AT
1�3yh (A convenience fee will apply)
VISIT OUR WEBSITE TO DOWNLOAD AN APPLICATION OR CHECK THE BOX ON
THE= 1 0 HAVE INFORMATION MAILED DIRECTLY TO YOU.
F IRST $3.00, 3% OF BALANCE; SEWER, STORMWATER, TRASH 10% OF CHARGE
>E X inquent notice will be sent to any account with an outstanding balance over 45 days. This notice
is a final ren F. ,o: ;:o rr ;nation of service. Should you receive such a notice, be sure to contact our office immediately to
verify our rtc:;,r ,s ii you ~',.adv a payment. If payment is not received prior to the date of disconnection on this notice, your
water service wl!i a.nd you will be charged a service fee.
e r ;actions in toilets, water softeners, faucets, ice makers, humidifiers and lawn sprinklers cause high
usage Sac p s ;,p, ,urrl;JS :urrning off the water supply will also cause high usage. Toilets are most often the cause. Check
to see if t,v i 'lnk overflow: if it is, there is a problem. If not, add food color to the tank and check the bowl
and an r: -.s seeped into the bowl or is not visible in the tank, a leak exists. If the problem continues, or you
cannct'rirc r;uaiifiad person to make the necessary repairs. Westfield Public Works is not responsible for
service line:, and/or curb box to the service address.
S`..v is Tit :'y'USTOMERS
cv, the meter pit and service lines to the residence. Westfield Public Works is responsible for
water se; ive !ii ss C; n ii G r jater main io the meter pit. The m eter pia, lid, and casting are the homeowner's responsibility. All
i pile mQtcr ,pit to ihs home is the responsibility of the homeowner, including any house side valves and meter yoke.
^,''i rcpai3 s tc the ho:.ise side plumbing and any associated costs are the homeowner's responsibility. It there is a curb stop, all
pier uti pest ine curb stop is the responsibility of the homeowner. All repairs and associated costs after the curb stop are the
turn e v b ss:20'1S1DiIiiy. �Nestfield Public Works maintains ownership of the meter and any radio equipment.
row time to time you may receive notice from us of a need to provide a service repair to the meter pit. Usually this is
a Request io keep grass or any other matter from covering or interfering with the meter pit lid or a request to replace damaged
parts. Your response within 30 days from the date of the notice is needed in order to have accurate reading of your water meter.
At no time should plantings or structure be placed on the meter pit.
0 2728 E. 171st Street Invoice
P.O. Box 1040
CITY OF V Westfield, IN 46074 -1040 Billing Date 12/21/2011
Westfield field Customer Service
g (317) 804 -3150 Consecutive Days 37
INDIANA M -F 8:00 am 4:30 pm Billing From 10/26/2011 to 12/2/2011
Service Address 521 W 146TH ST
Account No zr° 4016
Water Reading Present 699000
Previous 693000
Gallons 6000
2 Total Due On 1/13/2012 $22.77
CARMEL UTILITIES
760 3RD AVE SW After 1/13/2012 Pay $23.66
CARMEL, IN 46032 -2072
1111 1 1 1 111 11 1 111 111 1'1111111111111 Jill "'III "111111'lll'
Current Monthly Charges Amount Previous Charges Amount
Water Char es $22.77 Outsta Balance __$0.
Water Tax $0.00 Previous Month Charges $13.14
Fire Protection Charges $0.00
Sewer Charges $0.00 Payments
Storm Water Charges $0.00 Payment Received On 12/12/2011
Trash Charges $0.00 Amount Paid $13.14
Adjustments/ Misc. Charges/ Penalties
Total Current Charges $22.77 Total Previous Month $0.00
Monthly Water Usage
4000 7000 3000 5000 5000 3000 5000 4000 4000 4000 5000 3000 6000
Important Notice: Holiday Closings
g Offices will be closed Mon Dec 26th, Fri Dec 30th and Mon Jan 2nd
3 Offices will also be closed Mon Jan 16th.
0 Retain this Dortion for vour records.
2728 E. 171st Street u voice
P.O. Box 1040 u u �o
CITY of moo Westfield, IN 46074 -1040 Billin g Date
Customer Service 12/21/2011
A
AAM St f iel (317) 804 -3150 Consecutive Days 37
INDIANA M -F 8:00 am 4:30 pm Billing From 10/26/2011 to 12/2/2011
Service Address 1155 W 146TH ST
Water Reading Present 29000
Previous 22000
Gallons 7000
2 ITotal Due On 1/13/2012 $25.62
CARMEL UTILITIES
760 3RD AVE SW After 1/13/2012 Pay $26.60
CARMEL, IN 46032 -2072
IIIIIIIIIII 'lll` "III '1111 "'III �'llllll'lll'
Current Monthly Charges Amount Previous Charges Amount
Water Char J$ 25.62 Outs tanding B alance
Water Tax $0.00 Previous Month Charges Y $25.62
Fire Protection Charges $0.00 payments
Sewer Charges $0.00
Storm Water Charges $0.00 Payment Received On 12/12/2011
Trash Charges $0.00 Amount Paid $8.76
Adjustments/ Misc. Charges/ Penalties $0.00
Total Current Charges $25.62 Total Previous Month $0.00
Monthly Water Usage
7000 4000 6000 6000 6000 5000 7000 2000 0 0 0 7000 7000
ZZ 0 0 0
Important Notice: Holiday Closings
o Offices will be closed Mon Dec 26th, Fri Dec 30th and Mon Jan 2nd
Offices will also be closed Mon Jan 16th.
V
Retain this portion for your records.
O 2728 E. 171st Street nv®fce
0 :V P.O. Box 1040
CITY pF °p Westfield, IN 46074 1040 Billing Date 12/21/2011
Westfield Customer Service
(317) 804 -3150 Consecutive Days 37
INDIANA M -F 8:00 am 4:30 pm Billing From 10/26/2011 to 12/2/2011
Service Address 1165 W 146TH ST
Account No
Water Reading Present 26000
Previous 24000
Gallons 2000
2 Total Due On 1/13/2012
CARMEL UTILITIES
760 3RD AVE SW After 1/13/2012 Pay $9.23
CARMEL, IN 46032 -2072
Iln' 11 I I I Ll ll l lll "III "'III "II
Current Monthly Charges Amount Previous Charges Amount
Wa Ch arges $8.76 Outstan Balance ($4.38)
Water Tax $0.00 Previous Month Charges $31.32
Fire Protection Charges $0.00
Sewer Charges $0.00 Payments
Storm Water Charges $0.00 Payment Received On 12/12/2011
Trash Charges $0.00 Amount Paid $26.94
Adjustments/ Misc. Charges/ Penalties $0.00
Total Current Charges $8.76 Total Previous Month $0.00
Monthly Waler Usage
0 0 2000 2000 3000 3000 2000 3000 0 0 0 5000 2000
p eg' 1 `7 0 P Q`
Important Notice: Holiday Closings
s Offices will be closed Mon Dec 26th, Fri Dec 30th and Mon Jan 2nd
u Offices will also be closed Mon Jan 16th.
3
0 Retain this portion for your records.
VOUCHER 113395 WARRANT ALLOWED
00352922 IN SUM OF
WESTFIELD UTILITIES
ATTN: Sherry Goins
2728 E 171st Street
Westfield, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
120211 01- 6100 -01 $82.77
Voucher Total $82.77
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
00352922
WESTFIELD UTILITIES Purchase Order No.
ATTN: Sherry Goins Terms
2728 E 171 st Street Due Date 12/30/2011
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 120211 $82.77
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