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HomeMy WebLinkAbout178671 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 074580 Page 1 of 1 ONE CIVIC SQUARE DEPT OF INTERIOR -USGS ti?ja. CARMEL, INDIANA 46032 PO BOX 70934 CHECK AMOUNT: $3,600.00 CHAROLTTE NC 28272 -0934 CHECK NUMBER: 178671 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE 206 4462838 9- 2412 -00038 3,600.00 STORM WATER PHASE II t- Form DI -1040 IN005 United States 11 Bill No: 9- 2412 -00038 Department of the Interior Bill Date: 10/07/2009 Geological Survey Due Date: 12/06/2009 l Check To: $ILL FOR COLLECTION M uses BOX 70934 i CHARLOTTE NC 28272 -0934 Customer Address Send Overni Mail To: City of Carmel IN005 QLP Wholesale Lockbox NC 0810 Attention: Mike McBride, Dept of Engineering Lockbox 70934 One Civic Square 1525 West WT Harris Blvd Charlotte, NC 28262 Carmel, IN 46032 Checks must be made pa to: DOI -USGS and must include a co of this bill or reference the Bill No above. Notice: Payments to USGS may be made by all major credit cards, either by email to USGS address: gdatta @usgs.gov OR by phone (703.648.7605). Description: Quantity Unit Price Unit Issue Amount II 1 11 Expenses incurred with the City of Camel for operation and 1 $3,600.00 EA $3,600,00 maintenance of the gage station on Williams Creek at 96th Street in Hamilton County for the period of October I, 2008 to September 30, 2009. Federal Regulations require Interest at the annual rate of 3 %n (0.25% /month) be assessed from the date of this bill if payment is not received by the Due Date. Regulations also require that a Penalty at the rate of 6% (.5% /month) be assessed from the date of the bill if this bill becomes 90 days delinquent. No interest will be charged if payment is made by the due date. I certify that this bill is correct, in accordance with the terms of the order /signed agreement, and payment has not been received. Tonja R Clark Prepared by: Tonja R Clark 317 -290 -3333 Amount Due This Bill: $8,600.00 x1.23 USGS ACCOUNTING CLASSIFICATION SECTION: Reimbursable Ag BFY EFY Cust# IN005 Amount Fund Rev Sre Cost Center 09E41N2412004 2009 2010 $3,600.00 SIRTR ARJF 2412 $3,600.00 *Total Routing Slip: Created By: Tonja R Clark Supervisor: OFM Contact: Denis J Sheehan /APS /USGS /DOT 703- 648 -7642 CC: Damien M Oris TIN:35600972 10/07/2009 ;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 ,AbQ§er day, number of hours, rate per hour, number of units, price per unit, etc. Box 70934 Payee Purchase Order No. ar o e, Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9 -2412 -00038 St reannflow Gaging Station Williams Uree installation, Operation, Main enance 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 VOUCHER NO. WARRANT NO. ALLOWED 20 DOI -USGS IN SUM OF Box 70934 Charlotte, NC 28272 -0934 $3,600.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# or INVOICE NO. ACCT #[TITLE AMOUNT WEPT 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 CA -2 20 Signature Enc �\VV -Q -S-V Title Cost distribution ledger classification if claim paid motor vehicle highway fund