HomeMy WebLinkAbout168443 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 074580 Page 1 of 1
ONE CIVIC SQUARE DEPT OF THE INTERIOR,USGS
CARMEL, INDIANA 46032 US GEOLOGICAL SURVEY CHECK AMOUNT: $3,150.00
La PO BOX 70934 CHECK NUMBER: 168443
CHARLOTTE NC 28272 -0934
CHECK DATE: 2/4/2009
DEPARTMENT AC COUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
5.023990 8241200067 3,150.00 OTHER EXPENSES
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Page 1 of I
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Form DI-1040 IN005
United States Bill No: 8 -2412 -00067
Department of the Interior Bill Date: 10/14/2008
Geological Survey Due Date: 12/13/2008
Mail Check To:
BILL FOR COLLECTION DOI USGS
BOX 70934
CHARLOTTE NC 28272 -0934
Customer Address: Send- Overnight/Express Mail To:
City of Carmel, Carmel Utilities IN005 OLP Wholesale Lockbox -NC 0810
Attention: John Dull) Lockbox 70934
760 Third Avenue S.V. 1525 West WT Harris Blvd
Charlotte, NC 28262
Carmel- IN 46032
Checks must be made payable to: DOI -USES and must
include a copy otthts bill or reference the-Bill No above.
Notice: Payments to USGS may be made be all major credit cards, either be email to USGS
address: am ha11r uses. '-nv OR by p hone (703.648.7605).
Description: Quantity Unit Price Unit Issue Amount
Expenses incuned with the City of Carrel for the maintenance and 1 %3,1 CA $3,150.00
observation of wells in Cannel for the period of October I. 2007 to
September 30. 2005.
Federal Rceulations require Interest w the annual rate of 3% (0.41 7 %'month) be assessed from the date of this bill if payment is not received b}'
the Due Date. Regulations also require that a Penalty at the me of 6 (.5% mon(h) be assessed from the date of the bill if this hill becomes 90 days
delinquent. No interest will be chalved if payment is made by the due date.
I certify that this bill is correct, in accordance veith file terns of the order /signed a;;reement, and payment has not been received.
Tonja R Clark
Prepared by: Clarissa J Everhart 3 17-290-333 3 Amount Duc This Bill: $3,150.00
x126
USGS ACCOUNTING CLASSIFICATION SECTION:
Reimbursable
A"�reenu•nt 9 \mount Fund Rey Src Cost.Center
RI•l' EF1' Cuslll INlltji
0SE41N2412024 2008 2009 53.150.00 SIRTR ARK 2412
S3.15i).00 `Total
Routing Slip:
Created Br: Clarissa J Everhart
Supervisor. Ionia R Clark 317- 290 -3333 x123
Ol' :�l Contact: Denis J Sheehan APS- USGS'DOI 703- 648 -7642
CC: Michael F Smith 'I
10/15/2008
https: /gsvaresa0l .er.usgs.gov /WebFonns/ 1040.nsf73e7487a4f5 O3b2585256f18006ba50... 10/15/2008
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 12/29/2008
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/29/2001 8241200067 $3,150.00
lereby certify that the attached invoice(s), or bill(s) is (are) true and
)rrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Office
(OJCHER 084334 WARRANT ALLOWED
'480 IN SUM OF
JSGS DEPT OF THE INTERIOR
Carmel Water Utility
ION ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
8241200067 07- 1050 -05 $3,150.00
Voucher Total $3,150.00
c
;ost distribution ledger classification if
;laim paid under vehicle highway fund