HomeMy WebLinkAbout206085 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
ONE CIVIC SQUARE CLAY TWP RWD
s CHECK AMOUNT: $2,046.41
CARMEL, INDIANA 46032 Po aox 4063e
•5, o b INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 206085
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4348500 25.01 0101006272502
1091 4348500 679.58 0101016210101
1091 4348500 890.74 4000400010100
1120 4348500 56.14 0376122604988
1120 4348500 64.30 2000130154000
1125 4348500 45.54 0143006091230
1125 4348500 67.58 0341578281126
1125 4348500 9.56 0341578286817
1125 4348500 48.32 1015000014110
601 5023990 77.78 4000500034500
601 5023990 81.86 4000500134500
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Customer MONON CARMEL CLAY
Service Address: 1430 96TH ST E Account Number 0143006091230
Billing Date 02/06/2012
020110 11: 3 0000180 '0120201 I'D091905CLAYSTMT I OZ DO" 1009190000 1595 U
Customer Message
MONON CARMEL CLAY PARKS 6 REC
1411 E. 116TH STREET
CARMEL IN 46032-7611 Ui
X.
Previous Balance $43.50
Period Frorn 01106/2012 Payments -$43.50
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.0000 gallons) Amount
Metered Comm Primary- 1 112 In Meter 60353811 3.00000 A 45.54
$45.54
This month's insert focuses on the DO'S and DON'TS of how to properly dispose
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at www.ctrwd.org for more information or contact 02/20/2012
our Pretrement Specialist, To schedule a plant tour, contact our Plant Manager at
317-873-0564.
$45.541,
F j t-N
zil
'0638
Customer CARMEL CLAY PARK
Service Address'. 2465 116TH ST W Account Number 0341578286817
Billing Date 02/06/2012
Customer Message
CARMEL CLAY PARK REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $9.56
Period From: 01/06/2012 Payments -$9.56
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.ti000 gallons) Amount
Multi-Billed Tenant Units 1.5 in 9042973 0.00000 A 9.56
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$9.56,
T h focuses on e DO'S and DON'TS of how to properly dispos
is month's insert e
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at www.ctrwd.org for more information or contact 02/20/20121
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at 6
317-873-0564.
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$9.561
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Customer CARMEL CLAY PARK
Service Address: 3100 116TH ST W Account Number 0341578281126
Billing Date 02/06/2012
0210411011: J 0000183201202011009,905CL YSTW 10ZDO.1009V90000' 1595+1 U7
Customer Message
CARMEL CLAY PARK REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $67.58
Period From: 01/06/2012 Payments -$67.58
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.(l000 gallons) Amount
Metered Comm Primary-2 In Meter 60268700 1.00000 A 67.58
7777 777F7 -.;7 7�777=--
N, $67.58'
This month's insert focuses on the DO'S and DON'TS of how to properly dispose
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at www.ctrwd.org for more information or contact Qoiba 02/20/2012
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
.317-873-0564.
$67.581
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Customer CARMEL CLAY PARK
Service Address: 1411 116TH ST E
Account Number 1015000014110
Billing Date 02/06/2012
02/ 110 11 10 3 OW0165 20120201 HD09V905 Cl YGTMT 1 02 001.1 11009V90000' 15954 1
Customer Message
CARMEL CLAY PARK REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
mat
Previous Balance $44.24
Period From: 01/06/2012 Payments -$44.24
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.opoo g allons) Amount
Metered Comm Primary-5/8 In Meter 35379081 19.00000 A 48.32
Q
$48.32
This month's insert focuses on the DO'S and DON'TS of how to properly dispose
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of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at www.ctrwd.org for more information or contact 02/20/20121
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our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
7
317-873-0564.
jr $48.32
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Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101006272502
Billing Date 02/06/2012
0 11:10 3 0000196 20170.'01 1 JUNV905 C L Y3 JMT 102 DONI 1 1009V90000' 159511 Ui
Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL IN 46032-7611
Previous Balance $25.01
Period Frorn 01/06/2012 Payments -$25.01
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.(l000 gallons) Amount
Metere Comm Primaryy Fog 1 In Meter 0101006272 0.00000 A 25.01
7 _71 1771 =17
Ift,
$25.01
This month's insert focuses on the DO'S and DON'TS of how to properly dispose J
of fats, oils and grease HELP PREVENT grease buildups from blocking your, U" Ste `)'P
sewer lines. Visit our website at www.ctrwd.org for more information or contact l 02/20/20121
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
317-873-0564.
$25.01
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Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101016210101
Billing Date 02/06/2012
0:,04110 11 10 3 0000101 20120201 IIDOV905 CL YSTMT 102 DOM 11009V90000' 159541 UT
IIIIII' Illlllli "Ill "II'I Ill III" "II "I'll "II Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL 1N 46032 -7611
Previous Balance $618.38
Period From: 01/06/2012 Payments $618.38
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Primary Fog 2 In Meter 60897458 301.00000 A 679.58
ro
$679.58
of how to properly a�
This month's insert focuses on the DO'S and DON'TS �p p y dis ose
p
of fats, oils and grease HELP PREVENT grease buildups from blocking your ti
sewer lines. Visit our website at www.ctrwd.org for more information or contact k r 02/20/2012
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
317- 873-0564:
$679.58
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Customer CARMEL CLAY CENTRAL
Service Address: 1235CENTRALPAR�ORE
4000400010100
Billing Date O2/OG/2O12
=W~..°=°.°=��.=�° CLAYS =.OZ=°.°��°'=�
III U|UN/UUUJ|1|q|UlU.U.|Uy"y"U0| Customer Message
cAxwsL CLAY csxrn^L pxnx
mzz c 116rx sr
c«xwcL IN 46032-7611
Previous Balance $821.38
Period From: 01106/2012 Payments '$831.38
Period To. 02/06/2012 Adjustments G0.00
Total Past Due $0.00
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Primary Fog '2|nMeter 132.00000 A 808.74
59392986 136.00000
60863123 0.00000
This month's insert focuses on the DO'S and DbN'TS of how to properly dispose 1�il_._�_
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website.at www.ctrwd.org for more information or contact
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
317-873-056*.
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
061152 Clay Twp Regional Waste District Terms
PO Box 40638 Date Due
Indianapolis, IN 46240 -0638
Invoice. Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/6/12 0143006091230 1430 E 96th St South Trailhead 6 -Jan 45.54
2/6/12 341578286817 2465 W. 116th St Storage Building 9.56
216112 341578281126 3100 W 116th St -West Park 67.58
2/6/12 1015000014110 1411 E. 116th St. -Adm. 48.32
2/6/12 101006272502 1235 Central Park E. Dr. Monon Center 25.01
2/6/12 101016210101 1235 Central Park E. Dr. Monon Center 679.58
2/6/12 4000400010100 1235 Central Park E. Dr. 6 meters 890.74
Total 1,766.33
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
061152 Clay Twp Regional Waste District Allowed 20
PO Box 40638
Indianapolis, IN 46240 -0638
In Sum of
1,766.33
ON ACCOUNT OF APPROPRIATION FOR
101 General 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 0143006091230 4348500 45.54 1 hereby certify that the attached invoice(s), or
1125 341578286817 4348500 9.56 bill(s) is (are) true and correct and that the
1125 341578281126 4348500 67.58 materials or services itemized thereon for
1125 1015000014110 4348500 48.32 which charge is made were ordered and
1091 101006272502 4348500 25.01 received except
1091 101016210101 4348500 679.58
1091 4000400010100 4348500 890.74
9 -Feb 2012
Signature
1,766.33 Accounts Payable Coordinator.
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community.
Clay Township Regional Waste District p
CTRwD P.O. Box 40638 �����u����((�
Indianapolis, IN 46240 -0638
REtiWfY
Customer CARMEL WATER
Service Address: 3450 131 ST ST W #B Account Number 4000500134500
Billing Date 02/06/2012
021 M 11 10 3 0007,- 1 2111 2020tH -V 102 CLAY51MT1 OT ❑OM Hii- W000'1595]t UT
I������Iii�IpIII��IiliuiIlulll�llll�i�llPnlr�li��n��
Customer Message
CARMEL WATER FACILITY
3450 W 1.31 STREET #B
CARMEL IN 46074 -8267.
Previous Balance $80.30
Period From: 01/06/2012 Payments $73.70
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $6.60
Service Description Meter Number Cons. opoo Qaitonst Amount
Metered Comm Michigan Rd -2 In Meter 60491814 8.00000 A 81.86
Important Information D
$88.46
This month's insert focuses on the DO'S and DON'TS of how to properly dispose
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at wvw.ctrwd.org for more information or contact Due Date p 02/20/2012
our Pretrement Specialist. To schedule a plant tour, contact our Plant. Manager at
317 -873 -0564. $88.46
02.1x09. 2750(12109)
Retain this portion for your records
�AA HA4r, REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
o� y P.O. BOX 40638
.CTRWD �G< INDIANAPOLIS, IN 46240 -0638
(317) 844 -9200
�Q
yt e Visit our website: www.ctrwd.or
REGIONAL��
PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not
send cash by mail. Stapling or folding the payment stub may substantially delay the processing of your payment. You
may pay your sewer bill in person at our office at 10701 N. College Ave. Suite A, Indianapolis, IN. For your convenience,
you may also use our drive -up drop box at this address.
Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College Ave.
Suite A, Indianapolis, IN or call (317) 844 -9200 Monday through Friday, 8:00 a.m. to 4:30 p.m.
NON PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th
of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee charge
will be added to your account.
AUTODEBIT is available for making your monthly payment. The form can be downloaded from our website.
Additional Information:
A- Actual meter readings
E When printed after a meter reading (previous or current) indicates an estimated reading
CR Credit amount
B Balanced billing applies to our residential customers only. Your monthly statements will be based on your winter
consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly
usage of 7,000 gallons per month.
Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02- 109- 2750n2r09;
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community.
Clay Township Regional Waste District
cTRwc P.O. Box 40638
Indianapolis, IN 46240 -0638
AtApVN
Customer CARMEL WATER
Service Address: 3450 131 ST ST W #A Account Number 4000500034500
Billing Date 02/06/2012
D- 1-11103 wn71 I12DI20201 HB-102 CLAYS-T 107 D— HBD-1B 0"150541 ui
I 111 11 111' 11� 1 '��P�1 1 1l 11111 '11'111,111+-11111111 -11 -11 -11111 Customer Message
CARMEL WATER FACILITY
3450 W 131 STREET #A
CARMEL IN 46074 -8267 k
Previous Balance $88.20
Period From: 01/06/2012 Payment $71.66
Period To: 02/06/2012 Adjustments $0.00
Total Past Due $16.54
Service Description Meter Number Cons. {1000 gallons) Amount
Metered Comm Michigan Rd -2 In Meter 60491813 6 -00000 A 77.78
Important Information
$94.32
This month's insert focuses on the DO'S and DON'TS of how to properly dispose
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at www- ctrwd.org for more information or contact Due Date 0212012012
our Pretrement Specialist. To schedule a plant tour contact our Plant Manager at
317- 873 -0564.
94.32
02. 109. 2750(12/09)
Retain this portion for your records
HARfZ REMIT TO: CLAY T REGIONAL WASTE DISTRICT
P.O. BOX 40638
CTRWD- p INDIANAPOLIS, IN 46240 -0638
(317) 844 -9200
f
r q
Visit our website: www.ctrwd.ora
�ia RFGIpNA1. S
PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not
send cash by mail. Stapling or folding the payment stub may substantially delay the processing of your payment. You
may pay your sewer bill in person at our office at 10701 N. College Ave. Suite A, Indianapolis, IN. For your convenience,
you may also use our drive -up drop box at this address.
Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College Ave.
Suite A, Indianapolis, IN or call (317) 844 -9200 Monday through Friday, 8:00 a.m. to 4:30 p.m.
NON- PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th
of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee charge
will be added to your account.
At1TODEBIT is available for making your monthly payment. The form can be downloaded from our website.
Additional Information:
A- Actual meter readings
E When printed after a meter reading (previous or current) indicates an estimated reading
CR Credit amount
B Balanced billing applies to our residential customers only. Your monthly statements will be based on your winter
consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly
usage of 7,000 gallons per month.
Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02.,X09 2750(12109)
VOUCHER 113695 WARRANT ALLOWED
061152 IN SUM OF
CLAY TOWNSHIP REGIONAL WASTE
PO BOX 40638
INDIANAPOLIS, IN 46240 -0638 WAS
OPER ATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
40005000345 01- 6360 -06 $77.78
4 col
Voucher Total
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
061152
CLAY TOWNSHIP REGIONAL WASTE -40638 Purchase Order No.
PO BOX 40638 Terms
INDIANAPOLIS, IN 46240 -0638 Due Date 2/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2012 4000500034` $77.78
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
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community.
Clay Township Regional Waste District
cTRwo P.O. Box 40638QO
Indianapolis, IN 46240 -0638
REyypHL `"r
Customer FIRE STATION #46
Service Address: 540 136TH ST W Account Number 2000130154000
Billing Date 02/06/2012
02101110 11 10 3 000W.4320120201 H809V 101 CLAYS TMT I OZ DO IA HR09V100110 159. UT
rllllllrulrlull�Ir�Ii���I�u�IIIImIIrIII�I�IIIIII�II 'I Customer Message
FIRE STATION #46
2 CIVIC SQUARE
CARMEL IN 46032 -2584
Previous Balance $62.26
Period From: 01/06/2012 Payments -$62.26
Period To: 02/06/2012 _Adjustments i $0 017
Total Past Due $0.00
Service Description Meter Number Cons.0000 gallonsl Amount
Metere Comm Primaryy Fog 1 In Meter 48889/63 6.00000 A 64.30
48889164 7 -00000
Important Information
D
This month's insert focuses on the DO'S and DON'TS of how to properly dispose $64.30
of fats, oils and grease HELP PREVENT grease buildups from blocking your
sewer lines. Visit our website at www.etrwd.org for more information or contact Due Date p 02/20/20
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
317 -873 -0564. amm i ft D $64.30
02-1x09-2750(1X09)
Retain this portion for your records
o PIA HA4vz REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
CTRWD• �G< INDIANAPOLIS, IN 46240 -0638
(317) 844 -9200
f U
Q
5
�L RECIONA��NPSS�S Visit our website: www.ctrwd.ora
PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not
send cash by mail. Stapling or folding the payment stub may substantially delay the processing of your payment. You
may pay your sewer bill in person at our office at 10701 N. College Ave. Suite A, Indianapolis, IN. For your convenience,
you may also use our drive -up drop box at this address.
Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College Ave.
Suite A, Indianapolis, IN or call (317) 844 -9200 Monday through Friday, 8:00 a.m. to 4:30 p.m.
NON- PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th
of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee charge
will be added to your account.
AUTODEBIT is available for making your monthly payment. The form can be downloaded from our website.
Additional Information:
A- Actual meter readings
E When printed after a meter reading (previous or current) indicates an estimated reading
CR Credit amount
B Balanced billing applies to our residential customers only. Your monthly statements will be based on your winter
consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly
usage of 7,000 gallons per month.
Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02- 1xo9- 2750(12Jo9)
The Mission of the District to provide a high quality, cost-
effective sanitary sewer service to our community,
Clay Township Regional Waste District
CTRWI), P0. Box 40638 m(Q1nwy statemem
Indianapolis, IN 46240 -0638
Customer FIRE STATION #42
Service Address: 3610 106TH ST W Account Number 0376122604988
Billing Date 02/06/2012
0218 10 11 103 W00242201202n1 HU09VIOTCLAYSTMT I OZVOMHE- 10W011 -1 UT
Ilul�ll" Il�l�hu�l�ll�rtll�l�nrl�lr�lhl���rllilul
Customer Message
FIRE STATION #42
2 CIVIC SQUARE
CARMEL IN 46032 -2584
r4
Previous Balance $58.18
Period From: 01/06/2012 Payments $58.18
Period To: 02/06/2012 Adjustments
Total Past Due $0.00
Service Description Meter Number Cons.tl000 aIg Ions! Amount
Metered Comm Mich Rd Fog 1 In Meter 10856168 5.00000 A 56.14
10856207 4.00000
Important Information D
$56.14
This month's insert focuses on the DO'S and DON'TS of how to properly dispose
of fats, oils and grease HELP PREVENT grease buildups from blocking your Date
sewer lines. Visit our website at wvvw.ctrwd.org for more information or contact Due D 02/20/2012
our Pretrement Specialist. To schedule a plant tour, contact our Plant Manager at
317 873 -0564. M 7 D $56.14
o a,
02.1 x09 2750(12/09)
Retain this portion for your records
Q 04 Hq� REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
CTftW �G< INDIANAPOLIS, IN 46240 -0638
(317) 844 -9200
V
ti
t� Visit our website: www.ctrwd.
REmova���
PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not
send cash by mail. Stapling or folding the payment stub may substantially delay the processing of your payment. You
may pay your sewer bill in person at our office at 10701 N. College Ave. Suite A, Indianapolis, IN. For your convenience,
you may also use our drive -up drop box at this address.
Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College Ave.
Suite A, Indianapolis, IN or call (317) 844 -9200 Monday through Friday, 8:00 a.m. to 4:30 p.m.
NON -PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 20th
of the month. If any portion of the current charges remain unpaid after the 20th of the month, a 10 percent late fee charge
will be added to your account.
AUTODEBIT is available for making your monthly payment. The form can be downloaded from our website.
Additional Information:
A- Actual meter readings
E When printed after a meter reading (previous or current) indicates an estimated reading
CR Credit amount
B Balanced billing applies to our residential customers only. Your monthly statements will be based on your winter
consumption or if you do not yet have winter consumption history, billing will be based on an average residential monthly
usage of 7,000 gallons per month.
Approved by State Board of Accounts for Clay Township Regional Sewer District, 2009 02- 1x09 2750(12109)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Twp. RWD
IN SUM OF
P.O. Box 40638
Indianapolis, IN 46240
$120.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 1 2000130154000 43- 485.00 $64.30 I hereby certify that the attached invoice(s), or
1120 1 0316122604988 I 43- 485.00 I $56.14 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
FEB
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2000130154000 46 $64.30
0376122604988 42 $56.14
1 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