17858S 10/27/2009 CITY OF CARMEL, INDIANA VENDOR: 150002 Page 1 of 1
ONE CIVIC SQUARE VECTREN ENERGY DELIV ERY OF IND SECK AMOUNT: $1,776.74
CARMEL, INDIANA 46032 1239 RELIABLE PARKWAY
CHICAGO IL 60686 -0012 CHECK NUMBER: 178588
CHECK DATE: 10127/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4349000 FDS0010418 1,776.74 GAS
Mai[ Payment To: VECTREN ENERGY DELIVERY OF irNDiyNA=NORTH NOW DUE
Vectren Utilities Holding Group, Inc.
1239 Reliable Parkway
Chicago, IL 60686 0012. $1,776.74
Inquiries: 1- 877 -902 -2934, Mon. -Fri., 8 -5
Risk Management/Claims Department
Type: GAS
CARMEL STREET DEPT Invoice:.,FDS0010418
3400 W 131ST STREET, BiIIToID: 27153
WESTFIELD, IN 46074 Billing Date: 10/16/2009
Date of Loss: 9/29/2009
Address: 4722 BEDFORD CT, CARMEL
2 °PLASTIC MAIN DAMAGED BY POSTHOLE DIGGERS. DID NOT REQUEST
LOCATES.
Material: $113.20
Company Labor: $718.34
Contract-Labor'. $0.00
Transportation /Equipment: $212.04
Misc $0.00
Gas Loss: $733.16
Adjustments: $0.00
Payments: $0.00
Total: $1,776.74
5830 103.0509
Remember, call two (2) working days before digging. Contact I.U.P.P.S. at 1- 800 382 -5544.
Form 2100 (3/02)
VOUCHER N W NO.
ALLOWED 20
Vectren Energy Delivery
IN SUM OF
P. O. Box 6248
Indianapolis, IN 46206 -6248
$1,776.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT#ITITLE AMOUNT Board Members
2201 FDS0010418 43- 490.00 $1,776.74 I 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
JThursday,/October 22, 2009
NO
v
Street Commissioner
Street C>;;tt4�nrr issioner
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))
10/16/09 FDS0010418 $1,776.74
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