207498 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1
Q ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 PO BOX 679
NASHVILLE IN 58559 CHECK NUMBER: 207498
CHECK DATE: 3/2612012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 998447 300.00 EMPLOYEE PENSIONS B
Indiana Rural Water Association
PO Box 679
Nashville, IN 47448 ATTN: ACCOUNTS PAYABLE
Invoice
BILL TO DATE INVOICE NO.
City of Carmel 3/12/2012 998447
9609 Hazel Dell Parkway
Indianapolis, IN 46280
Membership Renewal Date 2/17/2013
Questions? MaryJane Miller, Office Manager P.O. No. TERMS
Telephone 866 895 -4792
Fax- 855- 202 -7298 S13019 Due on receipt
DESCRIPTION AMOUNT
Process Instrument Verification for Water Wastewater, March 14, 300.00
2012 in Carmel, IN Alton Bart Chafin, Dave Dye, Ralph Gruwell
Process Instrument Verification for Water Wastewater, March 14, 0.00
2012 in Carmel, IN Daniel Jenkins, Jerry Cloud NO CHARGE
3/12/2012 E -mail to Diana Cordray
Payments /Credits $0.00
Credit Card payments accepted:
Credit Card Visa MC Disc Am Exp
Exp: Security
Name on Card:
Signature:
S13019 Balance Due $300.00
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
00351464
INDIANA RURAL WATER ASSOCIATION Purchase Order No.
PO BOX 679 Terms
NASHVILLE, IN 47448 Due Date 3/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/2012 998447 $300.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
f
Date Officer
1
VOUCHER 117001 WARRANT ALLOWED
00351464 IN SUM OF
INDIANA RURAL WATER ASSOCIATIO
PO BOX 679
NASHVILLE, IN 47448
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
998447 01- 7042 -05 $300.00
Voucher Total $300.00
Cost distribution ledger classification if
claim paid under vehicle highway fund