HomeMy WebLinkAbout210698 07/16/2012 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
0 ONE CIVIC SQUARE CLAY TWP RWD CHECK AMOUNT: $2,559.36
CARMEL, INDIANA 46032 PO BOX 40638
INDIANAPOLIS IN 46240-0638 CHECK NUMBER: 210698
CHECK DATE: 7/16/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4348500 26 . 25 0101006272502
1091 4348500 479 . 70 0101016210101
1091 4348500 1, 307 . 10 4000400010100
1125 4348500 54 . 23 0143006091230
1125 4348500 90 . 22 0341578281126
1125 4348500 10 . 04 0341578286817
1125 4348500 63 . 20 0376122604988
1125 4348500 63 . 54 1015000014110
1125 4348500 67 .48 2000130154000
2201 4348500 247 . 12 2000240134001
601 5023990 75 . 24 4000500034500
601 5023990 75 . 24 4000500134500
The Mission of the District-to provide a high quality,cost-
o ,.„ effective sanitary sewer service to our community.
Clay Township Regional Waste District
CTRWD P.O.Box 40638 IIMQnWy Statement
3 Indianapolis,IN 46240-0638
AFGIONPW��
Customer CARMEL ST DEPT
Service Address: 3400 131 ST ST W Account Number 2000240134001
Billing Date 07/06/2012
02/W10 11 10 3 0007589 20120702 HGOA3102 CLAYSTMT 1 OZ DOM HGOA310000'159511 UT
Inliitiiilnrllrliiiiiilliillilillliiliil�rninlili
Customer Message
CARMEL ST DEPT
3400 w 131ST ST
CARMEL IN 46074-8267 *
Previous Balance $235.38
Period From: 0_6/06/2012 Payments -$235.38
Period To: 07/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Primary-2 In Meter 60121546 5.00000 A 247.12
60334360 10.00000
60360195 4.00000
Important Information D
$247.12
Billing reflects new District Wide Rates for all customers effective June 6,2012.
Residential Balanced Billing has been updated based on your winter average. Due Date
New balanced'billirig rates are effective June 6, 2012-June 6,2013. Please refer D 07/20/2012
to our web page if you have questions regarding how your bill is calculated at
www.ctrwd.org. �w D
C o, $247.12
02-1x09-2750(12/09)
Retain this portion for your records
o`a�PHp Hq�kro^✓ REMITTO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
P.O. BOX 40638
N
-CTRWD- a< INDIANAPOLIS, IN 46240-0638
(317) 844-9200
Visit our website: www.ctrwd.ora
RfGIONp�`NP
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 02-149-2750(12M)
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Township Regional Waste District
IN SUM OF $
P. O. Box 40638
Indianapolis, IN 46240-0638
$247.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-485.001 $247.12 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
Wednesda rI ly 11, 2012
Q
)0/
Street Commissippr
Street �Immissloner
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))
07/06/12 $247.12
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
The Mission of the District-to provide a high quality,cost-
effective sanitary sewer service to our community.
g Clay Township Regional Waste District
CTRWD Mon��0�f Statement
w "< P.O.Box 40638
- Indianapolis,IN 46240-0638
Customer CARMEL WATER
Service Address: 3450 131 ST ST W #B Account Number 4000500134500
Billing Date 07/06/2012
0210411011 103 0007591 20120702 HGOA3102 CLAYSTMT 1 OZ OOM HGOA31 MOO'1595 1 UT
I�I�IIJ�IIIIIIII�JIII�I�'Ill��l�lll��l��yl�ll��l"I�I�"IIIII�
Customer Message
CARMEL WATER FACILITY
3450 W 131 STREET #B
CARMEL IN 46074-8267 :
r',L'
Previous Balance $84.38
Period From: 06/06/2012 Payments -$77.78
Period To: 07/06/2012 ^Adjustments $0.00
Total Past Due $6.60
Service Description Meter Number Cons.n000 gallons) Amount
Metered Comm Michigan Rd-2 In Meter 60491814 3.00000 A 75.24
Important Information D
$81.84
Billing reflects new District Wide Rates for all customers effective June 6,2012.
Residential Balanced Billing has been updated based on your winter average. Due Date
New balanced billing rates are effective June 6, 2012-June 6,2013. Please refer 07/20/2012
to our web page if you have questions regarding how your bill is calculated at
www.ctrwd.org. aumoDm D
$81.84
02-1x09-2750(12109)
Retain this portion for your records
The Mission of the District-to provide a high quality,cost-
pNA.HA effective sanitary sewer service to our community.
»+ CTRWD• Clay Township Regional Waste District �O���Q�n �
P.O.Box 40638
e Indianapolis, IN 46240-0638
a�
RtGIONN�
Customer CARMEL WATER
Service Address: 3450 131ST ST W #A Account Number 4000500034500
Billing Date 07/06/2012
0210411011103 000759020120702 HGOA3102 CLAYSTMT I OZ DOM HGOA310000'159511 UT
'II�IIIII'I.I.I�II��"11�1�1���11�1�1'�I'�I��'ll�l�lll'1�11�11'I Customer Message
CARMEL WATER FACILITY
3450 W 131 STREET #A
CARMEL IN 46074-8267 ! '
1�.*
Previous Balance $9228
Period From: 06/06/2012 Payments -$75.74
Period To: 07/06/2012 Adjustments $0.00
Total Past Due $16.54
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Michigan Rd-2 In Meter 60491813 3.00000 A 75.24
D sam(' -Q
Important Information D
$91.78
Billing reflects new District Wide Rates for all customers effective June 6,2012.
Residential Balanced Billing has been updated based on your winter average.
New balanced billing rates are effective June 6, 2012-June 6,2013. Please refer Due Date D 07/20/2012
to our web page if you have questions regarding how your bill is calculated at
www.ctrwd.org. D 1 $91.7$
- ----� - -- - " " - - - 02-7x09-2750(12/09)
Retain this portion for your records
VOUCHER # 121431 WARRANT # ALLOWED
061152 IN SUM OF $
CLAY TOWNSHIP REGIONAL WASTE
PO BOX 40638
INDIANAPOLIS, IN 46240-0638
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
40005001345 01-6360-06 $75.24
Voucher Total �f $�w
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 7/10/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2012 4000500134! $75.24
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
Clay Township Regional Waste District
�V,h 7
I K
WD RO.Boy 40638
1n6ana,,)rj!:5,IN 46240-0638
Customer MONON CARMEL CLAY
Service Address: 1430 96TH ST E Account Number 0143006091230
Billing Date 07106/2012
0:/04/10 11 10 3 0000107,10120702 1G0P 904 C11ST-I OZ DW HGOA90.0-159541
I IIIIIIIII III 1111111111111111111 Customer Message
MONON CARMEL CLAY PARKS & REC
1411 E. 116TH STREET
CARMEL IN 46032-7611
Previous Balance $47.58
Period From: 06/06/2012 Payments -$47.58
Period To: 07/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter-Number Cons.opoo-gallons) Amount
Metered Comm Primary- 1 1/2 In Meter 60353811 6.00000 A 54.23
6,
$54.23;
..........
reflects new District Wide Rates for all cu
Billing stomers eff6ctive'June 6,2012.
'Residen'ti6i Billing has been,updated;based'oh' your winter average.,
07/20/2012
New balanced billing effective Juh-161-0;:1�012 7-`�Jbne 6,-2b.!I Please refer' ate
ag e if,
to-our we6.p' yqu ha e1questions regarding how your bill is cb1culated-at
'iiz
-
www.ctrwd.org. i(,
$54.23
P�,tMir,this porfion for your rcporjs
fh;,-—riinn,wi-h n-wmort whpn n , - s ino et itirstafr�m.-,n t 1�I g�i p .ah
F
M, Clay Township Regional Waste District
C RWD
R 0,Bf-,)(4 G1638
Indhanapo;is,IN 46240-0638
Customer CARMEL CLAY PARK &
Service Address: 2465 116TH ST W
Account Number 0341578286817
Billing Date 07/06/2012
02A4/10 11 10 3 0000183 2012070211E 9N CL YGTW 1 OZDOMHGO SOON'159541 M
111111111111111 Customer Message
CARMEL CLAY PARK & REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $11.60
Period From: 06/06/2012 Payments -$11.60
Period To: 07/06i2012 Adjustments $0.00
Total Past Duel $0.00
Service Description Meter Number Cons.0000 gallons) Amount
Multi-Billed Tenant Units 1.5 in 9042973 0.00000 A 10.04
—
'
�
$10.04 i
Bi In g reflects new n6,6,2012.
Residential BE an av erage. Vae,Dte Ne w bal'nc e d bil Please refer 07/20/2012!
to our web P ag e ulated at
www ctrw d org <
$10.04
Retain this portion for yoo,r Tcoords
se return this portion vvith payment when wiving,by mail Please hr'ng eritire. n p
F
NZ Clay Township Regirmal WwAe District
RO,B.m 40638
IN VO'240-0638
,TH A
IM
Customer CARMEL CLAY PARK &
Service Address: 3100 116TH ST W Account Number 0341578281126
Billing Date 07/06/2012
02I04/10 11 10 3 0000182 20120702 H O/904 CL YSWT I OZ W.H OA 90000'159111 11T
Customer Message
CARMEL CLAY PARK & REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $81.86
Period From: 06/06/2012 Payments -$81.86
Adjustments $0.00
Period To: 07/06/2012 Total Past Due $0.00
Service Description Meter Number Cons.n000 gailons) Amount
Metered Comm Primary-2 In Meter 60268700 10.00000 A 90.22
'
'
'
$ 0.22
Billing r e fl e ctg n�w "June
Residential"
e'ide t'a Balanced Billing has been updated,based on your winfer average,
New ba la n c edb 111 Plea�e�efer w".'Date 07/20/2012
to our,web p ag eJf ulatedat
www ctrw d:Ora.
$90.22
Rc-'.;in tnis portion for your
k"—A PIEaS iri inn emtira
X
Clay Township Rz-gional WasLDi,Wicl
T R VV D-
C
P.0,Box 4C638 I'
k
Customer CARMEL CLAY PARK &
Service Address: 1411 116TH ST E Account Number 1015000014110
Billing Date 07/06/2012
02104t10 11 10 3 0000184 20120702 lKlOA3904 CiAYSTW I OZ DO.HG�WWO-159141 lff
Customer Message
CARMEL CLAY PARK & REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $54.44
Period From: 06/06/2012 Payments -$54.44
Period To: 07/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.00po gallons) Amount
Metered Comm Primary-5/8 In Meter 35379081 25.00000 A 63.54
fion_
MpO
AW
&Ha'_ $63.54
OV
-Billing reflects new District'Wide Rates for all customers effective June 6,201-2.',-
Residential'Balan6ed Bihiri`dbas,been updated'bbse'd 66'your winter avera-ge..'
N6�v balanced billing rafes*e'effktive June.,Qi:_2012,_June 61-2,013. Please refer' 07/20/2012
to our web paj4,if.,you have�questions,regprdigg ow yoUr'bill is calculated,at
www.c rwd.o
rg..
$
`;' E 63.54
t-,oil
Rttnir;tniz,portion tot yctj;fc;cl-lrds,
Ple-aie relturit this portion lvih paymont when payinabv rrail Please h,m�;
T"le V;,`ssbo-of the 40 a
1,el
effec"Alo S!1'V_',r zs,,vi,�,"I",
Clay Town.ship Regioxal Waste District
fv
Ir 0,F
indianapoiii,IN 46240-0638 LL
Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101006272502
Billing Date 07/06/2012
02 /10 I1 10 3 M0165 20120702 1CW9N CL YSTSU 1 OZ DO.IIGOA3WWO'159501
Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL IN 46032-7611
Previous Balance $25.01
Period From: 06/06/2012 Payments -$25.01
-Period To: 07/05/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.opoo gaiions) Amount
Metere Comm Primaryy Fog - 1 In Meter 0101006272 0.00000 A 26.25
$26.25 f
Billing reflects new District Wide Rates.for all customers effective June 6,2012.
winter averagEi.
New balanced billing rates are`effective.June 6,2012-June 6;2013:.Please refe'r
clue Day_; 07/20/2012 i
to at.......... ......... ulated
www.ctrwql.qrg
$26.25,
Retain tnis portion for your,accords
reiturn this periionwi-h payment when:%ying by wail Please hi.in,vltiie
F
T7, blis,ioo 0, e"sm;
.e
Clay Towp*h1p Regional Wasle Distric!
0,F5 f)X 4 iji r-) e,
!N 46210-06""8
IWI vi- e-J
Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101016210101
Billing Date 07/06/2012
02 /10 11 10 3 0000186 20120702 HGO 909 CUYSTW I OZ DO.HG0 90000'1595x I M
�i��Il�hlri��Phh�IIIIIIIIIPIIIIIIhlli111lilu Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL IN 46032-7611
Previous Balance $577.58
Period From: 06/06/2012 Payments -$577.58
Period To: 07/06/2012 Adjustments $0.00
Total Past Due $0,00
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Primary Fog - 2 In Meter 60897458 192.00000 A 479.70
"j
$479.701
L B I lhg. reflects new 01
June 6,2012.
Residential Bal a ced average,
rr
NIV
New balanced b 11 li g Please refer w
07/20/2012
to 0,r web p ag e If.y0 ulated'at rZ7 ....
www ctrwd Ora k ..i.
$479.70
'n'i;;por-tion for ycu'
podion,!,Ath pwym.ent when paying l y rrrail hwon-O-T:;z-'-,
;iY
Clay Township RegP)nal VVast.,District
R().Box 4,0
fly !, " TA
CT ORKWD
J
indianapriiis,IN 46240-0638
Customer CARMEL CLAY CENTRAL
Service Address: 1235 CENTRAL PARK DR E Account Number 4000400010100
Billing Date 07/06/2012
02 110 I 1 10 3 0000101 30120]02 HGQ43904 Cl YSTW I OZ DO-I IGOA390000'159541 M
11111111 11111111111111111111111 Customer Message
CARMEL CLAY CENTRAL PARK
1411 E 116TH ST
CARMEL IN 46032-7611
Previous Balance $1,049.86
Period From: 06/0612012 Payments -$1,049.86
Period To: -07/06/2012 Adjustments $0.00
Total Past Due -$0.00
Service Description Meter Number Cons.00po gallons) Amount
Metered Comm Primary Fog -2 In Meter -59392985 102.00000 A 1307.10
59392996 105.00000
60863133 8.00000
---------
"
--- .............
r! )t ll O
$1,307.10
Billing reflects new Districf Wide Rates for all custorners4ffectivb'June Z,2012. a"
Residefitial,13ala'n6ed Billing�6s been updated based on your winter average.
0 Otis Date
New bal6ncied<6illing°r'ates"'�-'re effective June 6,2012-�Jdne 6,2013. Please refer, 07/20/2012
to our,web,pag'd if.you ha'v'e,"Ouesti-on's'regarOino how,ypur bill iscalculated at
ctrw :org,---.
$1,307.10
qvo q-�
Retain truss portinn for your ronrds
m.tuiv this por-ion vvilh payment%vhpn paying by ri-all Pk is::hfina eriti<p—s4iterneil!
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
7/6/12 0143006091230 1430 E 96th St- South Trailhead 6-Jun $ 54.23
7/6/12 341578286817 2465 W. 116th St- Storage Building $ 10.04
716/12 341578281126 3100 W 116th St-West Park $ 90.22
7/6/12 1015000014110 1411 E. 116th St. -Adm. $ 63.54
7/6/12 101006272502 1235 Central Park E. Dr. -Monon Center $ 26.25
7/6/12 101016210101 1235 Central Park E. Dr. - Monon Center $ 479.70
7/6/12 4000400010100 1235 Central Park E. Dr. -6 meters $ 1,307.10
Total $ 2,031.08
with IC 5-11-10-1.6
, 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$
$ 2,031.08
ON ACCOUNT OF APPROPRIATION FOR
101 General & 109 Monon Center
PO#or INVOICE NO. ACCT#/-rITLE AMOUNT Board Members
Dept#
1125 0143006091230 4348500 $ 54.23 I hereby certify that the attached invoice(s), or
1125 341578286817 4348500 $ 10.04 bili(s) is(are)true and correct and that the
1125 341578281126 4348500 $ 90.22 materials or services itemized thereon for
1125 1015000014110 4348500 $ 63.54 which charge is made were ordered and
1091 101006272502 4348500 $ 26.25 received except
1091 101016210101 4348500 $ 479.70
1091 4000400010100 4348500 $ 1,307.10
12-Jul 2012
Signature
$ 2,031.08 _ 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-
WA.HA effective sanitary sewer service to our community.
Clay Township Regional Waste District
CT D- - P.O.Box 40638 IMQ�11 Ny SWOM(°;M
Indianapolis,IN 46240-0638
REGIO,IRL�
Customer FIRE STATION #42
Service Address: 3610 106TH ST W Account Number 0376122604988
Billing Date 07/06/2012
0210411011 10 3 0000240 20120702 HGOA3101 CLAYSTMT 1 OZ DOM HGOA310000'159541 UT
Customer Message
FIRE STATION #42
2 CIVIC SQUARE
CARMEL IN 46032-2584
a
Previous Balance $62.26
Period From: 06/06/2012 Payments -$62.26
Period To: 07/06/2012 _ Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.n000 gallons) Amount
Metered Comm Mich Rd Fog - 1 In Meter 10856168 5.00000 A 63.20
10856207 6.00000
Important Information D
$63.20
Billing reflects new District Wide Rates for all customers effective June 6,2012.
Residential Balanced Billing has been updated based on your winter average. Due Date
New balanced billing rates are effective June 6,2012-June 6,2013. Please refer 07/20/2012
to our web page if you have questions regarding how your bill is calculated at
www.ctrwd.org. A@@M9M
XWC>>zaCMb $63.20
02-1x09-2750(12/09)
Retain this portion for your records
The Mission of the District-to provide a high quality,cost- }
„ effective sanitary sewer service to our community.
Clay Township Regional Waste District
N CTRWD = P.O.Box 40638 Mon y Statement
ment
Indianapolis,IN 46240-0638
At'GIIXIN�
Customer FIRE STATION #46
Service Address: 540 136TH ST W Account Number 2000130154000
Billing Date 07/06/2012
02IOGI1011 10 3 0000241 20120702 HGOA3101 CLAVSTMT i DZ DDM HGOA310000'159511 UT
IIIIIIIIIIIIIIIIIIIIIIIII'111111111111I111111I1111111111111I11111
Customer Message
FIRE STATION #46
2 CIVIC SQUARE
CARMEL IN 46032-2584
ti
Previous Balance $70.42
Period From: 06/06/2012 Payments -$70.42
Period To: 07/06/2012 Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.0000 gallons) Amount
Metere Comm Primaryy Fog - 1 In Meter 48889163 7.00000 A 67.48
48889164 6.00000
Important Information D
$67.48
Billing reflects new District Wide Rates for all customers effective June 6,2012.
Residential Balanced Billing has been updated based on your winter average. Due Date
New balanced billing rates are effective June 6, 2012-June 6,2013. Please refer 07/20/2012
to our web page if you have questions regarding how your bill is calculated at
www.ctrwd.org. an D $67.48
D D. -
02-1x09-2750(12/09)
Retain this portion for your records
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Twp. RWD
IN SUM OF $
P.O. Box 40638
Indianapolis, IN 46240
$130.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 2000130154000 43-485.00 $67.48 1 hereby certify that the attached invoice(s), or
1120 0376122604988 43-485.00 $63.20 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
JUL 16 2012
/ 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No 201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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 $67.48
0376122604988 • 42 $63.20
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