HomeMy WebLinkAbout211502 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEYCHECK AMOUNT: $7,750.00
=f ;+ CARMEL, INDIANA 46032 PO BOX 71362
PHILADELPHIA PA 19176-1362 CHECK NUMBER: 211502
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 90104460 7, 750 . 00 STORM WATER PHASE II
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
DOWN PAYMENT(BILL) REQUEST
Make Remittance Payable To: United States Geological Survey Bill#: 90104460
Billing Contact: Tonja R. Clark, Budget Analyst Phone: (317) 600-2723 Date: 07/13/2012
Due Date: 09/11/2012
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: CITY OF CARMEL
MR. MIKE MCBRIDE Additional forms of payment may be accepted. Please
1 CIVIC SQUARE email gdatta @usgs.gov or call 703-648-7605 for
P.O. BOX 1399 additional information.
CARMEL IN 46032
To pay through Pay.gov go to https://www.pay.gov. Checks must be made payable to
U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
07/13/2012 Expenses incurred for the installation, operation, 1 7,750.00 1 7,750.00
and maintenance of streamflow gaging station on
Williams Creek at 96th Street in Hamilton County
for the period of October 1, 2011 to September 30,
2012
12EMNF0000005
Amount Due this Bill: 7,750.00
Accounting Classification: 13%Ai5l6»'89
Sales Order: 20512
Sales Office: GENF
Customer Number: 6000001344 AA "D N
o� N
TIN: 356000972 � 2012
S
!.-IVGINEER �yti
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
United States Geological Survey Purchase Order No.
POB 71362 Terms
Philadelphia, PA 19176-1362 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
7/13/2012 90104460 Williams Creek streamflow gage operation $ 7,750.00
Total $ 7,750.00
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
VOUCHER NO WARRANT NO.
United States Geological Survey ALLOWED 20
POB 71362 IN SUM OF $
Philadelphia, PA 19176-1362
$ 7,750.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 90104460 211-4462838 7750 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
7/30/2012
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund