211586 08/14/2012 „sf CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
' ONE CIVIC SQUARE CLAY TWP RWD CHECK AMOUNT: $3,438.90
CARMEL, INDIANA 46032 PO BOX 40638
INDIANAPOLIS IN 46240-0638 CHECK NUMBER: 211586
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4348500 26 . 25 0101006272502
1091 4348500 295 . 66 0101016210101
1091 4348500 2 , 364 . 26 4000400010100
1120 4348500 69 . 62 0376122604988
1120 4348500 61 . 06 2000130154000
1125 4348500 54 . 23 0143006091230
1125 4348500 85 . 94 0341578281126
1125 4348500 16 .46 0341578286817
1125 4348500 65 . 68 1015000014110
2201 4348500 244 . 98 2000240134001
601 5023990 77 . 38 4000500034500
601 5023990 77 . 38 4000500134500
F
Clay Tzr wptshlp VV�-_Ie Dissltk-,;
4C638
111d IN 4E,'24-0-0838
Customer MONON CARMEL CLAY
Service Address: 1430 96TH ST E Account Number 0143006091230
Billing Date 08/0612012
0 110 11 10 3 0000194 2012=6 1iNCF902 CAYSTW 1 OZ DOM H CF9000 159541 IT
MONON CARMEL CLAY PARKS & REC Customer Message
1411 E. 116TH STREET
CARMEL IN 46032-7611
Previous Balance $54.23
Period From: 07/06/2012 Payments -$54.23
Period To: 0*8/06)2012 Adjustments K00
Total Past Due $0.00
Service Description Meter Number Cons.ogoo gallons) Amount
Metered Comm Primary- 1 1/2 In Meter 60353811 6.00000 A 54.23
AUG 0 8 202
'i T,
_ s,, 4.231
5
1 1=1r
For your
r bill paying convenience, have' available for a))customers 1 $
To sigh up,visit,our website at www.6trwd.org.Our office is located at 10701 N
Coll,egb"Ave.where a 2417 drive-up drop box,is available for payments,or ' u
yo 08120/2012 l
maywb lk your payment into the office during office hours Monday-Friday .
.8:00arh:to 4:30pm.'The office will be'closed-Labor.Day Monday,§epterriber 3,
2012"
$54.23J
•
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Customer CARMEL CLAY PARK&
Service Address: 2465 116TH ST W Account Number 0341578286817
Billing Date 08/06/2012
02/04110 11 10 3 0000190 20120806-_F902 CL IGTMT I OZ DOM0CF90000'159541 UT
Customer Message
CARMEL CLAY PARK & REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $10.04
Period From: 07/06/2012 Payments -$10.04
Adjustments :$0.001..,
fj�&16&To- 08/06/2012
Total Past Due $0.00
Service Description Meter Number Cons.(l000 gallons) Amount
Multi-Billed Tenant Units 1.5 in 9042973 3.00000 A 16.46
AUG 0 8 2012
3461
j
For your bill paying convenience,we�[iave auto-debit available'for all customers. U
To sign up,visit our websit6'a at www:,ctrwd.org. Our office is located at 10791A
College Ave.'wh6re a 24/7 drive-up drop box is,availabl&"for payffents or-yo_you 08/20/20121
may walk your payment into,the office during,office hours Monday-Friday
8:00am to 4:300ml The office will b6 closed',L,abor Day Monday,September 3,'
$16.461
2012.,,
viiS por':�n for ic
Pleas�i bring erltireswiefnem�.Oie�n Fq:�ng�n pef e,'
returil this pqr1ion vvi-h mail
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s'e'vor Sa€ Jur
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Customer CARMEL CLAY PARK&
Service Address: 3100 116TH ST W Account Number 0341578281126
Billing Date 08/06/2012
02/M/1011 103 0000189 20120806 M10CF902 CL YSTW i OZ DO.Itr CF90000'159W UT
Customer Message
CARMEL CLAY PARK & REC
1411 E. 116TH ST.
CARMEL IN 46032-7611
Previous Balance $90.22
Period From: 07/06/2012 Payments -$90.22
Adjustments $0.00
Pbriod-To':"-_.._ .08/0612012
Total Past Due $0.00
Service Description Meter Number, Cons.(l000 gallons) Amount
Metered Comm Primary-2 In Meter 60268700 8.00000 A 85.94
AUG 0 8 2012
F,
$85.94]
For your bill paying convenience,we have auto-debit available for-all customers.
'To sign up,visit our website,at www.ctir.wd.org.:0ur office is located at 10701 N
F
College Ave.where a 2417-drive-up.drop box is,available for payments or,you 08/20/20121
"to the office during office hours Mon
may walk your payment in day-Friday
8:00am;to 4:30pm.The office will be closed Labor Day Monclay'September 3,
$85.94 i
2012.,
Fo',,1,in this.,.ort; n foE cu:,...,c;rdls
rc-turn ii,,is poriion vJh ti;,hen myi.;n bv rm)il Please.hring wrtire,sli)taa,.mt mu-m
F
T'he Mis�'br�ofthe 1'1)"'S"rlc�-
'y
..........
P.0,RYA 4,0636
A
41d; na lN 4,1-,"_240-0638'
Customer CARMEL CLAY PARK&
Service Address: 1411 116TH ST E Account Number 1015000014110
Billing Date 08/0612012
0]/04/1011 10 3 000019120120806 WOCF902 CI YSTMT 1 OZ DOM Hi0000000'159541 UT
Customer Message
CARMEL CLAY PARK & REC
1411 E. 116TH ST.
CARMEL IN 46032-7611 M.
11
A
Previous Balance $63.54
Period From:, 07106/2012 Payments -$63.54
Period o.- 08106/2012 -Adjustments $0.00
Total Past Due $0.00
Service Description Meter Number Cons.n000 gallons) Amount
Metered Comm Primary-5/8 In Meter .35379081 26.00000 A 65.68
Fc E I V
AUG 0 8 2012
ni
For '6 r -debit $65.681
bill paying convenience,
y u we have av ailable for all customers.
To sign up,visifour webs'jt6 at www.ctrwd.orgi Our office is located at 10701 N
Colleg�Ave.where you
a 24/7 driveuO.'&op bo�is available for payments 08/20/2012
V
rnay-walk your p�ryment-into'the office during office hours Monday-Friday -
8:06am to 4:30'm.The office will be closed Labor Day Monday, Septem6er 3
$65.681
2012�'
Rr, ir this'rortim for ycur
plp'I'SP 01tirw this pbrfion rivi'h payment b%thrm oayinq by m.pit Please,
F
I ll lay Tvf3iii zhiQ
Customer CARMEL CLAY PARKS
Service Address: 1235 CENTRAL PARK DR E Account Number 0101006272502
Billing Date 08/06/2012
ONN110 11 10 3 0000192 20120806 WOCF902 CL YSTMT 1 OZ 00.-0CM000'159541 IR
Customer Message
CARMEL CLAY PARKS
1411 E 116TH ST
CARMEL IN 46032-7611
Previous Balance $26.25
Period From: 07/06/2012 Payments -$26.25
'-Pbriod'To.- 1 08/06/2012' - Adjustments. . $o.90
Total Past Due $0.00
Service Description Meter Number Cons.n000-gailons) Amount
Metere Comm Primaryy Fog - 1 In Meter 0101006.272 0.00000 A 26.25
AUG 0 8 2012
$26.25
-debit available for all customers.
For your bill paying.convenience,we.'have auto 4 f.
.To sign,'pp,visit our,website at www.lctrwd.org l Our office is located at 10701 N yg°qq
a
College Ave.where 247,drive7up drop box is available for payments or you, te, 08120/2012
V
may w6f�,your payment into the office during office hours Monday-Friday -—------
to 4:30prn.-The office will be closed Labor Day Monday,September 3, s`'
,
$26.25
=2012.
t is port,n tot you-
return iNs portion vii?h paymont vihfam ;1y frail Pleas,-taring entire, I'atsm7rlt'Ah""!n paying,in ppm,.,
�
r ^ �
The of D��� pro-Vide a�g"',
Clay Toomrship Rugional Waste District
TRWD P.O.Box 40638
|ndiwiapnis�|N4t2*OOb38
ustomer~==� CARK8EL CLAY PARKS
Service Address: 1236 CENTRAL PARK DRE 0101016210101
Billing Date O8/OG/2O12
°=" "°` °"��'�°�IX=`C�YST==OW°"FW°O'159~'=
UD�m|0^|,UX]|�UU|Y.iUU||U|"|Um|,lUX|�&U/UUUUXnU^nUUUX"hUU Customer Message
cxnmsL CLAY pAnxs
1411 s 116TH sr
cxxwsL IN 46032-7611
Previous Balance $479.70
Period From: 07106/2012 Payments '$479.70
'
- -lPohod-To: :08/0 612012� ' ' Adjustments $0.00
Total Past Due $0.00
Service Description Meter-Nuiml�er Cons.(l000 gallons) Amount
'
'
Metered Comm PhmaryFog ' 2 In Meter 60897458, � � 106.00000 A 295.66
RE
AUG 0 8 2012
Lul
N 777,
In p
,yisi our'* 08/20/2012
fD` .
R at�ino��tion for your.mnm
Please return'this,portion:with paynneni when mzyingby- mail Please bring otatornent mlan praying in pf.,ison�
r �
P?-.�Vide a
'lay Township.Reg ionai Waate District
Pz
P0,13%46638
|ndonaon�s,|N4h240-0888
-~� CARK8EL CLAY CENTRAL
Service Address:� 123S CENTRAL PARK DRE
Account Number 4000408010100
Billing Date O8/OG/2O12
0210===3 °0188 2012�="�2"===.OZ="I.=W='159141=
x�UYin0l^oVDUnm�nUY/\U|^U|0|n|U|mU0|YQU�'U[nynUKnUUoUUKUUU Customer Message
CAxwsL CLAY cswrxAL pxxu
1411 s zznTx sr
cxxwsL IN 46032'7611 ���
��
Previous Balance $1,307.10
Period From: 07/06/2012 Payments '$1.307.10
'
Period To:- ��U8/-'08106120-1-2-- $9.00
Total Past Due
�OUO
Amount�
Metered Comm Primary Fog ' 2 |nMeter 114.00000 A 2364.26
583928D5/ 114.00000
'00863133 22.00000
< ` `"/l���-�
AUG A � �0iy' -- ~ - __—
be,we have auto-debit,' I ble for1"aIL6ustom,. s.
eetainnnis portion for your records
-
P�a,,iereltorn th$pmilin vii'hpayment vtdionp-qkng-hyrryU Please paying inymsn. `
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
816112 0143006091230 1430 E 96th St- South Trailhead 6-Jul $ 54.23
8/6/12 341578286817 2465 W. 116th St- Storage Building $ 16.46
8/6/12 341578281126 3100 VV 116th St-West Park - - ---$-- --85.94
8/6/12 1015000014110 1411 E. 116th St. -Adm. $ 65.68
8/6/12 101006272502 1235 Central Park E. Dr. - Monon Center $ 26.25
8/6/12 101016210101 1235 Central Park E. Dr. - Monon Center $ 295.66
8/6/12 4000400010100 1235 Central Park E. Dr. -6 meters $ 2,364.26
Total $ 2,908.48
with IC 5-11-10-1.6
120
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$
$ 2,908.48
ON ACCOUNT OF APPROPRIATION FOR
101 General & 109 Monon Center
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1125 0143006091230 4348500 $ 54.23 1 hereby certify that the attached invoice(s), or
1125 341578286817 4348500 $ 16.46 bill(s) is(are)true and correct and that the
1125 341578281126 4348500 $ 85.94 materials or services itemized thereon for
1 125 1015000014110 4348500 $ 65.68 which charge is made were ordered and
1091 101006272502 4348500 $ 26.25 received except
1091 101016210101 4348500 $ 295.66
1091 4000400010100 4348500 $ 2,364.26
9-Aug 2012
Signature
$ 2,908.48 _ 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.
•CTRWD- Clay Township Regional Waste District �0� ���n Statement P.O.Box 40638 ?!
Indianapolis,IN 46240-0638
a
A[GYDNRI��
Customer CARMEL WATER
Service Address: 3450 131 ST ST W #B Account Number 4000500134500
Billing Date 08/06/2012
0210411011103 W07617 20120806 HHDCF101 CLAVSTMT I OZ DOM HHOCF10000'159541 UT
IIII �II��I�II��III�I�I��IIIIII��'�II�II1��1�11�� v�lll��ll�l�l Customer Message
CARMEL WATER FACILITY
3450 W 131 STREET #B
CARMEL IN 46074-8267GJY: ':
Previous Balance $81.84
Period From: 07/06/2012 Payments -$75.24
- —Period To: 08/06/2012 Adjustments $0.00 _
Total Past Due $6.60
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Michigan Rd-2 In Meter 60491814 4.00000 A 77.38
3 fi�
Important Information
$83.98
For your bill paying convenience,we have auto-debit available for all customers.
To sign up,visit our website at www.ctrwd.org. Our office is located at 10701 N Date College Ave.where a 24/7 drive-up drop box is available for payments or you Due D 08/20/2012
may walk your payment into the office during office hours Monday-Friday
8:00am to 4:30pm.The office will be closed Labor Day Monday, September 3, �°�
2012. MT@M MD $83.98
Retain this portion for your records 02-t x09-275ot1 2/091
Please return this nortion with navment when navinn by mail PlPaca hrinn antira ctatamant whan navinn in narcnn
H46tZ REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
o� yC P.O. BOX 40638
CTRWD a4 INDIANAPOLIS, IN 46240-0638
(317) 844-9200
4
Visit our website: www.ctrwd.ora
��hYn RPGIQNA���PS�O
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 oz-,Xos-z�sonvos;
The Mission of the District-to provide a high quality,cost-
3 ON.X4 effective sanitary sewer service to our community.
•CTRWD•� Clay Township Regional Waste District �0����M ����Q����
P.O.Box 40638 �/
Indianapolis,IN 46240-0638
A&,'
Customer CARMEL WATER
Service Address: 3450 131 ST ST W #A Account Number 4000500034500
Billing Date 08/06/2012
02/ 1101110 3 000761620120806 HHDCF101 CLAYSTMT 1 OZ DOM H 0CF10000'159541 UT
II�III1111��11��11111111IIIIIIII11111111111'�IIIIIIII�IIIIIIIIIII
Customer Message
CARMEL WATER FACILITY
3450 W 131 STREET #A
CARMEL IN 46074-8267
4'
Previous Balance $91'78
Period From: 07/06/2012 Payments -$75.24
Period-To: 08/06/2012 Adjustments $0.00 --- --
Total Past Due $16.54
Service Description Meter Number Cons.110oo gallons) Amount
Metered Comm Michigan Rd-2 In Meter 60491813 4.00000 A 77.38
\.1G
Important Information D
$93.92
For your bill paying convenience,we have auto-debit available for all customers.
To sign up,visit our website at www.ctrwd.org. Our office is located at 10701 N
College Ave.where a 24/7 drive-up drop box is available for payments or you Due Date D 08/20/20 12
may walk your payment into the office during office hours Monday-Friday D
8:00am to 4:30pm.The office will be closed Labor Day Monday, September 3,
2012. $93.92
Retain this portion for your records 02-1x09-2750(12109)
Please return this portion with Davment when Davino by mail Please bring Pntire statpmpnt when nav nn in nprcnn_
VOUCHER # 121802 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
40005000345 01-6360-06 $77.38
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 8/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2012 4000500034; $77.38
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
� w
Date Officer
The Mission of the District-to provide a high quality,cost-
µF.HAY effective sanitary sewer service to our community.
CTRWD Clay Township Regional Waste District
- P.O.Box 40638 �QO n�� y Stat°m(�nt
R Indianapolis,IN 46240-0638
Customer FIRE STATION #42
Service Address: 3610 106TH ST W Account Number 0376122604988
Billing Date 08/06/2012
0210911011 103 000023820120806 HHOCF101 CLAYSTMT 1 OZ DOM HHOCF10000'159591 UT
Customer Message
FIRE STATION #42
2 CIVIC SQUARE
CARMEL IN 46032-2584x3
Previous Balance $63.20
Period From: 07/06/2012 Payments -$63.20
Period To: 08/06/2012 Adjustments - $0.00
Total Past Due $0.00
Service Description Meter Number Cons.opoo gallons) Amount
Metered Comm Mich Rd Fog - 1 In Meter 10856168 7.00000 A 69.62
10856207 7.00000
Important Information $69.62
For your bill paying convenience,we have auto-debit available for all customers.
To sign up,visit our website at www.ctrwd.org.Our office is located at 10701 N
College Ave.where a 24/7 drive-up drop box is available for payments or you Due Date D 08/20/2012
may walk your payment into the office during office hours Monday-Friday
8:00am to 4:30pm.The office will be closed Labor Day Monday, September 3,
2012. o, $69.62
Retain this portion for your records 02-lxO9-2750(12i09)
The Mission of the District-to provide a high quality,cost-
effective sanitary sewer service to our community.
Clay Township Regional Waste District
-CT WD- P.O.Box 40638 MonNy Statement
Indianapolis,IN 46240-0638
REGIONAL W�
Customer FIRE STATION #46
Service Address: 540 136TH ST W Account Number 2000130154000
Billing Date 08/06/2012
02N 110 11 103 0000239 20120806 HHOC F101 CLAVSTMT 1 OZ DOM HHOCF 10000'159541 IT
III 11111-Illd-1'1111'1 Customer Message
FIRE STATION #46
2 CIVIC SQUARE
CARMEL IN 46032-2584 A#y
PRM
Previous Balance $67.48
Period From: 07/06/2012 Payments -$67.48
--- Period T6 08/06/2012 Adjustments $0.00 -
Total Past Due $0.00
Service Description Meter Number Cons.n000 gallons) Amount
Metere Comm Primaryy Fog - 1 In Meter 48889163 5.00000 A 61.06
48889164 5.00000
Important Information D $61.06
For your bill paying convenience,we have auto-debit available for all customers.
To sign up,visit our website at www.ctrwd.org. Our office is located at 10701 N
College Ave.where a 24/7 drive-up drop box is available for payments or you Due Date D 08/20/2012
may walk your payment into the office during office hours Monday-Friday
8:00am to 4:30pm.The office will be closed Labor Day Monday, September 3, [�
2012. $61.06
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
r
1120 2000130154000 43-485.00 $61.06 I hereby certify that the attached invoice(s), or
1120 0376122604988 43-485.00 $69.62 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
AUG 13 2012
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
\n 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 $61.06
0376122604988 42 $69.62
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.
•CTRWD• g Clay Township Regional Waste District �����D�p Statement
" P.O.Box 40638 ?J
Indianapolis,IN 46240-0638
RFfjpBp�
Customer CARMEL ST DEPT
Service Address: 3400 131 ST ST W Account Number 2000240134001
Billing Date 08/06/2012
0210411011 10 3 000761520120806 HHDCF101 CLAVSTMT 1 OZ DOM HHOCF OMW 159541 UT
�III� I'I'IIII� III�II'Illlllll'Illlllllllll'I"'�„',II'Il'I
Customer Message
CARMEL ST DEPT
3400 w 131ST ST
CARMEL IN 46074-8267 J1ft
1� F
Previous Balance $247.12
Period From: 07/06/2012 Payments -$247.12
- Period To: 08/06/2012 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 244.98
60334360 10.00000
60360195 3.00000
Important Information
$244.98
For your bill paying convenience,we have auto-debit available for all customers.
To sign up,visit our website at www.ctrwd.org. Our office is located at 10701 N Due Date
College Ave.where a 24/7 drive-up drop box is available for payments or you 08/20/2012
may walk your payment into the office during office hours Monday-Friday D
8:00am to 4:30pm.The office will be closed Labor Day Monday,September 3, B°�
2012. 1 $244.98
Retain this portion for your records 02-1x09-2750(12/09)
_..._........
Pfaaca raturn thi.q nnrtinn with navmant whan navinn by mail Plaaca hrinn antis ctatamant whan navinn in nomnn
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Township Regional Waste District
IN SUM OF $
P. O. Box 40638
Indianapolis, IN 46240-0638
$244.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 1 43-485.001 $244.98 1 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
Thou r�day At gust 09, 2012
Street Commissip er
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))
08/06/12 $244.98
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