211804 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351464 Page 1 of 1
ONE CIVIC SQUARE INDIANA RURAL WATER ASSOC
' CARMEL, INDIANA 46032 Po sox 679 CHECK AMOUNT: $60.00
NASHVILLE IN 47448 CHECK NUMBER: 211804
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 999111 60 . 00 OTHER EXPENSES
V Indiana Rural Water Association
PO Box 679
Nashville, IN 47448 ATTrN: ACCOUNTS PAYABLE
Invoice
BILL TO DATE INVOICE NO.
City of Carmel 7/31/2012 999111
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 :Due on receipt
DESCRIPTION AMOUNT
Basic Pump Sizing &Troubleshooting, July 11, 2012 in Noblesville, 60.00
IN -John Mascari, Ken Rhodes
7/31/2012 E-mail to John Mascari
Payments/Credits $0.00
Visa MC Discover Amer Exp
# Exp.: -
NAME ON CARD: Security:
SIGNATURE Billing Zip Code:
Balance Due $60.00
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
351464
INDIANA RURAL WATER ASSOCIATION Purchase Order No.
P.O. Box 679 Terms
Nashville, IN 47448 Due Date 8/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2012 999111 $60.00
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
VOUCHER # 121809 WARRANT # ALLOWED
351464 - IN SUM OF $
INDIANA RURAL WATER ASSOCIATIO
P.O. Box 679
Nashville, IN 47448
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
! 999111 01-6040-03 $60.00
Voucher Total $60.00
Cost distribution ledger classification if
claim paid under vehicle highway fund