The URL can be used to link to this page

Home My WebLink About212432 09/06/2012 CITY OF CARMEL, INDIANA VENDOR: 254004 Page 1 of 1 0 ONE CIVIC SQUARE DUKE ENERGY CHECK AMOUNT: $2,224.66 CARMEL, INDIANA 46032 PO BOX 1326 CHARLOTTE NC 28201-1326 CHECK NUMBER: 212432 CHECK DATE: 9/6/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4350900 1, 709 . 35 09403299011 1205 4348000 42 . 37 07003295030 2201 4348000 48 . 67 02303727011 2201 4348000 23 . 77 08103666016 2201 4348000 22 . 75 47103666011 2201 4348000 25 . 26 53403658010 2201 4348000 7 . 32 53403669012 2201 4348000 39 . 34 62903721010 2201 4348000 20 . 24 70303728013 2201 4348000 97 . 30 85103650017 2201 4348000 88 . 63 85503714014 2201 4348000 71 .47 95503714010 2201 4348000 28 . 19 96103702019 2 S Account Number 0700.3295-09-0 CM 01 Jun 25,2012 $42.37 For more detailed billing information on your monthly bill,check box on right Helping Hand Conlrrbutbn Arraunl Encbsed (for Customer Assistance) City Of Cartel BulIdirt- Maintenance PO Box 1326 1 CiViC A Bldg Charlotte NC 28201-1326 Carmel I 46832.2584 900 00000042374 07003295030 062520124 00000042374 Page 1 o12 v •amo:..,-,.res �` ��_ _ '-xsa,.� w.. Asx.°zu.n-�:x City Of Carmel Duke Energy 1-800-774-1202 07003296-03-0 261 2ND St SW For Account Services.please contact Carmel IN 46032 B d I Group at Ext 4444 ..>>a•3Ri°. -' _ :'"�$' r;^.fir_- 'beik' i%'.K3k5"iit+ PO Box 1326 Payments after Jun 01 not Included Bill prepared on Jun 01,2012 Charlotte NC 28201-1326 Last paymerd received May 24 Qty 2 Usage-621 kVVh Amt Due-Previous Bill $42.39 Duke Energy Payment(s)Received 422fti 2 @ Rate SOL $42.37 Balance Forward --(FM Current OL Charges (33'37 Current OL Charges 42.37 Current Amount Due M.37 I Outdoor Lighting(OL) Duke Energy Ouanttty- 1 Rate SOL -Outdoor Lighting Sry Lumens- 59,000 Type- Mercury Vapor Energy Charge $21.23 kWh Usage- 443 Rider 60-Fuel Adjustment 8.70 Ma 01-May 31 Rider 61-Coal Gasification Adj 0.55 30 Days Rider 62-Pollution Call Adl 0.60 Rider 63-Emission Allowance 0.06 Rider 66-A-Energy Eff Ad► 0.52 Rider 67-Cinergy Marper Credit 0.45cr Rider 68-Midwest Ind Sys Oper Adl 0.16 Rider 70-Reliability Adjustment 0.05 Rider 71-Clean Coal AdjusUnent 0.66 $32.08 SAP 1 0 2012 i �J. 25,2012 $42.37 By Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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)) Total 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. , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or 37) 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund — ��s��nempm��m�� °^ RNALB|LL°° Page of City Of Carmel Duke Energy 1-800-774'1202 0840'3289'01'1 Carmel Clay Comm Center ForAccount Services,please uoniuct 31 1EV Ave NVV 8& |Group axEm4444 Carmel |N4SO32 P0 Box 132G Payments after Aug u7 not included Bill prepared on Aug u7. uu1u Charlotte NC 28201-1326 Last payment received Aug 1r Beo 105865678 Aug 02 Aug 27 25 30883 31537 40 22.960 0.00 Usage- 22,960 kWh Aml Due- Previous Bill $2,330.08 Duke Energy- Rate CSNO $ 1,709.35 Payment(s) Received 2,330.08cr Current Electric Charges $1,709. Balance Forward 0.00 Current Electric Charges 1,709.35 Current Amount Due —$1,709.35 PLEASE NOTE:This is your final bill for electric service au311ST AVE NW. CD 0 � ^°FINAL BILL°° Average Cost: $O.U744 per kWh Sep 18,2012 $1,709.35 DukeEnargy. 247 1-0 1-00-0025272-0001-0028,473 visit us at www.duke-energy.com VOUCHER NO. WARRANT NO. ALLOWED 20 Duke Energy IN SUM OF $ P.O. Box 9001076 Louisville, KY 40290-1076 $1,709.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1115 r I I 43-509.00 I $1,709.35 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 Thursday, August 30, 2012 Director 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 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)) $1,709.35 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 PLEASE RETURN rH�TOP mRTIo ��m�� ' Page of UM City Of Carmel Duke Energy 1'800-521'2232 7030-3728-01-3 Dir Cherry CmokBv Hazel Dell PO Box 1320 Payments after Aug u7 not included Bill prepared vn Aug 27.un1u Charlotte NC28201 1320 Last payment received Aug 10 Next meter reading Sep us. co1u Meter Rea; Meter Pro Boc 071377135 Jul 26 Aug 24 29 8568 8704 1 86 0.00 Usage- 96 kWh Amt Due- Previous Bill $ 19.45 Duke Energy- Rate CSNO $20.24 Payment(s) Received 1 9.45cr Current Electric Charges 2-0.2 4 Balance Forward 0.00 Current Electric Charges 20.24 Current Amount Due 2-0.2 4 CD CT CD � � � - Average Cost: $O.21UB per kWh Sep 18,2012 $20.24 P.1h,DukeEnergy. 247 1-01-00-0004606-0001-0005326 visit us at www.duke-energy.com PLEASE RETURN THE TOP PORTION WITH,ohnPAYMENT Page 1of1 City Of Carmel Duke Energy 1'800-521'2232 0230-3727-01-1 Street Department 936 Main St E Carmel IN 46032 P0 Box 132O Payments after Aug e7 not included Bill prepared on Aug ur. uo1e Charlotte NC28201 1326 Last payment received Aug 10 Next meter reading Sep o5.eo1u Boc 082820039 Jul 20 Aug 24 28 14367 15178 1 812 0.00 Usage- 812 kWh Amt Due- Previous Bill $45.77 Duke Energy- Rate SMLC $48.67 Payment(s) Received 45.77cr Current Electric Charges !V 4-8.6 7 Balance Forward 0.00 Current Electric Charges 48.67 Current Amount Due �--48.67 CD � � Average Cost: $0.0589 per kWh Sep 18,2012 $48.67 cF-A.'smr URN T�!,':rOP PORTION'WITH YOUR PAYMENT Page 1oi1 City Of Carmel Duke Energy 1-800'621-2232 4710-3N666-01'1 Street Department Dir1O8ThGu Pennsylvania PO Box 1326 Payments after Aug cn not included Bill prepared vn Aug eo.uo1u Charlotte NC2u201 1320 Last payment received Aug 1n Next meter reading Sep uo. uulu Reading: aW E|no 106961460 Jul 27 Aug 27 31 20881 21267 1 276 0.00 Usage- 276 kWh Amt Due- Previous Bill $21.15 Duke Energy- Rate SMLC $22.75 Payment(s) Received 21.15cr Current Electric Charges 2—2.7 5 Balance Forward 0.00 Current Electric Charges 22.75 Current Amount Due V2—2.7 5 moun ue g � Average Cost: $0.0824 per kWh Sep 19,2012 $22.75 1.1hy DukeEnergy. 2472-01-00-000,1152-0001-000466,1 visit us at www.duke-energy.com PLEASE RETURN THE TOP PORTIo ��w� ' Page 1of1 City Of Carmel Duke Energy 1'800-521-2232 9650'3714'01'0 Street Department 11599 Keystone Carmel IN 46032 P0 Box 1326 Payments after Aug e*not included Bill prepared on Aug u4. uo1u Charlotte NC 28201-1326 Last payment received Aug 1n Next meter reading Sep e4. uolu Bec 035185747 Jul 25 Aug 23 28 27572 28330 1 758 ODO Usage- 758 kWh Amt Due- Previous Bill $67.94 Duke Energy- Rate SIVIHL $71.47 Payment(s) Received 67.94cr Current Electric Charges V-1.47 Balance Forward 0.00 Current Electric Charges 71.47 Current Amount Due �--71.47 GL � 0 CD CD -0 Average Cost: $0.V943 per kWh Sep 17,2012 $71.47 — PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page of City Of Carmel Duke Energy 1-800-521-2232 8560'3714'01'4 Street Department 2380 116ThSxE Carmel /N40038 PD Box 132O Payments after Aug un not included Bill prepared on Aug e3.oO12 Charlotte NC 28201-1326 Last payment received Aug 1u Next meter reading Sep u1.uo1u E|ec 106889707 Jul 24 Aug 22 29 37287 38308 1 1.011 0.00 Usage- 1 0 11 kWh Amt Due- Previous Bill $87.70 Duke Energy- Rate SIVIHL $88.63 Payment(s) Received 87.70cr Current Electric Charges 8-8.6 3 Balance Forward 0.00 Current Electric Charges 88.63 Current Amount Due -88.63 CD CT � � Average Cost: $O.OQ77 per kWh Sep 14,2012 $88.63 �W DukeEnergy. ��s��r�mpm�o ��m�� — - Page 1of1 -- City Of Carmel Duke Energy 1-800-521-2232 6280-3721-01-0 Street Department Dir Carmel Dr E Keystone Ave PO Box 132O Payments after Aug un not included Bill prepared nn Aug u3. uo1u Charlotte NC282O1 1326 Last payment received Aug 1n Next meter reading Sep ul.uo1u Beu 100077453 Jul 24 Aug 22 28 20870 21495 1 618 0.00 Usage- 619 kWh Amt Due- Previous Bill $40.98 Duke Energy- Rate SMLC $39.34 Payment(s) Received 40.98cr Current Electric Charges 3—9.3 4 Balance Forward 0.00 Current Electric Charges 39.34 Current Amount Due 5-39.34 � � Average Cost: $V.0636 per kWh Sep 14,2012 $39.34 �h DukeEnergy. DukeEnergy® Pa9e 2 of 2 .. ......... ........ ........... ........... ....... ........... ..........-.............. ..... A M bet * .............. ................................... . .............-.......... ............................ ...... .... . Jum ................................. ... ...... .......... .......... ................................ ............... .......... ............................ . ........... ......... .......... ...................**.*.**-..*-........ ............................. .................................. ............ .......... .................. ...... ........... City Of Carmel Dir 103Rd St& Pennsylvania 5340-3658-01-0 Carmel Street Dept ............ .. ......... . ......... .................... ................. .......... ............>.::::::>::::>:::>:>:::::;:::>:<:.. . ... .................. . ................... ............................... -urr n- .. Ex0aftation:oUc e.I-Cha q s ::: ............................ ............ ............... .......---............................. ... ........... .............................. ................... ......................................... .... ............. ......................... ..... ....................... Electric Duke Energy Meter- 106950876 Rate SMLC - Metered Outdoor Ltg Sry Multipliers- 1 Connection Charge $9.40 kWh Usage- 328 Energy Charge 328 kWh Ca) $0.03243600 10.64 Jul 31 - Aug 29 Rider 60- Fuel Adjustment 29 Days 328 kWh @b $0.01434700 4.71 Rider 61 -Coal Gasification Adj 328 kWh Ca) $0.00009600 0.03 Rider 62 - Pollution Cntl Adj 328 kWh Ca) $0.00007700 0.03 Rider 63 - Emission Allowance P,,b DukeEnergy® .....a2e 2 of 2 ........... ................. ................ ....... ........- .............. ............ Name... SerVICO.A. r ... ....................... ...................... ....... ......... ......... ...... ............................. ......... ............. ......... City Of Carmel 5340-3669-01-2 Street Department ............ .... ............. ......- .......... .. ..... ....................................... ... ....... ......... ......... ...... ..............-...... .... ................. ............ *******'*. ...... ...........-......... ............. ....... . . ......... . .. .. . ................... ............ ............... ................. . ....................... ............................................... ................ ............... .......... ................. ........................................................................... ..... ................. .......... ..... ......... ................. ................ ............................................. Street Lights Duke Energy Quantity- I Rate SULP - Unmetered Outdoor Ltg Sry Lumens - 16,000 Type- High Press Sodium Energy Charge kWh Usage- 62 62 kWh Ca) $0.04538700 $2.81 Unit kW- 0.186 Rider 60- Fuel Adjustment Burn Hours- 333.33 62 kWh Ca) $0.01434700 0.89 Jul 31 -Aug 29 Rider 61 -Coal Gasification Adj 29 days 62 kWh Ca) $0.00009600 0.01 Rider 62- Pollution Cntl Adj 62 kWh (4) $0.00007700 0.00 Rider 63- Emission Allowance 62 kWh (a) $0.00010800 0.01 PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1of1 City Of Carmel Duke Energy 1'800-521'2232 8510-3650-01-7 Street Dept 401 Main St W Carmel IN 46032 nformation P0 Box 1328 Payments after Aug 3o not included Bill prepared on Aug oo.uo1e Charlotte NC 28201-1326 Laspaymem,000ivedAug17 Next meter reading Sep oo. un1u Bec 093782704 Jul 31 Aug 29 29 95161 90980 1 1.818 0.00 Usage- 1,819 kWh Amt Due- Previous Bill $ 103.69 Duke Energy- Rate SMLC $97.30 Payment(s) Received 103.69cr Current Electric Charges 9-7.3 0 Balance Forward 0.00 Current Electric Charges 97.30 0]Current Amount Due �L97.30 g � Average Cost: ¢V.O535 per kWh Sep 21,2012 $97.30 P.k. DukeEnergy. 2474-01-00-0002737-0001-0003 127 visit us at www.duke-energy.com PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1of1 City Of Carmel Duke Energy 1-800-521-2232 9610-3702-01-9 Street Department 1991St Ave SVV Carmel |N40032 PO Box 132O Payments after Aug no not included Bill prepared on Aug no.uol2 Charlotte NC28201 1326 Last payment received Aug l7 Next meter reading Sep uo`uo1u eat Boo 100015619 Jul 31 Aug 29 29 40408 40797 1 389 0.00 Usage- 389 kWh Amt Due- Previous Bill $28.01 Duke Energy- Rate SIVILC $28.19 Payment(s) Received 28.01 cr Current Electric Charges V-28-1 9 Balance Forward 0.00 Current Electric Charges 28.19 Current Amount Due V2—8.19 � � � Average Cost: $0.V725 per kWh Sep 21,2012 $28.19 P En PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT — – – '-- Page 1of2 City Of Carmel Duke Energy 1-] O'774-12U2 5340'3658-01'0 Carmel Street D For Account Services,please oontaoi Dir1O3RdSu& Pennsylvania 8& |Group uuExt4444 PO Box 1326 Payments after Aug ou not included Bill prepared on Aug 3u.uolu Charlotte NC282O1 1326 Last payment received Aug 17 Next meter reading Sep e8.uo12 E|eo 108850876 Jul 31 Aug 29 28 23322 23650 1 328 0.00 Usage- 328kWh Amt Due- Previous Bill $24.93 Duke Energy- Rate SMLC $25.26 Payment(s) Received 24.93cr Current Electric Charges $7-25.26 Balance Forward 0.00 Current Electric Charges 25.26 Current Amount Due �-2—5.2 6 CD CL 0 CD -0 � Average Cost: $O.OT7O per kWh Sep 21,2012 $25.26 Nmft, DukeEne 2474m'00'0027^^'0001-000313Z visit usat www.uvxo'ono,u'.mm ')e - - -0 r"vll 1w i )v vvu 1�Iuvv Rider 66-A- Energy Ell Adi 328 kWh @ $0.00117900 0.39 Rider 67 -Cinergy Merger Credit 328 kWh @ $0.00004600cr 0.02cr Rider 68- Midwest Ind Sys Oper Adi 328 kWh Ca) $0.00002700 0.01 Rider 70- Reliability Adjustment 328 kWh @ $0.00001200 0.00 Rider 71 -Clean Coal Adjustment 328 kWh @ $0.00008900 0.03 $25.26 .... ......... ....... .......... ...... ...... ...... ....... ......... ...... .. .... .......... ........ ............. :::::T6tAI:GUr.r.eT0 El. trid;�JC.ht $25.26 ................. ... ........ . ..... 9............ ..................... ............... .... .......... ..... ...... ....... ........... kWh Electric Usage 1,000 800— 600— 400— 200 0— Calculations based on most recent 12 month history Total Usage 4,662 Average Usage 389 SEP, OCT NO DEC JAN FEB MAR APR MA J AUG SEP Electric 321 394 4611 501 441 458 444 1 398 3911 28 23 321 328 0 (D a 0 (D iv -0 DukeEnergy® 24!4-0 1-00-0002?4,1-0002-0003138 visit us at www.duke-energy.com PLEASE RETURN THE TOP PORTION WITH YOUR PAYMENT Page 1 of 2 .......... .......... ............. ..... ............ ..................................... .. Fori..n..q..uirie..S............. .................... ......-..... ... ............... .... ............. ....... ..................... ........ ........-- ........ ....... ................... ........................... . .......... City Of Carmel Duke Energy 1-800-521-2232 5340-3669-01-2 Street Department ........... ................. ............. *** -----� I....: ..... .......... ........................ ....... < >» >»»><... ............ ........ . .... ... .. ... ........... ....... ..... oun. Offirle I[M .P*0 ts 11:14f * t, ..... .............. .......................... ............... ....... ............. ................................... PO Box 1326 Payments after Aug 30 not included Bill prepared on Aug 30,2012 Charlotte NC 28201-1326 Last payment received Aug 17 ................................. ................... .................. ............. ... ...... ....................----............ . ... .. .. . .. .............. .. .............--................ .. ............... ........................... ........... . ......- ........... .............. . . ........... .... ................. :Current Scree . ....... ....................... .........................................- -.......... Qty 1 Usage-62 kWh Amt Due- Previous Bill $7.33 Duke Energy Payment(s) Received 7.33cr 1 Ca) Rate SULP $3.80 Balance Forward 0.00 Current Street Light Charges —3.80 Current Street Light Charges 3.80 Other Credits/Charges 3.52 Current Amount Due -5--7.32 CD 0- 0 CD 0 cD ................ ............ ... . ....... ...... ....... ....... ...............— ............--........... ..... ............. . ....... ................ . . .....— ...... ....... .............— .......... ... ....... ...... ...............— ....... ..... ... ..I--........—.. .. .... ....... .......... ........ Nt ..A t'D :......::...moun.. ..0 ...... . ...... ....... ................... .............. ......... . . ........ . ........ ... ......— Sep 21,2012 $7.32 p'p DukeEnergy® 2474-01-00-0002745-000I-0003139 visit us at www.duke-energy.com nluel 00-M- r-1 I"I YY C11 mul 62 kWh Ca) $0.00117900 0.07 Rider 67-Cinergy Merger Credit 62 kWh Ca) $0.00004600cr 0.00 Rider 68- Midwest Ind Sys Ciper Adj 62 kWh Ca) $0.00002700 0.00 Rider 70- Reliability Adjustment 62 kWh Ca) $0.00001200 0.00 Rider 71 -Clean Coal Adjustment 62 kWh Ca) $0.00008900 0.01 $3.80 .... ........ ....... ......... $3.80 ..... ..... ........ . ......- ...... ........... ........... ........ .....-........... .......... . . ............-....... .......... ........... ............ . ........... ...... ....... .. ................ ...............---, - . - ............ ....... ... .............................. ....... ............. ...... ...... ............... ......... ........... ............. ........... .... . ................. ...........—................... ............... .... .. --.... ....................................... ... .. ............................ ..............:x:Fxp1a,nat4*0**i*�r f0thi�f�-ChAr 1C ..... .......... Q1 . ,—......................................... ... ...... . ........ .......g S...... . . ............ ........... ............... ............ .... ............... ----.......... ..........---........... ....................................... -. . ................. . ........... ..... ... .. ........ . Other Credits/Charges Lighting Maint Charge $3.52 $3.52 ........................................................................................................................... ............................-...... ..,....... : ....................................................... ........-..-....-..-..-...- ...-...-..- ................... .... $3.52...... T dtW.Othee C dit JCh ... ........ ....... kWh Electric Usage too so 40-- — 20— — — —— 0— 0 —M Calculations based on most recent 12 month history Total Usage 744 Average Usage 62 SEP OCT NO DEC JAN FEB MAR APR MA JUN JU AUG SEP Electric 6 62 6 62 6 62 6 62 6 62 6 62 62 (D Q 0 (D fll (D '0 W -0 Dul"MWEnergy. visit us at www.duke-energy.com 2474-01-00-0002745-0002-0003140 _ PLEASE RETURNr*E-nOF PORT ION W;TH YOUR PAYMENT _ Page of \ City OfCarmel Duke Energy 1-800-521-2232 0810-366a6-01'0 Street Department Dir Old Meridian Grand Blvd P0 Box 1326 Payments after Aug co not included Bill prepared un Aug un.en1u Charlotte NC 28201-1326 Last payment received Aug 10 Next meter reading Sep u7. uo1u Bo« 1069543+* Jul 30 Aug 28 29 20518 20816 1 297 0.00 Usage- 297 kWh Amt Due- Previous Bill $23.53 Duke Energy- Rate SMLC $23.77 Payment(s) Received 23.53cr Current Electric Charges 2-3.7 7 Balance Forward 0.00 Current Electric Charges 23.77 Current Amount Due -23.77 CL 0 CF DAte � Average Cost: $O.U8OU per kWh Sep 20,2012 $23.77 VOUCHER NO. WARRANT NO. ALLOWED 20 Duke Energy IN SUM OF $ P. O. Box 1326 Charlotte, NC 28201-1326 $472.94 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 43-480.00 $181.84 1 hereby certify that the attached invoice(s), or 2201 43-480.00 $291.10 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 Wednesday, tember 05, 2012 11 ua"— 4,6/,/ff vv-%^ Street Coma is ion Street r.nmmissloner 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 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)) 09/04/12 $181.84 09/04/12 $291.10 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