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212450 09/06/2012 CITY OF CARMEL, INDIANA VENDOR: 357450 Page 1 of 1 0 ONE CIVIC SQUARE SEAN KRUSE CHECK AMOUNT: $445.43 �o CARMEL, INDIANA 46032 1194 CAVENDISH DRIVE CARMEL IN 46032 CHECK NUMBER: 212450 CHECK DATE: 9/6/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 445 . 43 REFUND Page: 1 CARMEL UTILITIES Customer Maintenance- Ledger Date: 9/4/2012 9:23:37 AM User Name: Debbie _ Account Number 0602208901 Customer Name SEAN KRUSE Status Active Home Phone (317)846-9627 x Work Phone ( ) x Billing Type Normal Class CONDO Billing Status Billing Cycle BOOKS 59-77 Address 1194 CAVENDISH DR CARMEN, IN 46032-4650 Service Location <All> Listed From All Periods Description Date Amount i Balance Payment 8/29/2012 (439.17) (445.43) Payment 8/22/2012 (96.47) (6.26) Charge 8/8/2012 90.21 90.21 Payment 7/25/2012 (52.29) 0.00 Charge 7/9/2012 52.29 52.29 Payment 6/27/2012 (52.29) 0.00 Charge 6/8/2012 52.29 52.29 Payment 5/17/2012 (45.98) 0.00 Charge 5/7/2012 45.98 45.98 Payment 4/24/2012 (52.29) 0.00 Charge 4/9/2012 52.29 52.29 Payment 3/22/2012 (48.08) 0.00 Charge 3/8/2012 48.08 48.06 Payment 2/23/2012 (89.66) 0.00 Charge 2/8/2012 42.93 89.66 Penalty 2/3/2012 3.11 46.73 Charge 1/10/2012 43.62 43.62 Payment 12116/2011 (50.20) 0.00 Charge 12/8/2011 52.99 50.20 Payment 11/22/2011 (41.19) (2.79) Charge 11/7/2011 38.93 38.40 Payment 10/19/2011 (48.84) (0.53) Charge 10/10/2011 48.31 48.31 Prescribed by State Board of Accounts Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER TO St p*j ADDRESS tt4 6AVCVZDl5r't Invoice Date Invoice Number Item Amount Jj 12 T 5 �3 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 t t2 Mo. Day Yr. SignWure Title I hereby certify that the attached invoice(s), or bill(s), is (are)true Orr t and I have audited same 'n accordance with IC 5-11-10-1.6. Mo. Day Yr. Off i er Title Vouchbr'No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA Favor Of bIz- GARwt�'t,, �N 4bo32 Total Amount of Voucher $ 44'S G 06022.0" Deductions l a Vthe Amount of Warrant $ Month of Yr ZoIZ- VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance Utility Plant in Service Constr.Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control Filed Official Title BOYCE FORMS•SYSTEMS 1-800-382-8702 325