212830 09/18/2012 "*F CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
ONE CIVIC SQUARE CLAY TWP RWD
CARMEL, INDIANA 46032 PO BOX 40638 CHECK AMOUNT: $264.24
INDIANAPOLIS IN 46240-0638 CHECK NUMBER: 212830
CHECK DATE: 9/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4348500 264 . 24 2000240134001
The Mission of the District-to provide a high quality,cost-
o Wh.„4 effective sanitary sewer service to our community.
Clay Township Regional Waste District
'CTRWD' P.O.Box 40638 MonWy Statement
RtclaHU W��dx
Indianapolis,IN 46240-0638
Customer CARMEL ST DEPT
Service Address: 3400 131 ST ST W Account Number 2000240134001
Billing Date 09/06/2012
02104110 11 10 3 0007622 20120900 HIOJX102 CLAYSTMT 1 OZ DOM HIOJX10000'159511 UT
III"'�IIIIIIII���I�I�III"I""III�I'�III'�II��I"I"�"I111��1' Customer Message
CARMEL ST DEPT
3400 w 131ST ST
CARMEL IN 46074-8267
"N,rs
Previous Balance $244.98
Period From: 08/06/2012 Payments -$244.98
`-- Period-To:---09/06/2092--- - — Adjustments $0.00 _ -
Total Past Due $0.00
Service Description Meter Number Cons.(l000 gallons) Amount
Metered Comm Primary-2 In Meter 60121546 11.00000 A 264.24
60334360 11.00000
60360195 5.00000
Important Information R=WU-MammVD $264.24
The District offers auto-debit for your bill payment options.To sign up,visit our
website at www.ctrwd.org and download the form. Planning on remodeling?
Please contact our office for a permit. Digging?Call 1-800-382-5544 before you Due Date D 09/20/2012
do. It's the law!
' u
o, $264.24
Retain this portion for your records 02-1xog-2750(12/09)
.........._.._._ ..._ .. .. ............
\�opkp •HAMjTy REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT
° P.O. SOX 40638
°CTRWD• °1 INDIANAPOLIS, IN 46240-0638
(317) 844-9200
� U
h
Lip REG7QNA YjPS��G Visit our website: www.ctrwd.or
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 02-1x09-2750(1209)
! a.,,,.�_ ,._
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Township Regional Waste District
IN SUM OF $
P. O. Box 40638
Indianapolis, IN 46240-0638
$264.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-485.001 $264.24 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
�ednesdby, Se
Ptember 12, 2012
Street Commi finer
c+,o�# �'^mmisasion�r
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))
09/12/12 $264.24
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