212885 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 060000 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL WASTEWATER TREATMENT PLLApNNTr
CARMEL, INDIANA 46032 9609 NORTH RIVER ROAD CHECK AMOUNT: $45.00
?° INDIANAPOLIS IN 46280 CHECK NUMBER: 212885
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 090412 45 . 00 STORM WATER PHASE II
Sep 10 12 06: 59a Terri 317-571 -2636 p. 1
CITY OF CARMEL 9/4/2012
ONE CIVIC SQUARE:, ENGINEERING DEPT
CARMEL. INDIANA 46032
INVOICE FOR MONTH OF: 2
BALANCE FORWARD $0.00
TYPE OF ANALYSIS PERFORMED UNIT PRICE QUANTITY TOTAL PRICE
E. Coli $15.00 :> $ 45.00
Trip Charges $40.00 t) $ -
MONTHLY TOTAL $ 45.00
PAYMENT RECEIVED CK# 99(�.f)�
BALANCE DUF,UPON RECEIPT.` $45.00
REMIT TO:
Carmel Wastewater Treatment Plant
9609 Hazel Dell Pkwy.
Indianapolis, Indiana 46280
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
Carmel Wastewater Treatment Plant Purchase Order No.
9609 North River Road Terms
Indianapolis, IN 46280 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
9/4/2012 0 testing for IDDE program $ 45.00
Total $ 45.00
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
VOUCHER NO WARRANT NO.
Carmel Wastewater Treatment Plant ALLOWED 20
9609 North River Road IN SUM OF $
Indianapolis, IN 46280
$ 45.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 0 211-4462838 45 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
/24/2012
Signatur
Ctrl/I
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund