215431 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1
ONE CIVIC SQUARE TREASURER OF STATE
0 CHECK AMOUNT: $7,708.00
CARMEL, INDIANA 46032 STATE BOARD OF ACCOUNTS
o� 302 W WASHINGTON,RM E418 CHECK NUMBER: 215431
INDIANAPOLIS IN 46204
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 34475 3 , 857 . 00 OTHER EXPENSES
651 5023990 34476 3 , 851 . 00 OTHER EXPENSES
INDIANA STATE BOARD OF ACCOUNTS
INVOICE
CARMEL-WATER UTILITY
ONE CIVIC SQUARE
CARMEL IN 46032
Invoice Number: 34475
DISBURSING OFFICER COUNTY BILLING DATE
CARMEL-WATER UTILITY Hamilton 11/16/2012
I.D. Number: 29 002 01
BILLING TRANSACTIONS FOR 10/17/2012 TO 11/16/2012
29 002 01 CARMEL-WATER UTILITY
57601 ANNUAL 2011 BILLING $3 , 857 . 00
BALANCE DUE AS OF 11/16/2012 $3 , 857 . 00
I hereby certify that the foregoing is a true and correct statement of the
costs of examination and the above designated official is hereb authorized
to issue his warrant without appropriation therefor, payable , the Treasurer
of State of Indiana in payment of the above claim.
x
State Examiner
For amounts due from taxing units, county auditor will obtain reimbursement
by deduction from the next semi-annual settlement of taxes .
PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO
TREASURER OF STATE AND MAIL TO:
State Board of Accounts, 302 West Washington Street, Room E418 ,
Indianapolis, IN 46204
IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this
invoice, contact Michael Bozymski at 317-232-2507 .
VOUCHER # 122985 WARRANT # ALLOWED
307600 IN SUM OF $
TREASURER OF STATE
STATE BOARD OF ACCOUNTS
302 W WASHINGTON, RM E418
INDIANAPOLIS, IN 46204
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
34475 01-6670-08 $3,857.00
Voucher Total $3,857.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
307600
TREASURER OF STATE Purchase Order No.
STATE BOARD OF ACCOUNTS Terms
302 W WASHINGTON, RM E418 Due Date 12/5/2012
INDIANAPOLIS, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2012 34475 $3,857.00
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
Date Officer
INDIANA STATE BOARD OF ACCOUNTS
INVOICE
CARMEL-WASTEWATER UTILITY
ONE CIVIC SQUARE
CARMEL IN 46032-1739
Invoice Number: 34476
DISBURSING OFFICER COUNTY BILLING DATE
CARMEL-WASTEWATER UTILITY Hamilton 11/16/2012
I .D. Number: 29 002 02
BILLING TRANSACTIONS FOR 10/17/2012 TO 11/16/2012
29 002 02 CARMEL-WASTEWATER UTILITY
57602 ANNUAL 2011 BILLING $3 , 851 . 00
BALANCE DUE AS OF 11/16/2012 $3 , 851 . 00
I hereby certify that the foregoing is a true and correct statement of the
costs of examination and the above designated official is hereby authorized
to issue his warrant without appropriation therefor, pay le to ., e Treasurer
of State of Indiana in payment of the above claim.
Stat Examiner
For amounts due from taxing units, county auditor will obtain reimbursement
by .deduction from the next semi-annual settlement of taxes .
PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO
TREASURER OF STATE AND MAIL TO:
State Board of Accounts, 302 West Washington Street, Room E418,
Indianapolis, IN 46204
IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this
invoice, contact Michael Bozymski at 317-232-2507 .
i
VOUCHER # 126305 WARRANT # ALLOWED
307600 IN SUM OF $
TREASURER OF STATE
STATE BOARD OF ACCOUNTS
302 W WASHINGTON, RM E418
INDIANAPOLIS, IN 46204
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
34476 01-7670-08 $3,851.00
Voucher Total $3,851.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
307600
TREASURER OF STATE Purchase Order No.
STATE BOARD OF ACCOUNTS Terms
302 W WASHINGTON, RM E418 Due Date 12/5/2012
INDIANAPOLIS, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2012 34476 $3,851.00
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
)2�-7/J-v
Date Officer