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215625 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1 ONE CIVIC SQUARE CLAY TWP RWD CARMEL, INDIANA 46032 PO Box 40638 CHECK AMOUNT: $152.62 INDIANAPOLIS IN 46240-0638 CHECK NUMBER: 215525 CHECK DATE: 12118/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 75 . 24 4000500034500 601 5023990 77 . 38 4000500134500 The Mission of the District-to provide a high quality,cost- ,0-04 effective sanitary sewer service to our community. Clay Township Regional Waste District MonWy Statement °o• CT WD*� P.O.Box 40638 Indianapolis, IN 46240-0638 �a REGIONPI W� Customer CARMEL WATER Service Address: 3450 131ST ST W #B Account Number 4000500134500 Billing Date 12/06/2012 0210411011 10 3 0007644 20121203 HLOGH102 CLAYSTMT I OZ UOM HLOGH10000.159541 UT �IIIIIIIIII��I��I�II��I��I��'IIIII�II�I��I"IIII��II�'I�'ll Customer Message CARMEL WATER FACILITY 3450 W 131 STREET #B CARMEL IN 46074-8267 Previous Balance $85.94 -Period-From: _11/06/201.2_ _ _ _ _ _ _ _ Payments -$85-94 4 Period To: 12/06/2012 Adjustments Total Past Due $0.00 Service Description Meter Number Cons.opoo gallons) Amount Metered Comm Michigan Rd-2 In Meter 60491814 4.00000 A 77.38 Important Information D $77.38 Best wishes to you and your family for happiness and good health this Holiday Season and throughout the coming New Year. Give the gift of Life;join us on Due Date January 15,2013 from 2:00 pm to 3:30 pm for the year's first blood drive at the 1212012012 Clay Twp Government Center.CTRWD will be closed for the holidays on December 24,25;-and 31-,as well as January-1., 2013 mwao@ $77.38 02-1 x09-2750(12/09) Retain this portion for your records REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT RO' BOX 4DG3B INDIANAPOLIS, |N4G24O'O838 (317) 844-9200 Visit our vvebaite: PAYMENTS: Please be sure to include the bottom portion of this statement with your check or money order. Do not send cash bymail. Stapling or folding the payment stub may substantially delay the processing of your payment. You may pay your sewer bill in person at our off ice at 10701 N.College Ave.Suite A, Indianapolis, IN. For your convenience, you may also use our drive-up drop box a1 this address. Customer Service: If you have additional questions concerning your bill, please visit our office at 10701 N. College Ave. Suite A. Indianapolis, |Nor call (317) O44-92OO Monday through Friday, &0Oam. 1o4�3Op.m. NON-PENALTY PERIOD AND LATE PAYMENT CHARGES: Current charges become delinquent if not paid by the 2Oth nf 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!o your account. AUTODEBiTis available for making your monthly payment. The form can be downloaded from our vvebsite. 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 of7.O00 gallons per month. Approved by State Board of Accounts for Clay Township Regional G*vver District, 2009 no./`oy.er,o(1ums) The Mission of the District-to provide a high quality,cost- 01A'HAI, effective sanitary sewer service to our community. Clay Township Regional Waste District CTRWD �= P.O.Box 40638 h OQp�1Ny statement Indianapolis,IN 46240-0638 a h Aft.10xA�W� , Customer CARMEL WATER Service Address: 3450 131 ST ST W #A Account Number 4000500034500 Billing Date 12/06/2012 02IP1I1011 10 3 0007613 20121203 HLOGH102 CLAYSTMT 1 OZ OOM HLOGH10000'159541 UT III1 Ill. 11'1'11'11111"'�11'llll�l�l'I�11�'��1111'll' Customer Message CARMEL WATER FACILITY 3450 W 131 STREET #A CARMEL IN 46074-8267 Previous Balance $83.80 .____1?eriod-Erom:___11/06/2012 Payments -$83.80 Period To: 12/06/2012 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons.opoo gallons) Amount Metered Comm Michigan Rd-2 In Meter 60491813 3.00000 A 75.24 Important Information D $75.24 Best wishes to you and your family for happiness and good health this Holiday Season and throughout the coming New Year. Give the gift of Life;join us on Due Date January 15,2013 from 2:00 pm to 3:30 pm for the year's first blood drive at the 1212012012 Clay Twp Government Center.CTRWD will be closed for the holidays on December 24,25, and 31; as well as January 1,2013. an L TMU20 $75.24 02-,Xo9-2750(12/09) Retain this portion for your records e 00k •HgA,�TO REMIT TO: CLAY TOWNSHIP REGIONAL WASTE DISTRICT �w ycoG P.O. BOX 40638 -CTRWD• INDIANAPOLIS, IN 46240-0638 y (317) 844-9200 Y U L Q `�s�yPRFGMA` Visit our website: www.ctrwd.org 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 02-1 Xos-2750(12109) VOUCHER # 123018 WARRANT # ALLOWED 061152 IN SUM OF $ CLAY TOWNSHIP REGIONAL WASTE PO BOX 40638 INDIANAPOLIS, IN 46240-0638 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 40005001345 01-6360-06 $77.38 4 Voucher Total Z 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 061152 CLAY TOWNSHIP REGIONAL WASTE-40638 Purchase Order No. PO BOX 40638 Terms INDIANAPOLIS, IN 46240-0638 Due Date 12/10/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/10/201: 4000500134! $77.38 hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer