215544 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 361808 Page 1 of 1
ONE CIVIC SQUARE PROLIANCE ENERGY LLC
CARMEL, INDIANA 46032 111 MONUMENT CIRCLE SUITE 2200 CHECK AMOUNT: $5,132.54
' ? INDIANAPOLIS IN 46204
CHECK NUMBER: 215544
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4349000 201211100009 5, 132 . 54 GAS
Invoice Date: 10-Dec-2012 Invoice Number: 201211-1-000927
Due Date: 24-Dec-2012 Customer ID: CARMELPARREC
Production Month: 11 /2012 GMS Contract Number: S-CARMELPARREC-T-0001
CarbonCapy Customer Number: 42066
PO Number(s):
Please Remit to:
Carmel/Clay Board of Parks and Recreation
pseitlemmer@ carmetclayparks.com ProLiance Enerby LLC
Attn:Accounts Receivable
111 N•Ionurnent.Circle
Suite 2200
Indianapolis,IN 46204-5178
I-3 C-�t
NI
r..�
Pi eline Meter Description Ouantit Price AmountDue
NOV 2012
INDGAS C&I Pool C&I IGC Pool Act 1,200 Dth $3.9892.0 $4,766.92
INDGAS C&I Pool Excess ,Gas Pool Price Act 65 Dth $4.22700 $279.76
IN U),T (1.40x) $70.86
Current Totals 1,2E5 Dth $5,132.54
Recap:
Total Actual $5,061.68
Total• Tax 570.&6
Net Amount Due $5,132.54
* Pri.or Account Balance $0.00
Total Amount Due 55,13".5"
'Any amounts that are past due will continue to accrue late fees and/or late charges until amount is paid in full.
DEC 12 2012
'Contract Volume 'Market Price
If you have any questions or concerns on this invoice,please contact Customer One at our toll free number 1-8PROLIANCE(1-877-654-2623).
Please Send EFT Transactions To Please Send Invoices To, Please Remit Check To: Please Send Correspondence To:
PNC flank,\.A. ProLiance Energy LLC ProLiance E:axr,{s-LLC ProLiance Energy LLC
East Brunswick,NJ I I I Monument Circle Attn:Accounts Receivable If I Monument Circle
Bank Account it R0265R2295 Suite 2200 11 11Nlonument Circle Suite 2200
WIRE ABAri 031207607 Indianapolis,IN 46203=5178 quite 1200 Indianapolis.IN 46204-5178
ACH ABA# 031207607 Phone:(317)231-6ti00 Indianapolis.IN 46204-5178 Phonc:(317)1-31-(,R(N)
Invoice Number: 201211-1-000927 Customer 11): CARNIELPARREC Pa_c i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
361808 ProLiance Energy LLC Terms
111 Monument Circle, Ste 2200 Date Due
Indianapolis, IN 46204-5178
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/12 2012111000927 Monon Community Center Nov'12 $ 5,132.54
Total $ 5,132.54
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
120
Clerk-Treasurer
Voucher No. Warrant No.
361808 ProLiance Energy LLC Allowed 20
111 Monument Circle, Ste 2200
Indianapolis, IN 46204-5178
In Sum of$
$ 5,132.54
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/ AMOUNT Board Members
Dept# TITLE
1091 2012111000927 4349000 $ 5,132.54 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
13-Dec 2012
4S�ignature
$ 5,132.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund