HomeMy WebLinkAbout215792 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 354905 Page 1 of 1
ONE CIVIC SQUARE UPPER WHITE RIVER WATERSHED
CARMEL, INDIANA 46032 PO Box 2066 CHECK AMOUNT: $10,000.00
INDIANAPOLIS IN 46206 CHECK NUMBER: 215792
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 UW20120121 10, 000 . 00 ORGANIZATION & MEMBER
UPPER WHITE RIVER INVOICE
WATERSHED ALLIANCE
PO BOX 2065 Date Invoice#
Indianapolis,IN. 46206.. 1/2/2013 UW20120121
(317)891-8820.
Upper White River Watershed Alliance wwwUWRWA:org -
Terms Due Date
Upon Receipt
Bill To:
John Thomas
City of Carmel
One Civic Square
Carmel, IN 46032
rotal Billed to
Description Value Date Due
2013 Upper White Membership Dues $1,000.00
2013 Regional MS4 Program Dues $9,000.00
CURRENT TOTAL $10,000.00
PREVIOUS BALANCE
TOTAL BALANCE DUE $10,000.00 ritAnirc Y0Li.
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
Upper White River Watershed Alliance Purchase Order No.
POB 2065 Terms
Indianapolis, IN 46206 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
12/20/2012 UW20120121 UWRWA annual membership and dues $ 10,000.00
Totall $ 10,000.00
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.
,20
Clerk-Treasurer
VOUCHER NC WARRANT NO.
Upper White River Watershed Alliance ALLOWED 20
POB 2065 IN SUM OF $
Indianapolis, IN 46206
$ 10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 UW20120121 o s 10,00000 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
.//Y/
12/20/2012
Signat
J)rrcrng'nS
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund