216337 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 366860 Page 1 of 1
*1�. ONE CIVIC SQUARE MCCULLOUGH&DIBENEDETTO EXCAVAATT
0 GH K AMOUNT: $4,737.00
Q CARMEL, INDIANA 46032 Po aox 108
v a� DANVILLE IN 46122 CHECK NUMBER: 216337
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4 , 737 . 00 OVERPAYMENT
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number- Item Amount
I 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
, 19
Signature Title
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.
19 `
6ycer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.NO.
NO.
CARMEL, INDIANA I
Favor Of
I
M C Cu/110 114,g ly e/GPo�P �fo �KCAuA ''�ti
PC �0.� to
YdANNo' nt o ucher
Deductions li
C
I
Amount of Warrant $
Month of 19
VOUCHER RECORD Acct. I
No. 1
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
I
4
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies t
Customers Deposits
Total
Allowed
t
Board of Control
I
Filed
Official Title
BOYCE FORMS•SYSTEMS 1-800-382-8702 325 t,
i