218645 03/25/2013 CITY,O;">GAIRP.lEL, INDIANA VENDOR; 365043 Page 1 of 1
ONE CIVIC SQUARE THE GROUNDWATER FOUNDATION
CARMEL, INDIANA 46032 PO BOX 22558 CHECK AMOUNT: $60.00
'? LINCOLN NE 68542 CHECK NUMBER: 218645
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 1100 60 . 00 EMPLOYEE PEN & BENEFI
—=: The Groundwater Foundation Services Invoice
=- --•• PO Box 22558
Lincoln, NE 68542
Date: 3/12/2013
Invoice#: 1100
P.O. No.
Bill To
City of Carmel Local Planning Team WHP
Jaimie Foreman
3450 W 131 st St
Carmel, IN 46074
Description Amount
2013 Groundwater Guardian Renewing Community Administrative Fee 60.00
Subtotal $60.00
Sales Tax (0.0%) $0.00
Total $60.00
Check#: Payments/Credits $0.00
Balance Due $60.00
5561 So.48th Street Lincoln,NF. 68516
Phone# 402-434-2740 Fax# 402-434-2742 www.groundwater.org
VOUCHER # 131137 WARRANT # ALLOWED
365043 IN SUM OF $
THE GROUNDWATER FOUNDATION
PO BOX 22558
LINCOLN, NE 68542-2558
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1100 01-6040-03 $60.00
Voucher Total $60.00
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
365043
THE GROUNDWATER FOUNDATION Purchase Order No.
PO BOX 22558 Terms
LINCOLN, NE 68542-2558 Due Date 3/19/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/19/2013 1100 $60.00
I hereby certify that the attached invoice(s), or bilf(s) is (are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer