219985 05/15/2013 CITY OF CARMEL, INDIANA VENDOR: 367137 Page 1 of 1
ONE CIVIC SQUARE CITIZENS ENERGY GROUP
CARMEL, INDIANA 46032 PO BOX 7056 CHECK AMOUNT: $76,001.00
INDIANAPOLIS IN 46207-7056 CHECK NUMBER: 219985
CHECK DATE: 5/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 031478454283 76, 001 . 00 031478-454283
I
citizens `
energy group Account Number Payment Due Date
Po Box 7M I Indianapoils,IN 1 46207-7M6 031478-454283 05104/13
Amount to be paid by05/04/13 76,001.00
Amount to be paid after05/04/13 76,001.00
CITY OF CARMEL
760 THIRD AVE SW
STE 110
CARMEL IN 46032
lih�)ht411111IhIPP�rIrhiMril 1rh1Illdn1,lui)i1lrrdl.
CLC E830
Billing for: 3450 W CARMEL DR
Service Class:Commercial
Date Billed:04/16113
Account Balance of Last Bill............... $0.00
Payment(s) Received......................... 0.00
Total Balance from Previous Bill.......... 0.00
Current Period Charges
Carmel-Water Usage...................... 76,001.00
Total Current Charges....................... 76,001.00
Account Balance as of 04/16/13........ $76,001.00
Questions about gas, water or sewer service for your business,call 927-4328 or chat online at
www.citizensenergygroup.com.
Sign up for the Citizens Business Connection newsletter at www.citizensonergygroup.com.
Retain this portion for your records,
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
P yee
�ki J A, Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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 NO. WARRANT NO.
/ALLOWED 20
IN SUM OF $
To 0%,X -ha-
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
CU 0 — j 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
20
intr
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund