221540 07/02/2013 i
CITY OF CARMEL, INDIANA VENDOR: 367229 Page 1 of 1
` ONE CIVIC SQUARE HELM
CARMEL, INDIANA 46032 14310 HAMILTON AVENUE CHECK AMOUNT: $219.66
HIGHLAND PARK MI 48203
CHECK NUMBER: 221540
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 P-13182681 219 . 66 OTHER EXPENSES
2 67aa9
14310 HAMILTON AVE.
Wt M HIGHLAND PARK,MI.48203 • !gjumlam •- ,,•, • . • -
(313)865-5000
0003 SERVICE TECHNOLOGY GROUP INVOICE 5/08/13 INVOICE PAGE 1
SOLD TO: --I SHIP TO:
CARMEL WASTE WATER TREATMENT PLANT CARMEL WASTE WATER TREATMENT
PAUL ARNONE/ PO# 513555 BLAINE MALLABER/PO# 513555
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PKWY
LINDIANAPOLIS IN 46280 -1 LINDIANAPOLIS IN 46280-2935
65300178 0000000000 P.Q# 513555 8500 L 5/03 13 42898 013050225
1 1 GMT08MD560C 08 CHEVY/GMC SVC. MAN. SET 20000 20000
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Monthly statem nts are not provided. RE-TURN DUPWC TE COPY
OF THISINVOICE
WITH YOUR C ECK.
• TERMS: Net 10th & 25th/each month
200 00 0 00 1 19.66 1 PAY THIS AMOUNT 1 219t66
WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF THE FAIR LABOR STANDARDS _
ACT,AS AMENDED,AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT ISSUED UNDER SECTION 14 THEREOF. "-
Prescribed by State Board of Accounts
Form No.301-S(Rev.1997) 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
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true a d correct and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WASTEWATER UTILITY ACCT.
NO.
CARMEL, INDIANA
HELM Favor Of
IH3lo t4amA6o Aoe-
H ,q H" P-A, /vll:
Total Amount of Voucher $
Deductions
P-13igab
Amount of Warrant $
Month of Yr
Acct.
VOUCHER RECORD No.
Collection System
Pumping
Treatment& Disposal
Customer Accounts
Administrative&General
Reclaimed Water Treatment
Reclaimed Water Distribution
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325