221815 07/10/2013 CITY OF CARMEL, INDIANA VENDOR: 361808 Page 1 of 1
` ONE CIVIC SQUARE PROLIANCE ENERGY LLC
CARMEL, INDIANA 46032 111 MONUMENT CIRCLE SUITE 2200 CHECK AMOUNT: $5,394.93
INDIANAPOLIS IN 46204
CHECK NUMBER: 221815
CHECK DATE: 7/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4349000 201306-I-000 5, 394 . 93 201306-I-000700
Invoice Date: I I-Ju1-2013 Invoice Number: 201306-1-000700
Due Date: 21-Jul-2013 Customer ID: C1TYO CARRED
Production Month: 6/2013 GMS Contract Number: S-C1TY0}CARRI:I)-'1"-0001
Customer Number: 42441
PO Number(s):
Please Remit to:
Carmel Energy Center
A ProLiance Energy, LLC
ttn: Accounts Payable
1 Civic Square Attn: Accounts Receivable
Carmel, IN 46032 1 t 1 Monument Circle
Suite 2200
Indianapolis, IN 46204-5178
Pmllance
Pi eline Meter Description Stat. Quantity Price Amountl)ue
1NDGAS C±:I Pont C51 lL;:, Poo. Act 90 Dtit 31 l0U "a 12 ti.04
C;.1 Pool E:::Cess Gas Poc.1. P.r.:.._ 164 01,11 5;.4110:1 13";..
IN G T $7..99
Cut't:^nt 9bta.lS 4 Dt:h $ ,394,93
P,oc.ap:
Tota_ Actual 5 ',2;. -
'rota1 Tax $--+.4,
Nat Amount Due 531, 39'.93
Pi oc Account Bahr.,---e .0.
Total Ai-io Ll^i.. Mie •; 9,i
Any amounts that are past due will continue to accrue late fees and/or late charges until amount is paid in full.
If you have any questions or concerns on this invoice,please contact Customer One at our toll free number 1-81PROLIANCE(1-877-654-2623).
Please,Send E17%'ransacaons To Please Send invoices To: Please Renut Check To: Please Send Correspondence Tn-
PN('Bank,N'.A PmLmnce Fnergy.LI C Prol.ianoe l:notn..HE PTOIXMIX Energy,LLC
Last Ilrunswick,\J I I I \lonumcni Circle Attn:Accounts Receivable I I I monutnent Cnclr
flank Account n 831126582205 Suite 220o 111 Monument tlrele Sutte 220()
W IRI AHAI1' 011207607 Indianapolis.IN 46204-5178 Suite.20 Ind6napoha,IN 46204-5178
4011-1BAh 031107607 Phone (31')251-6900 Indtanapohs,l\ •16207-5178 Phone (3117)'_31-(,300
Invoice Number: _'01.06-1-0(10700 Customer ID: CI'I')'OFCARREI) Pu_c I
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.
Payee
�- Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
aV/0 t 7-)
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
�(� l cull Cam. �,(WA
IN SUM OF $
C�r
$ 6, 23q
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
0 002 CID materials or services itemized thereon for
which charge is made were ordered and
received except
20
Al
Signat
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund