HomeMy WebLinkAbout222609 07/30/2013 *f CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEY
CHECK INDIANA 46032 PO BOX 71362 CHECK AMOUNT: $4,000.00
��. PHILADELPHIA PA 19176-1362
CHECK NUMBER: 222609
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 90183233 4, 000 . 00 STORM WATER PHASE II
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
DOWN PAYMENT (BILL) REQUEST
Bill #: 90183233
Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344
Billing Contact: Tonja R. Clark, Budget Analyst Phone: (317) 600-2723 Date: 07/12/2013
Due Date: 09/10/2013
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: CITY OF CARMEL
MR. MIKE McBRIDE Additional forms of payment may be accepted. Please
ONE CIVIC SQUARE email gdatta @usgs.gov or call 703-648-7605 for
CARMEL IN 46032 additional information.
To a through Pa '. ov o to htt s://vwvw. a ov. Checks must be made payable to
pay g y g g p p Y g U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
07/12/2013 Expenses incurred for the operation and 1 4,000.00 1 4,000.00
maintenance of a streamflow gaging station on
Williams Creek at 96th Street in Hamilton County
for the period of October 1, 2012 to September 30,
2013.
13EMNF0000005
Amount Due this Bill: 4,000.00
Accounting Classification:
Sales Order: 28304
Sales Office: GENF
Customer: 6000001344
Bill #: 90183233
TIN: 356000972
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 service rendered, by whom,
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
United States Geological Survey Purchase Order No.
POB 71362 Terms
Philadelphia, PA 19176-1362 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
7/12/2013 90183233 Williams Creek Streamflow,expense share $ 4,000.00
Totall $ 4,000.00
1 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 NC WARRANT NO.
United States Geological Survey ALLOWED 20
POB 71362 IN SUM OF $
Philadelphia, PA 19176-1362
$ 4,000.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 90183233 211-4462838 $ 4.000.00 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
:!!!�29/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund